Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Professional Practice Location”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 145 records · Page 8Linked to original sources
PubMed2006

What makes 'place' attractive to overseas-trained doctors in rural New Zealand?

The present paper investigates what keeps doctors 'in place' in New Zealand rural communities and what prompts their departure from practice. The study is based on in-depth interviews conducted with nine overseas-trained medical practitioners within rural areas in New Zealand during 2004. A thematic analysis was undertaken. The resulting narratives reveal the unintended circumstances under which respondents often arrived in their rural communities, as well as some of the 'pull' factors which a more relaxed rural lifestyle offers. Recurring themes relating to the attractiveness of place include community loyalty and the enjoyment of 'fully practicing medicine'. Themes which corroded the attractiveness of place included 'entrapment', lack of choice in secondary schooling, restricted spousal employment opportunities, the lack of cultural and entertainment activities, and difficulties accessing continuing medical education. The authors conclude that addressing the question of what makes 'place' attractive to overseas-trained general practitioners in rural New Zealand requires an understanding of place as context rather than mere location.

Adult↗
PubMed1998

Selecting allergenic extracts for inhalant allergy testing and immunotherapy.

The proper selection of allergen extracts is important in maintaining an efficient allergy practice. This article discusses pollen extract selection. The selection of tree, grass, and weed pollen extracts depends very much on where the clinician's practice is located. The floral zones of the continental United States are discussed, and several specific lists of pollen extracts are provided. Mold spore, dust, dust mite, and cat allergen selection are much less geography specific, yet they have their own complexity.

Allergens↗
PubMed1989

Management brief: thinking about building?

More and more radiology groups are building their own facilities rather than buying or leasing existing space. Freedom of location is a significant catalyst, but the tax laws don't make it a simple decision.

California↗
PubMed2001

Eliciting GPs' preferences for pecuniary and non-pecuniary job characteristics.

This study examines General Practitioners' preferences for pecuniary and non-pecuniary job characteristics in the context of choosing a general practice in which to work. A discrete choice experiment is used to test hypotheses about the nature of the utility function. Marginal rates of substitution between income and non-pecuniary characteristics are calculated. The results suggest that policies aimed at influencing General Practitioners' location choices should take account of both non-pecuniary and pecuniary factors, particularly out of hours work commitments.

Adult↗
PubMed2001

Key factors in determining a dental practice site.

There is no single "right" place to place a dental practice. Personal preferences, family, friends, church, and recreation all have a hand in determining a dentist's likelihood of happiness with a particular location. Still, the science of demographics and psychographics (who people are and what they do) can provide a dentist with necessary insights into knowing the potential of a location. This article discusses important demographic and psychographic information that should be considered when determining a dental practice site.

California↗
PubMed2001

Gender influences on career opportunities, practice choices, and job satisfaction in a cohort of physicians with certification in sports medicine.

OBJECTIVE: To examine the gender differences in practice patterns, experiences, and career opportunities for family physicians who practice sports medicine. DESIGN: Descriptive, self-administered questionnaire. PARTICIPANTS: Family physicians with Certificate of Added Qualification (CAQ) in sports medicine were surveyed. The survey was sent to all women with a CAQ in Sports Medicine and a random sample of 20% of the men with CAQs in sports medicine. MAIN OUTCOME MEASURE: Survey consisted of multiple choice, Likert scale, and opened-ended questions. The data was analyzed with contingency tables, with gender as the dependent variable. RESULTS: Response rate to the survey was 75%, which included 42 females and 102 males. Demographics of our population demonstrated some gender differences. Males were of higher average age (41.1 vs. 38.1), and more likely to be married and have children. Practice types, location, and time spent in sports medicine did not differ with the exception of training room and event coverage. Males were more likely to cover all levels of training room except at the Division I level, where the percent of males and females covering training rooms were equal. Males were also more likely to cover all types of sporting events. Job satisfaction and reasons for choosing current jobs did not show significant gender differences. However, factors affecting career opportunities did vary. Professional relationships with athletic trainers and coaches were perceived to be different by males and females surveyed. CONCLUSIONS: Our survey of sports medicine physicians showed some gender differences in practice patterns relative to training room and sporting event coverage. Surprisingly, there were not many differences in the factors that affected job choice and factors affecting job opportunities with the exception of gender itself. However, our study does not conclude how or when gender begins to affect the female sports medicine physician's career opportunities.

