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Articles

How do foundation year and internship experience shape doctors’ career intentions and decisions? A meta-ethnography

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References

  • Alberti H, Banner K, Collingwood H, Merritt K. 2017. ‘Just a GP’: a mixed method study of undermining of general practice as a career choice in the UK. BMJ Open. 7(11):e018520.
  • Appleton A, Singh S, Eady N, Buszewicz M. 2017. Why did you choose psychiatry? A qualitative study of psychiatry trainees investigating the impact of psychiatry teaching at medical school on career choice. BMC Psychiatry. 17(1):276.
  • Beattie S, Crampton PES, Schwarzlose C, Kumar N, Cornwall PL. 2017. Junior doctor psychiatry placements in hospital and community settings: a phenomenological study. BMJ Open. 7(9):e017584.
  • Blacklock C, Ward AM, Heneghan C, Thompson M. 2014. Exploring the migration decisions of health workers and trainees from Africa: a meta-ethnographic synthesis. Soc Sci Med. 100:99–106.
  • Brodribb W, Zadoroznyj M, Martin B. 2016. How do rural placements affect urban-based Australian junior doctors’ perceptions of working in a rural area? Aust Health Rev. 40(6):655–660.
  • Carlsson Y, Nilsdotter A, Bergman S, Liljedahl M. 2022. Junior doctors’ experiences of the medical internship: a qualitative study. Int J Med Educ. 13:66–73.
  • Cleland J, Roberts R, Kitto S, Strand P, Johnston P. 2018. Using paradox theory to understand responses to tensions between service and training in general surgery. Med Educ. 52(3):288–301.
  • Croghan SM, Baker T. 2020. The great gamble? A mixed-methods study of factors influencing medical students in specialty choice. J R Coll Physicians Edinb. 50(4):422–430.
  • Cronin F, Clarke N, Hendrick L, Conroy R, Brugha R. 2019. The impacts of training pathways and experiences during intern year on doctor emigration from Ireland. Hum Resour Health. 17(1):74.
  • Cuesta-Briand B, Coleman M, Ledingham R, Moore S, Wright H, Oldham D, Playford D. 2020. Understanding the factors influencing junior doctors’ career decision-making to address rural workforce issues: testing a conceptual framework. IJERPH. 17(2):537.
  • Deressa W, Azazh A. 2012. Attitudes of undergraduate medical students of Addis Ababa University towards medical practice and migration, Ethiopia. BMC Med Educ. 12(1):68.
  • Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. 2005. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy. 10(1):45–53.
  • Dixon-Woods M, Sutton A, Shaw R, Miller T, Smith J, Young B, Bonas S, Booth A, Jones D. 2007. Appraising qualitative research for inclusion in systematic reviews: a quantitative and qualitative comparison of three methods. J Health Serv Res Policy. 12(1):42–47.
  • East Anglian Foundation Programme 2010. Guidance on the provision of specialty tasters for foundation doctors [Internet]. [place unknown]. https://heeoe.hee.nhs.uk/sites/default/files/guidance_on_specialty_tasters_for_foundation_trainees_final_feb_2012.pdf.
  • El Koussa M, Atun R, Bowser D, Kruk ME. 2016. Factors influencing physicians’ choice of workplace: systematic review of drivers of attrition and policy interventions to address them. J Glob Health. 6(2):020403.
  • Essa ZI. 2011. Post-medical interns’ reflections on medical internships in South African state training hospitals. [Thesis] [Internet]. [place unknown]; [accessed 2021 May 11]. http://wiredspace.wits.ac.za/handle/10539/9209.
  • Fatima Y, Kazmi S, King S, Solomon S, Knight S. 2018. Positive placement experience and future rural practice intentions: findings from a repeated cross-sectional study. J Multidiscip Healthc. 11:645–652.
  • Firth A, Wass V. 2011. The impact of general practice attachments on foundation doctors: achieving the goals of modernising medical careers. Educ Prim Care. 22(5):314–320.
  • France EF, Cunningham M, Ring N, Uny I, Duncan EAS, Jepson RG, Maxwell M, Roberts RJ, Turley RL, Booth A, et al. 2019. Improving reporting of meta-ethnography: the eMERGe reporting guidance. BMC Med Res Methodol. 19(1):1–13.
