ArticleFamily medicine and community health2019
Experiences of new family physicians finding jobs with obstetrical care in the USA.
Article in Family medicine and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Attrition of the Midwifery Workforce: Understanding Factors Associated With Leaving the Profession.Health services research · 2026Article
- Strong Obstetric Care Training in Family Medicine Residency: Bolstering the Number of Family Physicians Attending Births.Family medicine · 2026Article
- Factors Influencing Changing Scopes of Practice Among Contemporary Graduates of the Nation's Largest Family Medicine Residency.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Factors Affecting Family Medicine Residents' Decision to Provide Obstetric Care: A Concept Mapping Study.Journal of graduate medical education · 2025Article
- PROMOTE: An Innovative Curriculum to Enhance the Maternity Care Workforce.Family medicine · 2024Article
- Retaining the perinatal care workforce: Lessons learned from experienced physicians who no longer attend deliveries.Health services research · 2024Article
- Providing Obstetric Care: Suggestions From Experienced Family Physicians.Family medicine · 2023Article
- Understanding and Overcoming Barriers to Rural Obstetric Training for Family Physicians.Family medicine · 2023Article
- The Perinatal Workforce Pipeline and Strategies for Meeting Community Need.North Carolina medical journal · 2023Article
- Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services.Medical care · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to explore how new family medicine graduates who want to include obstetrics in their scope of practice identify and select jobs and to understand how employment influences scope of practice in family medicine, particularly the ability to provide maternity care and deliver babies.
designMixed-methods study including a survey and qualitative interviews conducted in 2017.
settingWe electronically surveyed US family physicians and followed up with a purposeful subsample of these physicians to conduct in-depth, semistructured telephone interviews.
participants1016 US family medicine residency graduates 2014-2016 who indicated that they intended to deliver babies in practice completed a survey; 56 of these were interviewed.
main outcome measuresThe survey measured the reasons for not doing obstetrics as a family physician. To identify themes regarding finding family medicine jobs with obstetrics, we used a team-based, immersion-crystallisation approach to analyse the transcribed qualitative interviews.
resultsSurvey results (49% response rate) showed that not finding a job that included obstetrics was the primary reason newly graduated family physicians who intended to do obstetrics were not doing so. Qualitative interviews revealed that family physicians often find jobs with obstetrics through connections or recruitment efforts and make job decisions based on personal considerations such as included geographical preferences, family obligations and lifestyle. However, job-seeking and job-taking decisions are constrained by employment-related issues such as job structure, practice characteristics and lack of availability of family medicine jobs with obstetrics.
conclusionsWhile personal reasons drove job selection for most physicians, their choices were constrained by multiple factors beyond their control, particularly availability of family medicine jobs allowing obstetrics. The shift from physician as practice owner to physician as employee in the USA has implications for job-seeking behaviours of newly graduating medical residents as well as for access to healthcare services by patients; understanding how employment influences scope of practice in family medicine can provide insight into how to support family physicians to maintain the scope of practice they desire and are trained to provide, thus, ensuring that families have access to care.
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