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Why do people choose nephrology? Identifying positive motivators to aid recruitment and retention

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Title: Why do people choose nephrology? Identifying positive motivators to aid recruitment and retention
Authors: Beckwith, H
Kingsbury, M
Horsburgh, J
Item Type: Journal Article
Abstract: Increasing concerns about recruitment and retention of junior doctors have led to renewed interest in how and when trainees choose their specialties. To our knowledge, no study has yet reported what attracts UK applicants to nephrology nor how clinicians develop vocational interests or make occupational choices. With this in mind, we sought to explore the motivation behind current nephrologist's career choices in the UK. We interviewed 11 nephrologists using a semi-structured face-to-face approach and used interpretative phenomenological analysis to conduct and analyse the interviews. We found role models were pivotal in encouraging specialization in nephrology, particularly those encountered in early postgraduate training. The diversity, diagnostic challenge and cross-specialty knowledge was highlighted as well as the ability to 'make a difference to patients' lives'. Nephrologists enjoyed the challenge of managing very sick, acutely unwell patients as well as the holistic continuity of long-term care offered to dialysis patients and their families. Academic and procedural components were attractive motivators to the specialty and the flexibility to have multiple interests was noted, with many nephrologists having 'portfolio' careers. Based on these results, we suggest strategies the specialty can use to aid policy decision making, promote recruitment and improve educational experiences within current training programmes.
Issue Date: 1-Oct-2018
Date of Acceptance: 15-Jul-2018
URI: http://hdl.handle.net/10044/1/63200
DOI: 10.1093/ckj/sfy076
ISSN: 2048-8505
Publisher: Oxford University Press (OUP)
Start Page: 599
End Page: 604
Journal / Book Title: Clinical Kidney Journal
Volume: 11
Issue: 5
Keywords: Science & Technology
Life Sciences & Biomedicine
Urology & Nephrology
career decisions
education
nephrology
renal medicine
training
CAREER CHOICE
EXPERIENCES
SPECIALTY
MEDICINE
REASONS
career decisions
education
nephrology
renal medicine
training
career decisions
education
nephrology
renal medicine
training
Publication Status: Published
Conference Place: England
Online Publication Date: 2018-08-31
Appears in Collections:Clinical Sciences
Molecular Sciences
Faculty of Medicine



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