Evidence map›Paper›PMID 37848257›Full record

ArticleCMAJ open

Starting out rural: a qualitative study of the experiences of family physician graduates transitioning to practice in rural Ontario.

Kathleen Walsh, Kara Passi, Nicola Shaw, Kerry Reed, Sarah Newbery

Abstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Kathleen WalshSection of Family Medicine (Walsh, Reed), NOSM University, North Bay, Ont.; Northern Ontario School of Medicine (Passi), Sudbury, Ont.; Department of Biology (Shaw), Algoma University, Sault St. Marie, Ont.; Section of Family Medicine (Newbery), NOSM University, Marathon, Ont. katwalsh@nosm.ca.
Kara PassiSection of Family Medicine (Walsh, Reed), NOSM University, North Bay, Ont.; Northern Ontario School of Medicine (Passi), Sudbury, Ont.; Department of Biology (Shaw), Algoma University, Sault St. Marie, Ont.; Section of Family Medicine (Newbery), NOSM University, Marathon, Ont.
Nicola ShawSection of Family Medicine (Walsh, Reed), NOSM University, North Bay, Ont.; Northern Ontario School of Medicine (Passi), Sudbury, Ont.; Department of Biology (Shaw), Algoma University, Sault St. Marie, Ont.; Section of Family Medicine (Newbery), NOSM University, Marathon, Ont.
Kerry ReedSection of Family Medicine (Walsh, Reed), NOSM University, North Bay, Ont.; Northern Ontario School of Medicine (Passi), Sudbury, Ont.; Department of Biology (Shaw), Algoma University, Sault St. Marie, Ont.; Section of Family Medicine (Newbery), NOSM University, Marathon, Ont.
Sarah NewberySection of Family Medicine (Walsh, Reed), NOSM University, North Bay, Ont.; Northern Ontario School of Medicine (Passi), Sudbury, Ont.; Department of Biology (Shaw), Algoma University, Sault St. Marie, Ont.; Section of Family Medicine (Newbery), NOSM University, Marathon, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew family medicine graduates are a promising group to recruit to underserved rural areas. This study aimed to understand the experiences of this group as they transitioned to practice in rural Ontario.

methodsWe used a hermeneutic phenomenology approach. Purposive sampling was used to recruit participants who graduated from a Canadian family medicine residency program and worked in a rural community in Ontario (Rurality Index for Ontario score ≥ 40) for at least 1 year within the past 5 years. Participants completed an online demographic survey followed by a virtual semistructured interview (May-August 2022). Interviews were video recorded and transcribed. Two researchers reviewed transcripts for codes, and then codes were reviewed in an iterative process to create themes. Transcripts, codes and themes were reviewed by an independent researcher, and final themes were shared with participants to ensure reliability.

resultsWe included 18 family physicians in the study. We identified 8 themes and 18 subthemes. The themes identified as important to the experience of new graduates were as follows: choosing rural practice, preparedness for practice, navigating work-life balance, navigating transition to practice, challenges during transition to practice, successes during transition to practice, locuming and emergency medicine as part of rural generalist practice.

interpretationMost physicians interviewed felt prepared for rural practice and enjoyed their work; however, they faced unique challenges associated with being an early-career physician in rural practice. This study identifies opportunities for improvements, which can guide medical educators, rural communities and their recruiters, new graduates and policy-makers.

Identifiers

PMID37848257
PMCPMC10586493

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.