Evidence map›Paper›PMID 39824601›Full record

ArticleBJGP open2025

How gender shapes practice choices among family medicine residents and early career family physicians: a Canadian qualitative study.

Anneka Sheppard, Amanda Gormley, Lauren Mills, Madeleine McKay, Fiona Bergin, Roetka Gradstein, Catherine Moravac, Ian Scott, M Ruth Lavergne

Abstract read
In one paragraph

Article in BJGP open, 2025. 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

9 authors.

Anneka SheppardFaculty of Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0000-0002-9865-0575
Amanda GormleyFaculty of Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0009-0005-9160-3740
Lauren MillsFaculty of Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0009-0006-2020-8927
Madeleine McKayDepartment of Health and Wellness, Government of Nova Scotia, Halifax, Canada.ORCID https://orcid.org/0009-0003-0652-2678
Fiona BerginDepartment of Family Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0009-0001-4503-2933
Roetka GradsteinDepartment of Family Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0009-0009-6341-0940
Catherine MoravacPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Canada.ORCID https://orcid.org/0000-0002-3000-4980
Ian ScottDepartment of Family Practice, University of British Columbia, Vancouver, Canada.ORCID https://orcid.org/0000-0003-0396-0966
M Ruth LavergnePrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Canada ruth.lavergne@dal.ca.ORCID https://orcid.org/0000-0002-4205-4600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe practice choices of family medicine residents and early career family physicians shape access to primary care. A growing proportion of family physicians are women.

aimTo examine how gender operates in shaping family physician practice choices and subsequent practice patterns. DESIGN &

settingQualitative interview data were analysed. Family medicine residents and early career family physicians from three Canadian provinces (Nova Scotia, Ontario, and British Columbia) participated in interviews.

methodQualitative interview data were collected as part of a larger mixed-methods study. Eighty-eight interviews were transcribed verbatim and coded into several node reports, including one on gender. Reflexive thematic analysis was conducted to identify themes related to how gender impacts physician practice choices.

resultsMany participants described multiple intersecting pathways through which it was apparent that gender shaped their career and practice choices. Others did not identify the impact of gender in this regard. Parenthood and caregiving were commonly discussed, as were clinical interests specific to women's health; however, gendered expectations of patients and colleagues were also seen to shape choices. In this way, gender shaped choices directly, but also indirectly in response to gendered experiences and expectations.

conclusionFindings support the need for structural reforms including: increased availability of collaborative team-based models, flexible work schedules, closure of gendered wage gaps, and integration of gender awareness training through academic and healthcare institutions. Consideration of how primary care policies differentially impact across clinician gender is key to future planning to support a changing workforce that meets patient needs.

Indexed as

family medicineprimary health carequalitative researchsocial sciences

Identifiers

PMID39824601
PMCPMC12728858

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.