Adult↗
PubMed2000

Percentage of emergency medicine residency graduates who got their first choice of jobs did not change between 1995 and 1997.

The objective of this study was to compare the number of emergency medicine (EM) graduates unable to find a job in the city/area of their first choice in 1995 and 1997. Self-administered questionnaires were distributed to EM residents who graduated in both 1995 and 1997. The survey ascertained resident's practice city and state, whether their job was in the city/area of first choice and how satisfied they were with their practice selection. Eighty (83%) programs and 507 (70%) of eligible residents participated. Thirty-eight percent of graduates chose to practice in the city or metropolitan area where they trained and 75% of respondents were very satisfied with their practice selection. Nineteen percent stated they would not be practicing in the city/area of their first choice; one-third indicated there were no jobs available and two-thirds stated that jobs were available but not desirable. These numbers were similar to the 1995 data (P = .79). Job selection was more important than liking (P < .001) or having lived in (P < .001) a desired city/area of practice location. In conclusion, 1997 EM residency graduates were as successful as 1995 graduates in obtaining their first choice of jobs.

Adult↗
PubMed1987

Foreign medical graduates and the doctor shortage in New Zealand, 1973-1979.

Following the imposition of greater controls on the immigration of foreign trained doctors in 1979, New Zealand medical graduates have become the most important source of new general practitioners. Data for the whole of New Zealand in 1973 and 1979 reveals that foreign and New Zealand trained general practitioners differed markedly in terms of their types of practice locations, with the former being overrepresented in rural, poorer urban and other areas that experienced doctor shortages in the early 1970's. One implication of such findings is that future research in primary care needs to monitor locational trends in both the availability and cost of services and to develop indicators of the relative surplus or shortage of doctors given the pressing need to deliver an equitable, yet cost effective, allocation of medical services.

Emigration and Immigration↗
PubMed1993

Patterns of dentist location: Lansing, Michigan 1950-1991.

Most literature on the location and distribution of medical professionals, particularly in the U.S., has concentrated on the locational patterns of physicians, even though dentists are also important providers of health care. During the last 40 years, dentists in Lansing, Michigan have moved their offices away from traditional downtown locations to other areas of the city, primarily along commercialized arteries leading out of the city core. The changes in dentist location have mainly been the result of older dentists retiring from the downtown area and new, presumably younger dentists locating in other sections. Dentists, like physicians, tend to cluster together, particularly in buildings occupied by other medical and dental professionals. Lansing dentists do not appear to locate their offices on the basis of population characteristics. It is suggested that future research consider the effects of city size on the distributional patterns of all health care professionals.

Dentists↗
PubMed1992

How long do general practitioners remain in any one location?: Regional and urban size variations in the turnover of foreign and New Zealand doctors in general practice, 1976-90.

Studies of doctor location have, for the most part, focused on geographic variations in access to care, rather than the continuity of care provided at different locations. This paper examines regional and city size variations in turnover rates in general practice and shows that they are highest in the southern and most rural regions of New Zealand. However, an unexpected finding was that no significant differences occurred by doctor origin. While more foreign than New Zealand medical graduates have located in rural New Zealand, similar turnover rates between the two groups indicates that their presence has not resulted in any improvement in the continuity of care provided.

Cohort Studies↗
PubMed2005

Development of a questionnaire measuring student attitudes to working and living in rural areas.

