Identifying and exploring factors influencing career choice, recruitment and retention of anaesthesia trainees in the UK

Moore, Jolene; McDiarmid, A J; Johnston, Peter; Cleland, Jennifer

doi:10.1136/postgradmedj-2015-133518

Cited by 18 publications

(18 citation statements)

References 24 publications

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Section: Discussionsupporting

confidence: 53%

“…[8][9][10] Prestige as medical career determinants was also as supported by previous researchers to the extent of the point of view medical profession not for health, but for the status and power of medical profession itself. 9,11 Personal interest is the only fundamental determinants and supported by theories and researchers. 12,13 Concerning parental influence in career decision-making process in a collectivist culture, career congruence with parents and parents' career expectation were proven influential and supported by previous research.…”

Section: Discussionsupporting

confidence: 53%

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Medical Student Career Choice’s Determinants: A Qualitative Study

Syakurah

Prabandari

Widyandana

et al. 2017

GMHC

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Choosing a career is an essential stage in medical students' life. Previous researchers all across the world have been conducted studies to examine determinants of career choices in general and medical careers in sociodemographic and behavioral perspectives. While most of the studies centered on general career choices determinants and located mostly in western countries with general career choices as their topics, few studies explore about medical students' career choices determinants in a collectivist culture like Indonesia. Hence, this study aimed to explore and describe determinants of medical students' career choices in collectivist culture setting. Participants, 62 students in total, were recruited from all stages of undergraduate medical students in Sriwijaya University in November 2015 until January 2016. Each of focus groups was led by a facilitator to explore medical students' career choices' determinants. Transcripts encoded according to recurring topics and themes that came up during their discussions. Eight themes identified from the discussions were: four major, two intermediate and two minor issues. Major themes were financial gain, prestige, personal interest and family influence. In conclusion, some points can be used to increase medical students' interest in various medical career fields. Exposure to medical career information should not target merely on medical students but also to their family and the community as well. Government roles in providing financial incentives as well as career opportunities to medical fields to increase the interest of medical students in the certain medical field. Key words: Career choice, medical career, undergraduate Determinan Karier Mahasiswa Kedokteran: Sebuah Studi Kualitatif AbstrakPemilihan karier merupakan salah satu fase yang penting dalam kehidupan seorang mahasiswa kedokteran. Berbagai penelitian di seluruh dunia telah dilakukan dalam menemukan dan menganalisis determinan pemilihan karier seseorang, baik secara umum, maupun dalam dunia kedokteran secara khusus yang dilakukan pada perspektif sosiodemografi dan perilaku. Saat ini masih sedikit sekali penelitian yang dilakukan pada mahasiswa kedokteran yang bertujuan mengeksplorasi determinan pemilihan kariernya, terutama dalam lingkungan dengan kultur kolektivisme seperti di Indonesia. Penelitian ini ditujukan mengeksplorasi dan menjelaskan alasan pemilihan karier mahasiswa kedokteran pada lingkungan dengan kultur kolektivisme. Partisipan adalah semua mahasiswa kedokteran preklinik di Fakultas Kedokteran Universitas Sriwijaya yang berjumlah 62 orang. Penelitian dilakukan pada bulan November 2015-January 2016. Tiap kelompok diskusi terarah dipimpin oleh seorang fasilitator yang melakukan eksplorasi terkait alasan pemilihan karier mereka. Hasil diskusi dicatat dan transkrip dikelompokkan sesuai dengan tema yang sering muncul selama kegiatan diskusi berlangsung. Delapan tema teridentifikasi dalam diskusi, yaitu empat tema mayor, dua tema menengah, dan dua tema minor bergantung pada seringnya tema ter...

