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The die‐hards, negotiators and migrants: Portraits of doctors' career pathways through specialisation.

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Title: The die‐hards, negotiators and migrants: Portraits of doctors' career pathways through specialisation.
Authors: Rozario, Shemona Y., Farlie, Melanie K., Sarkar, Mahbub, Lazarus, Michelle D.
Source: Medical Education. Sep2024, Vol. 58 Issue 9, p1071-1085. 15p.
Subjects: Education of physicians, Psychology of physicians, Medical specialties & specialists, Qualitative research, Negotiation, Medical care, Interviewing, Professional identity, Evaluation of medical care, Decision making in clinical medicine, Descriptive statistics, Pathological anatomy, Migrant labor, Employee recruitment, Labor demand, Medical schools, Attitudes of medical personnel, Comparative studies, Vocational guidance, Psychosocial factors, Labor supply
Geographic Terms: Australia, New Zealand
Abstract: Introduction: Global workforce shortages in medical specialties strain healthcare systems, jeopardising patient outcomes. Enhancing recruitment strategies by supporting professional identity (PI) development may be one way to address this workforce gap—yet little research has explored this topic. The goal of the current study was to explore specialty‐specific recruitment through considering PI. As proposed causes of workforce shortages in anatomical pathology (AP) bear similarities to many other specialties, this study uses the field of AP as a model for specialist PI development and asks: (1)why, how and when do doctors choose to pursue AP trainingand (2) what can be learned from this for recruitment to AP and other specialties? Methods: A qualitative research approach was undertaken using narrative inquiry. Interviews with junior doctors interested in AP, AP registrars and AP consultants from Australia and New Zealand were interpreted as stories via 're‐storying'. Narrative synthesis of participants' collective stories identified chronological key events (i.e. 'turning points') in choosing AP. Results: Narrative synthesis resulted in identification of three portraits entering medical specialist training: (1) die‐hards, deciding upon initial exposure; (2) negotiators, choosing after comparing specialties; and (3) migrants, seeking to move away from non‐pathology specialties. The negotiators and migrants cemented their decision to pursue AP as a postgraduate doctor, whereas the die‐hards made this decision during medical school. Conclusions: Given the similarities in portrait traits between AP and other specialties across the literature, our results suggest ways to support specialty recruitment using PI development. We propose a medical specialist recruitment framework to support the PI development of doctors with die‐hard, negotiator and migrant traits. Use of this framework could enhance current specialty‐specific recruitment approaches, particularly in fields challenged by workforce shortages. Want to know more about doctors' decision‐making processes when choosing a specialty? Check out this article! [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The die‐hards, negotiators and migrants: Portraits of doctors' career pathways through specialisation.
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  Data: <searchLink fieldCode="AR" term="%22Rozario%2C+Shemona+Y%2E%22">Rozario, Shemona Y.</searchLink><br /><searchLink fieldCode="AR" term="%22Farlie%2C+Melanie+K%2E%22">Farlie, Melanie K.</searchLink><br /><searchLink fieldCode="AR" term="%22Sarkar%2C+Mahbub%22">Sarkar, Mahbub</searchLink><br /><searchLink fieldCode="AR" term="%22Lazarus%2C+Michelle+D%2E%22">Lazarus, Michelle D.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Sep2024, Vol. 58 Issue 9, p1071-1085. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink><br /><searchLink fieldCode="DE" term="%22New+Zealand%22">New Zealand</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Introduction: Global workforce shortages in medical specialties strain healthcare systems, jeopardising patient outcomes. Enhancing recruitment strategies by supporting professional identity (PI) development may be one way to address this workforce gap—yet little research has explored this topic. The goal of the current study was to explore specialty‐specific recruitment through considering PI. As proposed causes of workforce shortages in anatomical pathology (AP) bear similarities to many other specialties, this study uses the field of AP as a model for specialist PI development and asks: (1)why, how and when do doctors choose to pursue AP trainingand (2) what can be learned from this for recruitment to AP and other specialties? Methods: A qualitative research approach was undertaken using narrative inquiry. Interviews with junior doctors interested in AP, AP registrars and AP consultants from Australia and New Zealand were interpreted as stories via 're‐storying'. Narrative synthesis of participants' collective stories identified chronological key events (i.e. 'turning points') in choosing AP. Results: Narrative synthesis resulted in identification of three portraits entering medical specialist training: (1) die‐hards, deciding upon initial exposure; (2) negotiators, choosing after comparing specialties; and (3) migrants, seeking to move away from non‐pathology specialties. The negotiators and migrants cemented their decision to pursue AP as a postgraduate doctor, whereas the die‐hards made this decision during medical school. Conclusions: Given the similarities in portrait traits between AP and other specialties across the literature, our results suggest ways to support specialty recruitment using PI development. We propose a medical specialist recruitment framework to support the PI development of doctors with die‐hard, negotiator and migrant traits. Use of this framework could enhance current specialty‐specific recruitment approaches, particularly in fields challenged by workforce shortages. Want to know more about doctors' decision‐making processes when choosing a specialty? Check out this article! [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=179046211
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/medu.15368
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 1071
    Subjects:
      – SubjectFull: Education of physicians
        Type: general
      – SubjectFull: Psychology of physicians
        Type: general
      – SubjectFull: Medical specialties & specialists
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Negotiation
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Professional identity
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Decision making in clinical medicine
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Pathological anatomy
        Type: general
      – SubjectFull: Migrant labor
        Type: general
      – SubjectFull: Employee recruitment
        Type: general
      – SubjectFull: Labor demand
        Type: general
      – SubjectFull: Medical schools
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Vocational guidance
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      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Labor supply
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      – SubjectFull: Australia
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      – SubjectFull: New Zealand
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      – TitleFull: The die‐hards, negotiators and migrants: Portraits of doctors' career pathways through specialisation.
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              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
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