Evidence map›Paper›PMID 39164702›Full record

ArticleBMC medical education2024

Advice to future family physicians: findings from qualitative interviews with family medicine residents and early-career family physicians.

Sean Wang, Richard Buote, Lauren R Moritz, M Ruth Lavergne, Emily Gard Marshall

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Sean WangPrimary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, 1465 Brenton Street Suite 402, Halifax, NS, B3J 3T4, Canada.
Richard BuotePrimary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, 1465 Brenton Street Suite 402, Halifax, NS, B3J 3T4, Canada.
Lauren R MoritzPrimary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, 1465 Brenton Street Suite 402, Halifax, NS, B3J 3T4, Canada.
M Ruth LavergnePrimary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, 1465 Brenton Street Suite 402, Halifax, NS, B3J 3T4, Canada.
Emily Gard MarshallPrimary Care Research Unit, Dalhousie Family Medicine, Dalhousie University, 1465 Brenton Street Suite 402, Halifax, NS, B3J 3T4, Canada. Emily.Marshall@Dal.ca.

Funding

CIHR 155965
6 · The paper itself

Abstract

backgroundCanadians continue to report challenges accessing primary care. Practice choices made by primary care providers shape services available to Canadians. Although there is literature observing family medicine practice trends, there is less clarity on the reasoning underlying primary care providers' practice intentions. Advice offered by residents and early-career family physicians may reveal challenges they have experienced, how they have adapted to them, and strategies for new residents. In this paper, we examine advice family medicine residents and early-career family physicians would give to new family medicine residents.

methodsSixty early-career family physicians and thirty residents were interviewed as part of a mixed-methods study of practice patterns of family medicine providers in Canada. During qualitative interviews, participants were asked, "what advice would you give [a new family medicine resident] about planning their career as a family physician?" We inductively analyzed responses to this question.

resultsAdvice consisted of understanding the current climate of family medicine (need for specialization, business management burden, physician burnout) and revealed reasons behind said challenges (lack of support for comprehensive clinic care, practical limitations of different practice models, and how payment models influence work-life balance). Subtheme analyses showed early-career family physicians being more vocal on understanding practical aspects of the field including practice logistics and achieving job security.

conclusionMost advice mirrored current changes and challenges as well as revealing strategies on how primary care providers are handling the realities of practicing family medicine. Multi-modal systemic interventions may be needed to support family physicians throughout the changing reality of family medicine and ensure family medicine is an appealing specialty.

Indexed as

Career ChoiceFamily PracticeInternship and ResidencyPhysicians, FamilyQualitative ResearchAdultAttitude of Health PersonnelCanadaFemaleHumansInterviews as TopicMaleWork-Life BalanceAdviceFamily medicineGraduate medical educationHealth workforcePrimary health care

Identifiers

PMID39164702
PMCPMC11334307

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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.