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Who attracts whom to rural general practice? Variation in temperament and character profiles of GP registrars across different vocational training pathways

机译:谁吸引了农村普通医生?不同职业培训途径下GP注册服务商的气质和性格特征的变化

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Introduction:The ongoing rural doctor workforce shortage continues to stimulate interest in new strategies to alleviate the situation. Alongside increasingly promising approaches is the notion that attracting and nurturing the 'right' individuals may be paramount to achieving long-term success in recruitment and retention. This study compares the patterns of demographic and temperament and character trait profiles of general practice registrars in training across three Australian vocational training pathways: the Australian College of Rural and Remote Medicine independent rural pathway, and the rural and general pathways of Australian general practice training. The aim is to describe the predominant personalities of existing trainees. At its foundation, this study strives to obtain more information about those individuals choosing rural practice, which may inform ways to enhance future recruitment and training into rural medicine. This rationale has been explored with medical students using intention as the dependent variable, but registrars are that much closer to their final career choice, and therefore may provide more practical and reliable indicators of the notion of who attracts whom into rural practice. Methods:A cross-sectional design sampled four registrar training groups: one from the Australian College of Rural and Remote Medicine, one Australian general practice training rural only, and two Australian general practice training rural and general pathway regional training providers. Registrars (451) completed a questionnaire that gathered basic demographics and a personality trait profile using the Temperament and Character Inventory plus a measure of resilience. Statistical analysis explored the relationships between variables (multivariate analyses of variance) and compared levels of traits between registrar groups (analyses of variance). Results:Registrars training via the Australian College of Rural and Remote Medicine pathway were more likely to be male, older, have a definite interest in or already practising in a rural area and were significantly (with moderate effect sizes) lower in levels of harm avoidance and higher in persistence, self-directedness and resilience compared to the other training pathways. Conclusions:The implications of the data to the recruitment and training of general practice registrars goes further than identifying groups of individuals with similar temperament and character trait patterns. This sample is portrayed as relatively homogenous in light of their overall trait levels as compared to population norms. However, it is the combination of the levels of individual traits that suggests a profile that differs between registrars on a rural or general training path. Importantly the combination of trait levels that tend to differentiate registrars (low harm avoidance, high self-directedness and persistence) correlates strongly with high levels of resilience. Doctors and medical students benefit from a high level of resilience to cope with and manage the challenges of the profession and arguably more so in rural practice. Along with certain demographic characteristics, the combination and levels of temperament (stable) and character (developmental) traits support the notion of a mixture of personal traits that may be indicative of individuals best suited to rural and remote medicine. Further investigation is needed to determine whether individuals with a certain pattern of personal traits are attracted to rural practice training or whether the training itself, in part by exposure to rural life and rural medical practice, selects for those who are most suited to and will eventually choose to practice in a rural location.
机译:简介:持续的乡村医生劳动力短缺继续激发人们对缓解这种状况的新策略的兴趣。除了越来越有前途的方法外,还有一种观念是,吸引和培养“合适的”个人可能对于在招募和挽留方面取得长期成功至关重要。这项研究比较了三种澳大利亚职业培训途径在培训中普通执业注册官的人口统计学,气质和性格特征模式:澳大利亚农村和远程医学学院独立农村途径,以及澳大利亚普通执业培训的农村和普通途径。目的是描述现有学员的主要个性。在其基础上,本研究力求获得有关选择农村医疗实践的个人的更多信息,这可能为将来加强农村医疗的招募和培训提供信息。已经使用意向作为因变量对医学生进行了探索,但是注册服务商离他们最终的职业选择还很近,因此可以提供更实用,更可靠的指标来说明谁吸引谁进入农村实践。方法:一项横断面设计抽样了四个注册服务机构培训小组:一个来自澳大利亚农村和远程医学学院,一个来自澳大利亚仅针对农村的普通实践培训,以及两个澳大利亚针对农村和普通途径区域培训的普通实践培训者。登记员(451)完成了一份调查问卷,该调查问卷使用气质和性格清单以及一定程度的应变能力来收集基本的人口统计信息和人格特质概况。统计分析探讨了变量之间的关系(方差的多变量分析),并比较了注册服务商群体之间的特征水平(方差分析)。结果:通过澳大利亚农村和远程医学学院途径进行的注册员培训更可能是男性,年龄较大,对农村地区有明确的兴趣或已经在农村地区从事过,并且避免伤害的程度(中等程度的效果)明显较低与其他培训途径相比,其持久性,自我指导和韧性更高。结论:数据对普通注册服务商的招募和培训的意义远不止于确定具有相似性情和性格特征的个人群体。根据总体特征水平,与总体规范相比,该样本被描述为相对同质。但是,正是个人特征水平的组合表明,农村或一般培训途径的注册服务商之间的配置文件有所不同。重要的是,倾向于区分注册服务商的特征级别组合(低伤害避免,高自我指导性和持久性)与高水平的恢复力密切相关。医生和医学生可以从高水平的应变能力中受益,以应对和应对该行业的挑战,在农村实践中更是如此。除了某些人口统计学特征外,气质(稳定)和性格(发育)特征的组合和水平也支持个人特征混合的概念,这可能表明个人最适合农村和偏远医学。需要进行进一步的调查以确定具有某种个性特征的个人是否被农村实践培训所吸引,或者该培训本身是否(部分地通过接触农村生活和农村医疗实践)是否选择了最适合并最终会选择的人?选择在农村练习。

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