Evidence map›Paper›PMID 31416444›Full record

ArticleHuman resources for health2019

The relationship between gender, parenthood and practice intentions among family medicine residents: cross-sectional analysis of national Canadian survey data.

Miriam Ruth Lavergne, Andrea Gonzalez, Megan Alyssa Ahuja, Lindsay Hedden, Rita McCracken

Abstract read
In one paragraph

Article in Human resources for health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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  6. The effect of parenthood on the clinician's empathy and behavior guidance technique preferences among pediatric dentists.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Article
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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.

Miriam Ruth LavergneFaculty of Health Sciences, Simon Fraser University, 8888 University Drive, Blusson Hall 10502, Burnaby, BC, V5A 1S6, Canada. ruth_lavergne@sfu.ca.ORCID 0000-0002-4205-4600
Andrea GonzalezDepartment of Family Medicine, University of British Columbia, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Megan Alyssa AhujaCentre for Health Services and Policy Research, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
Lindsay HeddenFaculty of Health Sciences, Simon Fraser University, 8888 University Drive, Blusson Hall 10502, Burnaby, BC, V5A 1S6, Canada.
Rita McCrackenDepartment of Family Medicine, University of British Columbia, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.

Funding

Institute of Health Services and Policy Research 155965
6 · The paper itself

Abstract

backgroundFamily medicine (FM) residents choose among a range of options as they enter practice, including practice model, clinical domains, settings, and populations. The choices they make have implications for primary care workforce planning and may differ between FM residents who are parents and those who are not, as well as between male and female FM residents. We investigate whether parenthood shapes intentions among FM residents entering practice and whether the effect of parenthood differs between male and female FM residents.

methodsWe conducted cross-sectional analysis of national survey data collected from FM residents in Canadian residency programs by the College of Family Physicians of Canada between 2014 and 2017. The survey captures information on intentions for comprehensive or focused practice, practice model, clinical domains, practice setting, and populations. We used chi-square tests and multivariable logistic regression to investigate the relationships between parenthood, gender, and practice intentions, adjusting for other physician personal characteristics.

resultsAlmost a quarter of FM residents were parents or became parents during residency. Intentions for the provision comprehensive care were higher among parents, and intentions for clinically focused practice were lower. Differences in intentions for practice models, domains, and settings/population were primarily by gender, though in several cases the effects of parenthood differed between female and male FM residents. Even during residency, the effects of parenthood differ between male and female residents: while three quarters of male parents finish residency in two years, fewer than half of female parents do.

conclusionsBoth parenthood and gender independently shape practice intentions, but the effect of parenthood differs for male and female FM residents. Supporting FM residents who are parents may positively impact the quality and availability of primary care services, especially since parents are more likely to report intentions to provide  comprehensive care soon after entering practice.

Indexed as

Attitude of Health PersonnelCareer ChoiceAdultCanadaCross-Sectional StudiesFamily PracticeFemaleHumansInternship and ResidencyMaleParentingPhysicians, FamilySex FactorsSurveys and QuestionnairesFamily medicineGenderHealth human resourcesParenthoodPractice intentionsResidentsWorkforce planning

Identifiers

PMID31416444
PMCPMC6694610

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.