  • George G, Reardon C. 2013. Preparing for export? Medical and nursing student migration intentions post-qualification in South Africa. Afr J Prim Health Care Fam Med. 5(1):483.
  • GMC. 2019. The state of medical education and practice in the UK 2019 [Internet]. [place unknown]. https://www.gmc-uk.org/-/media/documents/somep-2019–-full-report_pdf-81131156.pdf.
  • Han E, Chung E, Oh S, Woo Y, Hitchcock M. 2014. Mentoring experience and its effects on medical interns. Singapore Med J. 55(11):593–597.
  • Harris M, Wainwright D, Wainwright E. 2020. What influences young doctors in their decision-making about general practice as a possible career? A qualitative study. Educ Prim Care. 31(1):15–23.
  • Herfs PGP. 2014. Aspects of medical migration with particular reference to the United Kingdom and the Netherlands. Hum Resour Health. 12(1):59.
  • Hollis AC, Streeter J, Van Hamel C, Milburn L, Alberti H. 2020. The new cultural norm: reasons why UK foundation doctors are choosing not to go straight into speciality training. BMC Med Educ. 20(1):282.
  • Ibarra H. 1999. Provisional selves: experimenting with image and identity in professional adaptation. Adm Sci Q. 44(4):764–791.
  • Lehmann U, Dieleman M, Martineau T. 2008. Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention. BMC Health Serv Res. 8(1):19.
  • Lent R, Brown S, Hackett G. 1994. Toward a unifying social cognitive theory of career and academic interest, choice, and performance. J Vocat Behav. 45(1):79–122.
  • Lent RW, Brown SD. 1996. Social cognitive approach to career development: an overview. Career Dev Q. 44(4):310–321.
  • Lewin S, Booth A, Glenton C, Munthe-Kaas H, Rashidian A, Wainwright M, Bohren MA, Tunçalp Ö, Colvin CJ, Garside R, et al. 2018. Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series. Implement Sci. 13(1):2.
  • Liang R, Dornan T, Nestel D. 2019. Why do women leave surgical training? A qualitative and feminist study. The Lancet. 393(10171):541–549.
  • Ludwig K, Machnitzke C, Kühlein T, Roos M. 2018. Barriers to practicing General Practice in rural areas – results of a qualitative pre-post-survey about medical students during their final clinical year. GMS J Med Educ. 35(4):Doc50.
  • Malpass A, Shaw A, Sharp D, Walter F, Feder G, Ridd M, Kessler D. 2009. “Medication career” or “Moral career”? The two sides of managing antidepressants: a meta-ethnography of patients’ experience of antidepressants. Soc Sci Med. 68(1):154–168.
  • Markus H, Nurius P. 1986. Possible selves. Am Psychol. 41(9):954–969.
  • Merrett A, Jones D, Sein K, Green T, Macleod U. 2017. Attitudes of newly qualified doctors towards a career in general practice: a qualitative focus group study. Br J Gen Pract. 67(657):e253–e259.
  • Mohammadiaghdam N, Doshmangir L, Babaie J, Khabiri R, Ponnet K. 2020. Determining factors in the retention of physicians in rural and underdeveloped areas: a systematic review. BMC Fam Pract. 21(1):1–23.
  • NHS Health Education England, Medical Schools Council. 2016. By choice – not by chance: Supporting medical students towards future GP careers [Internet]. [place unknown]. https://www.medschools.ac.uk/media/2881/by-choice-not-by-chance.pdf.
  • Noblit GW, Hare RD. 1988. Meta-ethnography: synthesizing qualitative studies. Newbury Park (CA): SAGE.
  • Olsson C, Kalén S, Ponzer S. 2019. Sociological analysis of the medical field: using Bourdieu to understand the processes preceding medical doctors’ specialty choice and the influence of perceived status and other forms of symbolic capital on their choices. Adv Health Sci Educ Theory Pract. 24(3):443–457.
  • Parker JE, Hudson B, Wilkinson TJ. 2014. Influences on final year medical students’ attitudes to general practice as a career. Qual Res. 6(1):8.
  • Peel JK, Schlachta CM, Alkhamesi NA. 2018. A systematic review of the factors affecting choice of surgery as a career. Can J Surg. 61(1):58–67.
