| A qualitative analysis of career transitions made by internal medicine-pediatrics residency training graduates. | |
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MedLine Citation:
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PMID: 21901912 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Physicians who complete combined residency training in internal medicine and pediatrics (med-peds) have a variety of career options after training. Little is known about career transitions among this group or among other broadly trained physicians. METHODS: To better understand these career transitions, we conducted semistructured, in-depth, telephone interviews of graduates of the University of North Carolina-Chapel Hill School of Medicine med-peds program who self-identified as having had a career transition since completing training. We qualitatively analyzed interview transcripts, to develop themes describing their career transitions. RESULTS: Of 106 physicians who graduated during 1980-2007, 20 participated in interviews. Participants identified factors such as personality, work environment, lifestyle, family, and finances as important to career transition. Five other themes emerged from the data; the following 4 were confirmed by follow-up interviews: (1) experiences during residency were not sufficient to predict future job satisfaction; work after the completion of training was necessary to discover career preferences; (2) a major factor motivating job change was a perceived lack of control in the workplace; (3) participants described a sense of regret if they did not continue to see both adult and pediatric patients as a result of their career change; (4) participants appreciated their broad training and, regardless of career path, would choose to pursue combined residency training again. LIMITATIONS: We included only a small number of graduates from a single institution. We did not interview graduates who had no career transitions after training. CONCLUSIONS: There are many professional opportunities for physicians trained in med-peds. Four consistent themes surfaced during interviews about med-peds career transitions. Future research should explore how to use these themes to help physicians make career choices and employers retain physicians. |
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Authors:
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Harriett Burns; Lauriane Auvergne; Lindsey E Haynes-Maslow; E Allen Liles; Eliana M Perrin; Michael J Steiner |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: North Carolina medical journal Volume: 72 ISSN: 0029-2559 ISO Abbreviation: N C Med J Publication Date: 2011 May-Jun |
Date Detail:
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Created Date: 2011-09-09 Completed Date: 2011-11-02 Revised Date: 2012-05-29 |
Medline Journal Info:
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Nlm Unique ID: 2984805R Medline TA: N C Med J Country: United States |
Other Details:
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Languages: eng Pagination: 191-5 Citation Subset: IM |
Affiliation:
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Charles Drew Community Health Center, Burlington, North Carolina, USA. harriett.burns@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Career Mobility* Education, Medical, Graduate Family Female Humans Internal Medicine / education*, manpower Internship and Residency* Interviews as Topic Job Satisfaction Male Motivation North Carolina Pediatrics / education*, manpower Salaries and Fringe Benefits Workplace |
| Grant Support | |
ID/Acronym/Agency:
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5K23 HD051817/HD/NICHD NIH HHS; K23 HD051817/HD/NICHD NIH HHS; K23 HD051817-04/HD/NICHD NIH HHS; K23 HD051817-05/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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