Explaining the process of choosing clinical specialties in general medical graduates: A grounded theory

Salimeh Khalili Azandehi,Aliasghar Ghorbani,Sareh Shakerian,Shahram Yazdani

doi:10.29333/ejgm/93457

Abstract

Objective:Internationally, the distribution of specialized physicians is a growing concern. The choice of medical specialties is a central issue in attempts to change this problematic situation. The current study aimed to explain the process of choosing clinical specialties in Iran’s medical graduates.Materials and Methods:The authors used grounded theory methodology. In 2016-2017, they conducted 14 in-depth, face-to-face, semi structured interviews with a purposive and theoretical sample of 10 medical graduates based on two criteria (those who intended to participate in the medical assistant exam and those who participated in the exam and their test scores had not yet been announced).Results:After analysis of the interviews, 883 primary codes, 64 subcategories, 14 subclasses, and 4 main categories were obtained. The results of data collection and analysis at four levels by Strauss and Corbin (2008), which led to the theory and model in this field, showed the effectiveness of the process of choosing specialty results from the coordination between three dimensions of study, career, and favorable conditions imagined for the future life that takes place in a supportive environment with a developed welfare system and an inclusive academic culture.Conclusion:With the help of the findings of such a study, the process and the main elements involved in this process can be determined and the causal relationships and mechanisms can be identified and intervened, which in turn leads to choosing medical specialty in line with the national priorities.

Highlights

The choice of a medical specialty has implications for both students and the healthcare system [1]
Sometimes new diseases emerge and change the pattern of the existing diseases. This scenario deteriorates by limited number of medical staff and non-uniform distribution in specialized departments and geographic areas [2, 3], the choice of medical specialties is a central issue in attempts to change this problematic situation [1]
According to the challenges in promotion of health services in terms of need, number, and distribution of different specialties in the country, as well as the research paradigm, the nature, and native norms inside the country, we aimed to explain the process of choosing clinical specialties by GP graduates and generate substantive theory for facilitating design of specialty choice in the higher education system, so that, based on the findings of such a study, the process and the main elements involved in the process, the communications, and the causal mechanisms be identified and intervened, which will in turn lead to choosing specialty in line with the national priorities

Summary

INTRODUCTION

The choice of a medical specialty has implications for both students and the healthcare system [1]. According to the challenges in promotion of health services in terms of need, number, and distribution of different specialties in the country, as well as the research paradigm, the nature, and native norms inside the country, we aimed to explain the process of choosing clinical specialties by GP graduates and generate substantive theory for facilitating design of specialty choice in the higher education system, so that, based on the findings of such a study, the process and the main elements involved in the process, the communications, and the causal mechanisms be identified and intervened, which will in turn lead to choosing specialty in line with the national priorities

MATERIALS AND METHODS

Participants and Sample Size

RESULTS

DISCUSSION

CONCLUSION