  • Puertas EB, Arósquipa C, Gutiérrez D. 2013. Factors that influence a career choice in primary care among medical students from high-, middle-, and low-income countries: a systematic review. Rev Panam Salud Publica. 34(5):351–358.
  • Querido S, van den Broek S, de Rond M, Wigersma L, ten Cate O. 2018. Factors affecting senior medical students’ career choice. Int J Med Educ. 9:332–339.
  • Recherche qualitative [Biblio3S]. [accessed 2021 Nov 9]. https://extranet.santecom.qc.ca/wiki/!biblio3s/doku.php?id=concepts:recherche-qualitative.
  • Rizan C, Montgomery J, Ramage C, Welch J, Dewhurst G. 2019. Why are UK junior doctors taking time out of training and what are their experiences? A qualitative study. J R Soc Med. 112(5):192–199.
  • Scanlan GM, Cleland J, Stirling SA, Walker K, Johnston P. 2019. Does initial postgraduate career intention and social demographics predict perceived career behaviour? A national cross-sectional survey of UK postgraduate doctors. BMJ Open. 9(8):e026444.
  • Scanlan GM, Cleland J, Walker K, Johnston P. 2018. Does perceived organisational support influence career intentions? The qualitative stories shared by UK early career doctors. BMJ Open. 8(6):e022833.
  • Schutz A. 2012. Collected papers I. The problem of social reality. Springer Science & Business Media.
  • Scott A, Joyce C, Cheng T, Wang W. 2013. Medical career path decision making: a rapid review. Ultimo (Australia): Sax Institute. https://www.saxinstitute.org.au/wp-content/uploads/REPORT_Medical-career-path.pdf.
  • Smith SE, Tallentire VR, Pope LM, Laidlaw AH, Morrison J. 2018. Foundation Year 2 doctors’ reasons for leaving UK medicine: an in-depth analysis of decision-making using semistructured interviews. BMJ Open. 8(3):e019456.
  • Spooner S, Pearson E, Gibson J, Checkland K. 2017. How do workplaces, working practices and colleagues affect UK doctors’ career decisions? A qualitative study of junior doctors’ career decision making in the UK. BMJ Open. 7(10):e018462.
  • Sreedaran P, Hegde D. 2018. Reasons for pursuing psychiatry as a career: a qualitative study of future psychiatrists from India. Arch Ment Health. 19(1):30.
  • Stagg P, Prideaux D, Greenhill J, Sweet L. 2012. Are medical students influenced by preceptors in making career choices, and if so how? A systematic review. Rural Remote Health. 12:1832.
  • Stamm M, Buddeberg-Fischer B. 2011. The impact of mentoring during postgraduate training on doctors’ career success. Med Educ. 45(5):488–496.
  • Sturman N, Tan Z, Turner J. 2017. “A steep learning curve”: junior doctor perspectives on the transition from medical student to the health-care workplace. BMC Med Educ. 17(1):92.
  • Toye F, Seers K, Allcock N, Briggs M, Carr E, Barker K. 2014. Meta-ethnography 25 years on: challenges and insights for synthesising a large number of qualitative studies. BMC Med Res Methodol. 14(1):80.
  • Williams C, Cantillon P. 2000. A surgical career? The views of junior women doctors. Med Educ. 34(8):602–607.
  • Woodward A, Lake EG, Rajaraman N, Leather A. 2018. Specialist training aspirations of junior doctors in Sierra Leone: a qualitative follow-up study. BMC Med Educ. 18(1):199.
  • World Health Organization. 2020. 10 year member state led review of the WHO Global Code of Practice on the International Recruitment of Health Personnel. [Internet]. https://apps.who.int/gb/ebwha/pdf_files/WHA73/A73_9-en.pdf.
  • World Health Organization 2021. WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas: web annexes. Geneva: WHO.
  • Zhao Y, Musitia P, Boga M, Gathara D, Nicodemo C, English M. 2021. Tools for measuring medical internship experience: a scoping review. Hum Resour Health. 19(1):10.
  • Zhao Y, Osano B, Were F, Kiarie H, Nicodemo C, Gathara D, English M. 2022. Characterising Kenyan hospitals’ suitability for medical officer internship training: a secondary data analysis of a cross-sectional study. BMJ Open. 12(5):e056426.