ArticleBMJ open2020
Exploration of rural physicians' lived experience of practising outside their usual scope of practice to provide access to essential medical care (clinical courage): an international phenomenological study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Experiences of working as early career allied health professionals and doctors in rural and remote environments: a qualitative systematic review.BMC health services research · 2022Pooled it
- Professional support to improve rural medical workforce retention, what works in what context: a realist evaluation.Human resources for health · 2026Article
- Integrated challenges for IMGs as they migrate and move into general practice careers in rural Australia: a multi-staged qualitative study.BMC medical education · 2026Article
- Survey of the Availability of Neurology Services on Hawai'i Island.Hawai'i journal of health & social welfare · 2026Article
- Perspectives of Yukon's frontline health care workers during the COVID-19 pandemic.International journal of circumpolar health · 2025Article
- The Future of Rural Medical Education in Australia.The Australian journal of rural health · 2025Article
- Clinical courage.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Rural and Urban Differences in Prostate Cancer Recurrence.JAMA network open · 2025Article
- Factors Positively Influencing GP Obstetricians to Remain in Rural and Remote Obstetric Practice.The Australian journal of rural health · 2025Article
- Storylines of family medicine IV: perspectives on practice-lenses of appreciation.Family medicine and community health · 2024Article
- Storylines of family medicine IX: people and places-diverse populations and locations of care.Family medicine and community health · 2024Article
- Uncertainty in the Clinic: the Importance of Adaptive Expertise for Dealing with Complexity.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023Article
- Undergraduate rural medical training experiences and uptake of rural practice: a retrospective cohort study in South Australia.BMC medical education · 2023Article
- To stay or not to stay: the role of sense of belonging in the retention of physicians in rural areas.International journal of circumpolar health · 2022Article
- Recruitment of general practitioners in China: a scoping review of strategies and challenges.BMC primary care · 2022Article
- Exploring rural doctors' early experiences of coping with the emerging COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Contemporary Australian socio-cultural factors and their influence on medical student rural career intent.The Australian journal of rural health · 2022Article
- Using Mobile Phone Apps to Deliver Rural General Practitioner Services: Critical Review Using the Walkthrough Method.JMIR formative research · 2022Article
- Family Medicine Physicians' Perspectives Regarding Rural Behavioral Health Care: Informing Ideas for Increasing Access to High-Quality Services.The journal of behavioral health services & research · 2021Article
- Exploring the impact of rural health system factors on physician burnout: a mixed-methods study in Northern Canada.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRural doctors describe consistent pressure to provide extended care beyond the limits of their formal training in order to meet the needs of the patients and communities they serve. This study explored the lived experience of rural doctors when they practise outside their usual scope of practice to provide medical care for people who would otherwise not have access to essential clinical services.
designA hermeneutic phenomenological study.
settingAn international rural medicine conference.
participantsAll doctors attending the conference who practised medicine in rural/remote areas in a predominantly English-speaking community were eligible to participate; 27 doctors were recruited.
interventionsSemi-structured interviews were conducted. The transcripts were initially read and analysed by individual researchers before they were read aloud to the group to explore meanings more fully. Two researchers then reviewed the transcripts to develop the results section which was then rechecked by the broader group. PRIMARY OUTCOME MEASURE: An understanding of the lived experiences of clinical courage.
resultsParticipants provided in-depth descriptions of experiences we have termed
conclusionThis study elucidated six features of the phenomenon of
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