我们如何促进学术GP职业生涯? 对影响学术GP工作人员发展的因素进行定性框架分析
Zoë McElhinney1,2, Anita Laidlaw3,4, Robert Scully5
1School of Medicine, University of St Andrews, St Andrews, UK zcm1@st-andrews.ac.uk.
BMJ open
|March 26, 2025
概括
学术通用实践 (AGP) 职业生涯的障碍包括不清楚的培训途径和工作不安全. 解决结构性问题对于保持GP在学术角色和加强一般实践研究和教育至关重要.
科学领域:
- 一般实践 一般实践
- 医学教育 医学教育
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 一般医师在吸引和留住医学毕业生方面面临着挑战.
- 学术通用实践 (AGP) 对于证据生成和培训未来的医生至关重要.
- AGP职业没有得到充分的推广,导致学术GP的下降.
研究的目的:
- 探索抑制和促进学术一般实践职业的因素.
- 了解一般医生追求学术角色的障碍和推动因素.
主要方法:
- 来自两项研究的定性数据的二次框架分析.
- 分析利用费尔德曼和恩格的职业流动性,嵌入性和成功模型.
- 包括41名全科医生,全科医生实习生和苏格兰的学术全科医生.
主要成果:
- 在个人和结构层面上,一般医生进入AGP存在重大障碍.
- 缺乏明确的培训路径和学术路线的可见性是关键障碍.
- 工作不安全,工资较低以及对临床实践的影响也阻碍了全科医生.
结论:
- 在一般实践中解决更广泛的结构性问题对于克服AGP职业障碍至关重要.
- 需要提高对AGP途径的清晰度和支持,以促进学术生涯.
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