INTRODUCTION: Student attachments in rural locations have been instigated, in part to foster positive attitudes to rural practice and encourage rural recruitment. Based on medical and allied health literature, it was hypothesised that students' attitudes to rural practice and rural life encompasses the following three dimensions: (1) community and social issues; (2) family and personal issues; and (3) professional issues. However, there are limited studies assessing attitudinal change before and after rural placement and no valid and reliable tools which examine change across all three dimensions. This article reports on the development, reliability and validity of such a tool to fill this gap in the rural health research literature. METHODS: Students who undertook a rural placement in South Australia or a rural placement organised by the Mt Isa Centre for Rural and Remote Health in Queensland, Australia, during 2001 were invited to complete a pre- and post-placement questionnaire (n = 243). The response rate for the pre-placement questionnaire was 74.9% (n = 182) and 50.2% (n = 122) for the post-placement questionnaire. A literature review informed the content of the initial questionnaire, which consisted of a series of statements to which respondents were instructed to indicate how strongly they agreed or disagreed on a Likert scale of one to six. The assessment of validity and reliability of the questionnaire involved three main processes. Content validity was assessed by discussion and rating by academics and students, resulting in 18 questionnaire items. Exploratory factor analysis was used to provide evidence of construct validity. The internal consistency reliability of the questionnaire was assessed using Cronbach's alpha. RESULTS: The Cronbach's alpha coefficient for the post-questionnaire was 0.68, acceptable for newly developed scales. Exploratory factor analysis and varimax rotation was conducted for pre- and post-placement (n = 110) questionnaires. The pre-placement questionnaire did not lend itself to logical interpretation, probably due to the diverse attitudes students may have pre-rural placement. However the factors on the post-placement questionnaire were interpretable. The Scree Plot indicated four factors, explaining 60.82% of the total variance. The factors were rotated using the normalised varimax rotation method. The factors extracted were: (1) friendliness and support in rural areas; (2) isolation and socialisation problems associated with living and working in rural areas; (3) enjoyable aspects of living in a rural area; and (4) opportunities that working in a rural area provides. CONCLUSIONS: Analysis of the Student Attitudes to Rural Practice and Life Questionnaire provides evidence of validity. The study identified four factors associated with student attitudes to living and working in rural areas, which differ from those hypothesised. The main deviation was Factor 2, grouping all the negative aspects of isolation and socialisation in a rural area. The resulting factors provide a more integrated reflection of the rural experience, rather than the rigid categorisation of professional, social and personal issues. Reliability was found to be adequate. The questionnaire is able to measure student attitudes to rural practice and rural life, and may be used to evaluate the impact of rural placement on student attitudes.

Attitude of Health Personnel↗
PubMed2004

Twenty-year trends in regional variations in the U.S. physician workforce.

Large differences in the regional supply of physicians have challenged traditional methods of determining the "right" workforce rate. With continued growth expected in the number of U.S. physicians per capita, this study examines changes in regional variation over time to provide perspective on where future physicians are likely to locate. There was a slight reduction in workforce variation during the past twenty years as the aggregate supply per capita grew more than 50 percent. Most physicians located in regions with an already large supply. Given these persistent patterns, the population benefits of further growth in the physician workforce are uncertain.

Medically Underserved Area↗
PubMed1992

The general practice contract scheme: was it targeted?

OBJECT: to determine whether the contracted general practices were situated in areas of greatest health need. METHOD: the health and equity index was used to determine the level of health need of the geographical location of the contracted practices. RESULTS: the health and equity index for the urban contracted practices showed a high level of health need. In the rural practices, the census area unit in which the practices were located showed a high level of health need, however when surrounding census area units were considered, they were located in areas of average health need. CONCLUSION: the general practice contract scheme was well targeted.

Delivery of Health Care↗
PubMed1993

Effect of location on family medicine residents' training.

A survey of family medicine residents trained at community-based or hospital-based centres suggested differences in experience and in career plans. Community-based residents saw more patients in the same family, believed they knew the community better, made more housecalls, expected to use allied health professionals more frequently, and were more likely to choose a small community practice.

