ArticleGlobal health action2023
The influence of internship training experience on Kenyan and Ugandan doctors' career intentions and decisions: a qualitative study.
Article in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The impact of empowering community physicians to prescribe vaccines on public vaccination: a grounded theory interview study.Frontiers in public health · 2026Article
- Roles of medical, nursing and clinical specialists in selected African health systems: a document review of numbers, norms, training and scope of practices.Wellcome open research · 2025Article
- Public service motivation, public sector preference and employment of Kenyan medical doctor interns: a cross-sectional and prospective study.Human resources for health · 2024Article
- Examining liminality in professional practice, relational identities, and career prospects in resource-constrained health systems: Findings from an empirical study of medical and nurse interns in Kenya.Social science & medicine (1982) · 2024Article
- Interns' Perceived Level of Proficiency After General Surgery Rotation: A Cross-Sectional Study From Saudi Arabia.Cureus · 2024Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundMedical internship is a key period for doctors' individual career planning and also a transition period for the broader labour market.
objectivesWe aimed to understand the complex set of factors influencing the career intentions and decisions of junior doctors, post-internship in Kenya and Uganda.
methodsWe conducted semi-structured interviews with 54 junior medical officers and 14 consultants to understand doctors' internship experiences and subsequent employment experiences. We analysed the data using a mix of a direct content approach, informed by an internship experience and career intentions framework developed primarily from high-income country literature, alongside a more inductive thematic analysis.
resultsEchoing the internship experience and career intentions framework, we found that clinical exposure during internship, work-life balance, aspects of workplace culture such as relationships with consultants and other team members, and concerns over future job security and professional development all influenced Kenyan and Ugandan doctors' career preferences. Additionally, we added a new category to the framework to reflect our finding that interns might want to 'fill a health system gap' when they choose their future careers, based on what they witness as interns. However, often career intentions did not match career and employment decisions due to specific contextual factors, most importantly a shortage of job opportunities.
conclusionWe have shown how internship experiences shape medical doctors' career intentions in Kenya and Uganda and highlighted the importance of job availability and context in influencing doctors' career choices.
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