Evidence map›Paper›PMID 18625827›Full record

ArticleCanadian family physician Medecin de famille canadien2008

Rural intentions: factors affecting the career choices of family medicine graduates.

Diane J Lu, Jacquie Hakes, Meera Bai, Helen Tolhurst, James A Dickinson

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. The career pathways of new family physicians in South Africa from 2008 to 2022.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  6. Article
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  8. Article
  9. Article
  10. Israeli medical students' perceptions of six key medical specialties.Israel journal of health policy research · 2013
    Article
  11. Recent epidemiologic trends of diabetes mellitus among status Aboriginal adults.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011
    Article
  12. Article
  13. Choosing family medicine residency programs: what factors infuence residents’ decisions?Canadian family physician Medecin de famille canadien · 2011
    Article
  14. Article
  15. Residents' perspectives on professionalism.Journal of graduate medical education · 2009
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Diane J LuDepartment of Family Medicine at University of Calgary in Alberta.
Jacquie Hakes
Meera Bai
Helen Tolhurst
James A Dickinson
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the reasons for family medicine graduates' career choices.

designQualitative study using focus groups and one-on-one interviews.

settingUniversity of Calgary in Alberta.

participantsSeventeen male and female second-year family medicine residents, representing a range of ages and areas of origin, enrolled in the 2004 urban and rural south streams of the family medicine residency program at the University of Calgary.

methodDuring the final month of training, 2 focus groups were conducted to determine graduating students' career choices and the reasons for them. After focus-group data were analyzed, a questionnaire was constructed and subsequently administered to participants during face-to-face or telephone interviews. MAIN

findingsMost residents initially planned to do urban locums in order to gain experience. In the long term, they planned to open practices in urban areas for lifestyle and family reasons. Many residents from the rural stream had no long-term plans to establish rural practices. Most residents said they felt prepared for practice, but many indicated that an optional third year of paid training, with an emphasis on emergency medicine, obstetrics, and pediatrics, would be desirable. Reasons cited for not practising in rural areas were related to workload, lifestyle issues, family obligations, and perceived lack of medical support in the community. Only 4 female graduates and 1 male graduate intended to practise obstetrics. The main reason residents gave for this was inadequate training in obstetrics during residency. Finances were cited as a secondary reason for many choices, and might in fact be more important than at first apparent.

conclusionDespite its intention to recruit family medicine graduates to rural areas and to obstetrics, the University of Calgary residency training program was not successful in recruiting physicians to these areas. The program likely needs to re-examine the effectiveness of current approaches. If other programs are having similar difficulties recruiting graduates to obstetrics and rural practice, perhaps changes in policies should be considered.

Indexed as

Career ChoiceFamily PracticeAlbertaDecision MakingEducation, Medical, GraduateFemaleFocus GroupsHumansInternship and ResidencyMaleMotivationPhysicians, FamilyProfessional Practice LocationQualitative ResearchRural Health ServicesWorkforce

Identifiers

PMID18625827
PMCPMC2464808
OpenAlexW2098640251

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.