Adult↗
PubMedDate not supplied

Career development among residents completing primary care and traditional residencies in medicine at the Boston City Hospital, 1974-1983.

A primary care (PC) pathway was initiated within the medical residency program at Boston City Hospital (BCH) in 1974. The authors studied the PC and traditional (TD) track graduates of the program to compare career development, goals, and practice patterns. The 185 graduates of the nine resident cohorts from 1974 through 1983 were surveyed; the overall response rate was 74%. Primary care careers have been chosen by 81% of PC graduates, compared with 38% of TD graduates (p less than 0.001); career satisfaction is equally high in the two groups. Among the PC graduates, 68% are practicing in high-need areas, compared with only 37% of TD graduates (p less than 0.001). PC graduates are more likely to make house calls, provide extended office hours, round in nursing homes or chronic care facilities, and co-practice with nurse practitioners or physician's assistants, and they are more active in women's health care, care of the terminally ill, and treating patients with sexual dysfunction (all p less than 0.05). PC graduates utilize various community agencies more frequently and supplement patient education with outside resources more intensively (p less than 0.001). The career choices and practice locations of PC graduates reflect the training goals of the PC curriculum and differ from the career choices and practices of the TD graduates from the same program.

Career Choice↗
PubMed1988

Evaluation of a selective medical school admissions policy to increase the number of family physicians in rural and underserved areas.

Jefferson Medical College initiated the Physician Shortage Area Program (PSAP) in 1974; this program preferentially admits medical school applicants from rural backgrounds who intend to practice family medicine in rural and underserved areas. Evaluation of the program has shown that PSAP graduates from the classes of 1978 to 1985 have performed slightly less well than their peers (non-PSAP) during medical school, although there was no difference in attrition between the two groups. Nor did the performance of PSAP and non-PSAP graduates differ during their postgraduate training. PSAP graduates from the classes of 1978 to 1981 were almost five times as likely as non-PSAP graduates to practice family medicine (59.6 vs. 12.6 percent, P less than 0.001), three times as likely to practice in rural areas (37.8 to 42.2 percent vs. 10.0 to 11.8 percent, P less than 0.001), and two four times as likely to practice in areas where there is a physician shortage (26.7 to 40.0 percent vs. 9.2 to 11.2 percent, P less than 0.01). They were 7 to 10 times as likely as their peers to combine a career in family medicine with practice in a rural or underserved area (24.4 to 31.1 percent vs. 3.1 to 3.9 percent, P less than 0.001), thereby fulfilling the goals of the PSAP. This study concludes that the medical school admissions process can have a major influence on the specialty choice and geographic practice location of physicians, and suggests one mechanism for increasing the number of family physicians in rural and underserved areas.

Career Choice↗
PubMedDate not supplied

Answering funding preferences for medical school graduates in underserved areas.

We describe here a feasible and data-based approach for obtaining important information about the percentage of our medical school graduates who primarily provide health care to the medically underserved. The logic and data used in our methodology have been acceptable to funding agencies. After making the initial investment in developing this approach, we can execute it at low cost to respond to relevant inquiries about the practice activities of our graduates. Other programs that can produce a computerized listing of post-residency graduates' practice locations can follow the procedure outlined above to demonstrate qualification for funding preferences.

Data Collection↗
PubMed1992

Determinants of dentists' geographic distribution.

Practice location may have greater economic importance today for dental students and dentists who are considering relocation and/or expansion to new sites than in the past. Yet, a literature review easily leads to the inference that practice location decisions are far too complicated and individualistic for there to be any systematic pattern of dentists' geographic distribution. This paper specifies and estimates an economic model that attempts to explain the distribution of dentists in particular market areas in the state of Connecticut and to test the hypothesis that the distribution, rather than exhibiting randomness, adheres to the prediction of theory. The findings show that the geographic distribution of dentists is significantly related to a few key variables. Given these results, and because this model can be applied to other areas and uses data that are readily available for any market area, it may be useful for educators involved in helping dental students with their practice location decisions.

Capital Financing↗