Attracting healthcare professionals to remote and rural medicine: Learning from doctors in training in the north of Scotland

• Published in: Medical teacher Vol. 34; no. 7; pp. e476 - e482
• Main Authors: Cleland, J., Johnston, P.W., Walker, L., Needham, G.
• Format: Journal Article
• Language: English
• Published: England Informa UK, Ltd 01.07.2012; Taylor & Francis; Taylor & Francis Ltd
• Subjects: Choice Behavior; Clinical Competence; Cognition & reasoning; Decision making; Doctors; Education, Medical, Graduate - methods; Educational Environment; Educational Experience; Female; Focus Groups; Humans; Interviews as Topic; Isolation; Learning; Learning Experience; Male; Medically Underserved Area; Perceptions; Physicians; Professional Practice Location; Qualitative Research; Rural areas; Rural communities; Rural Health Services - manpower; Scotland; Trainees; Scotland; United Kingdom > UK
• ISSN: 0142-159X; 1466-187X
• DOI: 10.3109/0142159X.2012.668635

Background: Research exploring the experiences of trainee doctors in remote and rural locations is scarce. Our aim was to gain an understanding of the experiences and perceptions of Foundation Programme (FP) doctors training in placements in remote and rural areas of the north of Scotland. Methods: FP doctors training in remote and rural areas in Scotland took part in a qualitative study (focus groups and individual interviews) exploring their training experiences and career plans. To make sense of a potential multitude of factors, we selected social cognitive careers theory (SCCT) to underpin data collection and analysis. Results: A total of 20 trainees participated. Using data-driven analysis, three themes relevant to the SCCT emerged. These are the educational experience (e.g., opportunities to develop skills, greater responsibility), geographical isolation factors (e.g., the impact of staff shortages, poor accommodation, travel) and personal factors (e.g., social isolation, attitudes towards the experience). Conclusion: Many factors impact on trainees' experience of learning and living in remote and rural medicine (R&R) environments. These experiences can be very positive for some individuals but factors external to the educational environment influence the perception of the overall experience. SCCT helps clarify the interaction between individual and contextual factors in career decision making.