Problems of adaptation of young doctors in the beginning of their careers at the primary health care

Garifullin T.Yu.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0000-0001-6114-0822

Avdeeva M.V.

North-Western State Medical University named after I.I. Mechnikov;
Saint-Petersburg State Pediatric Medical University

ORCID: 0000-0002-4334-5434

Marinicheva G.N.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0000-0003-1017-9975

Gasanova A.V.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0009-0007-2613-6466

Problems of adaptation of young doctors in the beginning of their careers at the primary health care

Authors:

Garifullin T.Yu., Avdeeva M.V., Marinicheva G.N., Gasanova A.V.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2024;27(8): 13‑18

DOI: 10.17116/profmed20242708113

Read: 1370 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Garifullin TYu, Avdeeva MV, Marinicheva GN, Gasanova AV. Problems of adaptation of young doctors in the beginning of their careers at the primary health care. Russian Journal of Preventive Medicine. 2024;27(8):13‑18. (In Russ.)
https://doi.org/10.17116/profmed20242708113

Подписка 2025-2 (Russian Journal of Preventive Medicine)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To study the specifics of adaptation of young doctors entering employment at PHC medical facilities in a megapolis

MATERIAL AND METHODS

The sociomedical survey involved 100 young doctors (average age 27.3±3.54 years) who recently graduated from medical schools and got jobs in outpatient clinics.

RESULTS

The survey revealed key challenges the young specialists face at the beginning of their careers. Most often, recent medical school graduates experience difficulties related to the treatment (66.0%) and diagnostics (18.0%) of diseases, less often with prevention (13.0%) and medical rehabilitation (3%). The reasons for quitting the job within the first year were that the professional activity did not meet the expectations (55.0%); there was no prospect of professional growth (12.0%); low wages (9.0%); an excessive load due to a large amount of medical documentation (4.0%); no proper professional and psychological support for a young specialist (20.0%). Most young doctors (91.0%) expressed the need for mentoring from more experienced colleagues.

CONCLUSION

Rising the quality of training in medical schools, efficient introduction of mentoring in practical healthcare, and developing and implementing special adaptation programs for young doctors are the keys to creating a favorable environment in medical institutions, securing young doctors at work, and ensuring their quality medical practice.

Keywords:

adaptation of young doctors

young doctors

clinic

primary health care

metropolitan healthcare

Authors:

Garifullin T.Yu.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0000-0001-6114-0822

Avdeeva M.V.

North-Western State Medical University named after I.I. Mechnikov;
Saint-Petersburg State Pediatric Medical University

ORCID: 0000-0002-4334-5434

Marinicheva G.N.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0000-0003-1017-9975

Gasanova A.V.

North-Western State Medical University named after I.I. Mechnikov

ORCID: 0009-0007-2613-6466

Received:

27.02.2024

Accepted:

18.03.2024

List of references:

Panov VP, Avdeeva MV, Logunov DL, et al. Medical personnel of polyclinic as an indicator of the quality of human resources in the health care. Vestnik Severo-Zapadnogo gosudarstvennogo medicinskogo universiteta im. I.I. Mechnikova. 2017;9(3):97-101. (In Russ.).
Andoverova AG, Gorbunova OP, Nemkov AG, et al. Experience in the development of the system of adaptation of young specialists as a component of patient safety in the regional healthcare of the Tyumen region. Obshhestvennoe zdorov’e. 2022;2(3):42-49. (In Russ.). https://doi.org/10.21045/2782-1676-2021-2-3-42-49
Makarov SV, Gaidarov GM, Alekseeva NY, et al. Adherence to the profession of the future doctors and young specialists as a factor of the development of personnel potential of the healthcare system. Bajkal’skij medicinskij zhurnal. 2019;157(2):5-12. (In Russ.). https://doi.org/10.34673/ismu.2019.156.1.001
Jia H, Yu X, Jiang H, et al. Analysis of factors affecting medical personnel seeking employment at primary health care institutions: developing human resources for primary health care. International Journal for Equity in Health. 2022;(21):1-16. https://doi.org/10.1186/s12939-022-01638-z
Jia H, Yu J, Feng T, et al. Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior. International Journal of Environmental Research and Public Health. 2022; (19):173-180. https://doi.org/10.3390/ijerph19052785
Makuku R, Mosadeghrad AM. Health workforce retention in low-income settings: an application of the Root Stem Model. Journal of Public Health Policy. 2022;43(3):445-455. https://doi.org/10.1057/s41271-022-00361-x
Quek TT, Tam WW, Tran BX, et al. The global prevalence of anxiety among medical students: a meta-analysis. International Journal of Environmental Research and Public Health. 2019;(16):27-35. https://doi.org/10.3390/ijerph16152735
Zhokina NA, Ponomarenko BT. Adaptation technologies for young professionals in a modern medical organization. Jetnosocium i mezhnacional’naja kul’tura. 2023;(176):70-75. (In Russ.).
Savinskaya ES, Kharkova OA. The problem of emotional burnout among doctors. Innovacionnaja nauka. 2020;(12):178-180. (In Russ.).
Zainal H, Quah JHM, Smith HE. Experiences of doctors working in Singapore’s public primary healthcare clinics. Health and Social Care in the Community. 2022;(30):110-115. https://doi.org/10.1111/hsc.13626
Reshetnikov AV, Ayvazyan ShG, Prisyazhnaya NV. The role of the local doctor in the opinions of young and experienced professionals. Monitoring obshhestvennogo mnenija: jekonomicheskie i social’nye peremeny. 2020;(2):331-346. (In Russ.). https://doi.org/10.14515/monitoring.2020.2.764
Szilvassy P, Širok K. Importance of work engagement in primary healthcare. BMC Health Services Research. 2022;(1):1044. https://doi.org/10.1186/s12913-022-08402-7
Bolshova TV, Kirillova EV, Medvedeva OV. An organizational algorithm for training, employment and adaptation of the medical professions. Sovremennye problemy zdravoohranenija i medicinskoj statistiki. 2023;(2):522-536. (In Russ.). https://doi.org/10.24412/2312-2935-2023-2-522-536
Korshever NG, Dorovskaya AI, Zavalyova EV. Adaptation of doctors to new professional activities: a differentiated approach. Vestnik medicinskogo instituta «Reaviz»: reabilitacija, vrach i zdorov’e. 2018;5(35):157-163. (In Russ.).
Alimhanova RS, Abatov NT. Role of mentality in the modern medical education of resident doctors. Medicina i jekologija. 2019;92(3):68-70. (In Russ.).
Reprintseva EV. Comparative assessment of doctor’s supply in Russia and Europe. ANI: jekonomika i upravlenie. 2018;7(3):240-243. (In Russ.).
Galkin KA. Young physicians in the city and in the countryside: features of professional identity. Mir Rossii. Sociologija. Jetnologija. 2020;(3):142-161. (In Russ.). https://doi.org/10.17323/1811-038X-2020-29-3-142-161
Sheiman IM, Shevsky VI. Health labor policy: comparative analysis of Russian and international developments. Voprosy gosudarstvennogo i municipal’nogo upravlenija. 2015;(1):143-146. (In Russ.).

Close metadata