The interviews we conducted with GPs suggest that an engagement with HIV medicine enables clinicians to develop
strong and long-term relationships with and expertise
about the care needs of people living with HIV ‘at the
coalface’, while also feeling connected with a broader
network of medical practitioners and other professionals
concerned with and contributing to the ever-changing
world of science: ‘the cutting edge’. The general practice
HIV prescriber is being modelled here as the interface between these two worlds, offering a rewarding opportunity
for general practitioners to feel intimately connected to
both community needs and scientific change

A Lowth

A Mariolis

A Selva Olid

AF Carrascal

AM Zurro

Anonymous

ARJ Boggis

Asha Persson

B Gerbert

B Irish

B Sibbald

BD Adam

BE Landon

BJ Blake

C Britton

C Chu

C Joyce

C Laurence

C Newman

C Pell

C Worthington

CE Newman

Christy E Newman

CM Joyce

Commonwealth of Australia

D Guenter

D Manca

D Schofield

DC Saltman

DP Manca

DR Kopacz

F Kearney

G Huby

G Spurling

GP Beehler

H Defty

HA Grossman

I Van Ham

J Adams

J Bardi

J Bunker

J Grierson

J Oldroyd

J Savage

J Thistlethwaite

JE Thistlethwaite

JM Sosman

John BF de Wit

JT Denholm

K Buchacz

K Goetz

K Kiolbassa

K-A Mallitt

L Bradley-Springer

L Ding

LM Piko

M Carman

M Jiwa

M Kidd

M Morin

MF Harris

MG Harris

Michael R Kidd

MJ Goldacre

ML Bellani

ML Haviland

MR McGrail

MS Cohen

N Shadbolt

National Health Workforce Taskforce

P Brachman

Peter G Canavan

R Geneau

R Hogg

R Jones

R Lepnurm

RJ Culyba

Robert H Reynolds

S Kippax

S Madge

S Pickard

S Schafer

S Yallop

Susan C Kippax

TD Brett

The Kirby Institute

UNAIDS

V Braun

V Lima

WCW Wong

BMC Family Practice

PubMed

Newman, Christy E

Persson, Asha

de Wit, John B F

Reynolds, Robert H

Canavan, Peter G

Kippax, Susan C

Kidd, Michael Richard

Flinders Academic Commons

At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

Background: HIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV medical workforce will be required to achieve these health management and prevention outcomes, but concerns have been noted in a number of settings about the challenges of recruiting a new generation of clinicians to HIV medicine. Methods: As part of a larger qualitative study of the HIV general practice workforce in Australia, in-depth interviews were conducted with 31 general practitioners accredited to prescribe HIV medications in community settings. A thematic analysis was conducted of the de-identified transcripts, and this paper describes and interprets accounts of the rewards of pursuing and sustaining an engagement with HIV medicine in general practice settings. Results: The rewards of initially becoming involved in providing care to people living with HIV were described as interest and inspiration, community calling and right place, right time. The rewards which then supported and sustained that engagement over time were described as challenge and change, making a difference and enhanced professional identity. Participants viewed the role of primary care doctor with special expertise in HIV as occupying an ideal interface between the 'coalface' and the 'cutting edge', and offering a unique opportunity for general practitioners to feel intimately connected to both community needs and scientific change. Conclusions: Approaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce.14 page(s

de Wit, John B. F

Kidd, Michael R

Macquarie University ResearchOnline

At the coalface and the cutting edge : general practitioners' accounts of the rewards of engaging with HIV medicine

Springer - Publisher Connector

Background
HIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV medical workforce will be required to achieve these health management and prevention outcomes, but concerns have been noted in a number of settings about the challenges of recruiting a new generation of clinicians to HIV medicine.

Methods
As part of a larger qualitative study of the HIV general practice workforce in Australia, in-depth interviews were conducted with 31 general practitioners accredited to prescribe HIV medications in community settings. A thematic analysis was conducted of the de-identified transcripts, and this paper describes and interprets accounts of the rewards of pursuing and sustaining an engagement with HIV medicine in general practice settings.

Results
The rewards of initially becoming involved in providing care to people living with HIV were described as interest and inspiration, community calling and right place, right time. The rewards which then supported and sustained that engagement over time were described as challenge and change, making a difference and enhanced professional identity. Participants viewed the role of primary care doctor with special expertise in HIV as occupying an ideal interface between the ‘coalface’ and the ‘cutting edge’, and offering a unique opportunity for general practitioners to feel intimately connected to both community needs and scientific change.

Conclusions
Approaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce

Newman, Christy

de Wit, John

Reynolds, Robert

Canavan, Peter

Kippax, Susan

Kidd, Michael

UNSWorks

At the coalface and the cutting edge: General practitioners’ accounts of the rewards of engaging with HIV medicine

Newman, CE

Persson, AS

de Wit, J

Canavan, P

Kidd, M

At the coalface and the cutting edge: General practitioners' accounts of the rewards of engaging with HIV medicine

Crossref

http://dspace.flinders.edu.au/xmlui/bitstream/handle/2328/26681/Newman%20Coalface.pdf?sequence=1

At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

Abstract

Similar works

Full text

Available Versions

Flinders Academic Commons

Macquarie University ResearchOnline

Springer - Publisher Connector

UNSWorks

UNSWorks

Springer - Publisher Connector

Crossref