Factors Influencing Health Career Choices During Clinicians’ First Three Years in Practice

Background: Health systems globally need more clinicians to work rurally and in community-based primary care. This study explores factors influencing health graduates’ choice of clinical setting and geographical location during early careers, across a range of disciplines that work together to support the health of people in community-based and rural locations.Methods: Students from eight disciplines (n = 611) were recruited prior to their final year of pre-registration training. Data were collected via three electronic surveys completed at the end of participants’ first, second, and third year of clinical practice. Data were managed and analyzed with Template Analysis.Findings: Similar factors influenced clinical setting and location choice but differed in relative importance for each. The nature of the job itself was the most important factor influencing clinical setting choices. A broader range of influences were important to geographical location choices including personal reasons, the nature of the job, the nature of the location, and job availability and opportunities. Regulatory or training requirements limited choices available to some clinicians, particularly those from medicine.Conclusion: A range of complex and interacting factors influenced health graduates’ career choices. Findings indicate that a broad system-wide approach is needed to address community and rural health workforce needs

Key Strategies for First-Time Interprofessional Teachers and those Developing New Interprofessional Education Programs

Background: Evidence that interprofessional education (IPE) leads to better teamwork and improved interprofessional collaboration has created a drive to establish pre-registration IPE health science and social care programs. Yet there is limited guidance available for teachers new to IPE.Objectives: To provide first-time teachers practical strategies to undertake IPE.Methods: Strategies developed from experience.Findings: First-time IPE teachers should: try to join an existing IPE team; observe and collaborate with experienced IPE teachers; contribute to the development of new IPE programs; seek institutional support; undertake IPE evaluation and research; and gain high-level institutional endorsement.Conclusions: Six strategies are designed to overcome commonly recognized problemsand enable first-time teachers to more confidently develop or engage in IPE,thus supporting students to attain skills in interprofessional collaboration

Genital examination training: assessing the effectiveness of an integrated female and male teaching programme

Abstract Background Learning to undertake intimate female and male examinations is an important part of medical student training but opportunities to participate in practical, supervised learning in a safe environment can be limited. A collaborative, integrated training programme to provide such learning was developed by two university teaching departments and a specialist sexual health service, utilising teaching associates trained for intimate examinations in a simulated clinical educational setting. The objective of this research was to determine changes in senior medical students’ self- reported experience and confidence in performing male and female genital examinations, before and after participating in a new clinical teaching programme. Methods A quasi-experimental mixed methods design, using pre and post programme questionnaires and focus groups, was used to assess the effectiveness of the programme. Results The students reported greatly improved skill, confidence and comfort levels for both male and female genital examination following the teaching programme. Skill, confidence and comfort regarding male examinations were rated particularly low on the pre-teaching programme self- assessment, but post-programme was rated at similar levels to the female examination. Conclusions This integrated female–male teaching programme (utilising trained teaching associates as simulated patients in a supervised clinical teaching environment) was successful in increasing senior medical students’ skills and levels of confidence in performing genital examinations. There were differences between female and male medical students in their learning. Suggestions for improvement included providing more detailed instruction to some clinical supervisors about their facilitation role in the session

Template Analysis of a Longitudinal Interprofessional Survey: Making Sense of Free-Text Comments Collected Over Time

Surveys are widely used in interprofessional education (IPE) research and these often collect free-text data. The potential contribution of free-text data to analysis and interpretation is often missed through separate reporting of qualitative and quantitative results, or free-text analyses being superficial or limited to subsets of data. There is little published guidance on how to maximize the use and integration of free-text comments with quantitative responses in large datasets collected over multiple years. Analysis of all qualitative comments, within the context of their related quantitative answers, enables exploration of changes in participants’ construction of meaning over time. This article describes how we used template analysis to analyze 3,626 free-text responses, collected as part of a five-year survey exploring the impact of an IPE program on health professionals’ attitudes to teamwork and early careers. We outline the main procedural steps undertaken by a team of researchers and we share our insights into the methodological challenges encountered. This article aims to inspire other researchers at the planning stage of research proposals, and assist them with practical ideas during data extraction, management, analysis, and reporting of large free-text datasets. We conclude that template analysis has methodologically sound, pragmatic utility in IPE longitudinal survey research

Additional file 2: of Genital examination training: assessing the effectiveness of an integrated female and male teaching programme

Evaluation survey of student experience with genital examination (Post). This is the questionnaire administered to the students after the teaching programme. (DOC 58 kb