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Section: Discussionsupporting

confidence: 53%

Section: Discussionsupporting

confidence: 53%

Medical Student Career Choice’s Determinants: A Qualitative Study

Syakurah

Prabandari

Widyandana

et al. 2017

GMHC

View full text Add to dashboard Cite

show abstract

“…Recent strategy published by the NIHR offers novel career options for research staff25–27 such as consultant research nurse models 25. The emergence of medical trainee networks across the UK have also helped create a case for formalised processes 28 29. NIHR initiatives to engender a culture of research in healthcare, with every patient being offered the opportunity to participate in research aimed at improving care30 are also reflected in these individual participants’ motivations to improve care through research.…”

Section: Discussionmentioning

confidence: 99%

Synthesis of qualitative research studies regarding the factors surrounding UK critical care trial infrastructure

et al. 2019

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Conducting clinical trials in critical care is integral to improving patient care. Unique practical and ethical considerations exist in this patient population that make patient recruitment challenging, including narrow recruitment timeframes and obtaining patient consent often in time-critical situations. Units currently vary significantly in their ability to recruit according to infrastructure and level of research activity.AimTo identify variability in the research infrastructure of UK intensive care units and their ability to conduct research and recruit patients into clinical trials.DesignWe evaluated factors related to intensive care patient enrolment into clinical trials in the UK. This consisted of a qualitative synthesis carried out with two datasets of in-depth interviews (distinct participants across the two datasets) conducted with 27 intensive care consultants (n=9), research nurses (n=17) and trial coordinators (n=1) from 27 units across the UK. Primary and secondary analyses of two datasets (one dataset had been analysed previously) were undertaken in the thematic analysis.FindingsThe synthesis yielded an overarching core theme of normalising research, characterised by motivations for promoting research and fostering research-active cultures within resource constraints, with six themes under this to explain the factors influencing critical care research capacity: organisational, human, study, practical resources, clinician and patient/family factors. There was a strong sense of integrating research in routine clinical practice, and recommendations are outlined.ConclusionsThe central and transferable tenet of normalising research advocates the importance of developing a culture where research is inclusive alongside clinical practice in routine patient care and is a requisite for all healthcare individuals from organisational to direct patient contact level.

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“…In many LMICs, there is a general shortage of medical graduates and this, coupled with anaesthesia’s low profile, results in very small numbers of doctors training to be specialist anaesthetists 10. Longer term planning of a viable anaesthesia workforce should involve both increasing graduate numbers and raising the profile of anaesthesiology as a career, as well as creating positive learning and working environments for trainees 10–12…”

Section: Discussionmentioning

confidence: 99%

What is the minimum number of specialist anaesthetists needed in low-income and middle-income countries?

et al. 2018

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IntroductionThe number of specialist anaesthetists in most low-income and middle-income countries is below what is needed to provide a safe quality anaesthesia service. There are no estimates of the optimal number; therefore, we estimated the minimum density of specialist anaesthetists to achieve a reasonable standard of healthcare as indicated by the maternal mortality ratio (MMR).MethodsUtilising existing country-level data of the number of physician anaesthesia providers (PAPs), MMR and Human Development Index (HDI), we developed best-fit curves to describe the relationship between MMR and PAPs, controlling for HDI. The aim was to use this relationship to estimate the number of PAPs associated with achieving the median MMR.ResultsWe estimated that, in order to achieve a reasonable standard of healthcare, as indicated by the global median MMR, countries should aim to have at least four PAPs per 100 000 population. Existing data show that currently 80 countries have fewer than this number.ConclusionFour PAPs per 100 000 population is a modest target, but there is a need to increase training of doctors in many countries in order to train more specialist anaesthetists. It is important that this target is considered during the development of national workforce plans, even if a stepwise approach to workforce planning is chosen.

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Identifying and exploring factors influencing career choice, recruitment and retention of anaesthesia trainees in the UK

Cited by 18 publications

References 24 publications

Medical Student Career Choice’s Determinants: A Qualitative Study

Medical Student Career Choice’s Determinants: A Qualitative Study

Synthesis of qualitative research studies regarding the factors surrounding UK critical care trial infrastructure

What is the minimum number of specialist anaesthetists needed in low-income and middle-income countries?

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