PMID- 21901912
OWN - NLM
STAT- MEDLINE
DCOM- 20111102
LR  - 20231105
IS  - 0029-2559 (Print)
IS  - 0029-2559 (Linking)
VI  - 72
IP  - 3
DP  - 2011 May-Jun
TI  - A qualitative analysis of career transitions made by internal medicine-pediatrics 
      residency training graduates.
PG  - 191-5
AB  - BACKGROUND: Physicians who complete combined residency training in internal 
      medicine and pediatrics (med-peds) have a variety of career options after 
      training. Little is known about career transitions among this group or among 
      other broadly trained physicians. METHODS: To better understand these career 
      transitions, we conducted semistructured, in-depth, telephone interviews of 
      graduates of the University of North Carolina-Chapel Hill School of Medicine 
      med-peds program who self-identified as having had a career transition since 
      completing training. We qualitatively analyzed interview transcripts, to develop 
      themes describing their career transitions. RESULTS: Of 106 physicians who 
      graduated during 1980-2007, 20 participated in interviews. Participants 
      identified factors such as personality, work environment, lifestyle, family, and 
      finances as important to career transition. Five other themes emerged from the 
      data; the following 4 were confirmed by follow-up interviews: (1) experiences 
      during residency were not sufficient to predict future job satisfaction; work 
      after the completion of training was necessary to discover career preferences; 
      (2) a major factor motivating job change was a perceived lack of control in the 
      workplace; (3) participants described a sense of regret if they did not continue 
      to see both adult and pediatric patients as a result of their career change; (4) 
      participants appreciated their broad training and, regardless of career path, 
      would choose to pursue combined residency training again. LIMITATIONS: We 
      included only a small number of graduates from a single institution. We did not 
      interview graduates who had no career transitions after training. CONCLUSIONS: 
      There are many professional opportunities for physicians trained in med-peds. 
      Four consistent themes surfaced during interviews about med-peds career 
      transitions. Future research should explore how to use these themes to help 
      physicians make career choices and employers retain physicians.
FAU - Burns, Harriett
AU  - Burns H
AD  - Charles Drew Community Health Center, Burlington, North Carolina, USA. 
      harriett.burns@gmail.com
FAU - Auvergne, Lauriane
AU  - Auvergne L
FAU - Haynes-Maslow, Lindsey E
AU  - Haynes-Maslow LE
FAU - Liles, E Allen Jr
AU  - Liles EA Jr
FAU - Perrin, Eliana M
AU  - Perrin EM
FAU - Steiner, Michael J
AU  - Steiner MJ
LA  - eng
GR  - K23 HD051817/HD/NICHD NIH HHS/United States
GR  - K23 HD051817-04/HD/NICHD NIH HHS/United States
GR  - K23 HD051817-05/HD/NICHD NIH HHS/United States
GR  - 5K23 HD051817/HD/NICHD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - N C Med J
JT  - North Carolina medical journal
JID - 2984805R
SB  - IM
MH  - Adult
MH  - *Career Mobility
MH  - Education, Medical, Graduate
MH  - Family
MH  - Female
MH  - Humans
MH  - Internal Medicine/*education
MH  - *Internship and Residency
MH  - Interviews as Topic
MH  - Job Satisfaction
MH  - Male
MH  - Motivation
MH  - North Carolina
MH  - Pediatrics/*education
MH  - Salaries and Fringe Benefits
MH  - Workforce
MH  - Workplace
PMC - PMC3418526
MID - NIHMS362150
EDAT- 2011/09/10 06:00
MHDA- 2011/11/04 06:00
PMCR- 2012/08/14
CRDT- 2011/09/10 06:00
PHST- 2011/09/10 06:00 [entrez]
PHST- 2011/09/10 06:00 [pubmed]
PHST- 2011/11/04 06:00 [medline]
PHST- 2012/08/14 00:00 [pmc-release]
PST - ppublish
SO  - N C Med J. 2011 May-Jun;72(3):191-5.