Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors

dc.contributor.advisorGeduld, Heike
dc.contributor.advisorHendrikse, Clint
dc.contributor.authorVan Koningsbruggen, Candice Ann
dc.date.accessioned2019-02-19T13:27:04Z
dc.date.available2019-02-19T13:27:04Z
dc.date.issued2018
dc.date.updated2019-02-19T11:00:11Z
dc.description.abstractBackground. Attrition of registrars impedes the development of Emergency Medicine (EM) in South Africa and Africa, which negatively affects health systems strengthening. Factors relating to attrition of registrars in the EM training program in the Western Cape had not previously been explored. Understanding these factors will enable the development of a framework to be used to conduct formal exit interviews. This exit interview will allow the Division to continually document and address factors related to attrition. Objectives. To explore the factors contributing towards attrition amongst EM Registrars in the Western Cape, to enable a framework for a formal exit interview to be developed. Methods. An explorative qualitative study was conducted using semi-structured interviews. Data was analysed using NVivo software and thematic qualitative analysis. Results. Seven participants were interviewed (5 female and 2 male; ages 28-33). They joined the EM training program at different times (2005-2013) and their time spent in the program varied (8 months to 20 months). Despite their diverse histories, they voiced similar concerns regarding the training program (i.e. lack of support, unsociable hours), regarding relationships (i.e. motherhood, family time), and also with regards to self (i.e. burnout, work-life balance). Conclusion. This study highlights the need for a formal exit interview to address attrition in the Division of EM. The framework for the exit interview should encompass factors related to self, relationships and the training program.
dc.identifier.apacitationVan Koningsbruggen, C. A. (2018). <i>Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors</i>. (). University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from http://hdl.handle.net/11427/29677en_ZA
dc.identifier.chicagocitationVan Koningsbruggen, Candice Ann. <i>"Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors."</i> ., University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2018. http://hdl.handle.net/11427/29677en_ZA
dc.identifier.citationVan Koningsbruggen, C. 2018. Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Van Koningsbruggen, Candice Ann AB - Background. Attrition of registrars impedes the development of Emergency Medicine (EM) in South Africa and Africa, which negatively affects health systems strengthening. Factors relating to attrition of registrars in the EM training program in the Western Cape had not previously been explored. Understanding these factors will enable the development of a framework to be used to conduct formal exit interviews. This exit interview will allow the Division to continually document and address factors related to attrition. Objectives. To explore the factors contributing towards attrition amongst EM Registrars in the Western Cape, to enable a framework for a formal exit interview to be developed. Methods. An explorative qualitative study was conducted using semi-structured interviews. Data was analysed using NVivo software and thematic qualitative analysis. Results. Seven participants were interviewed (5 female and 2 male; ages 28-33). They joined the EM training program at different times (2005-2013) and their time spent in the program varied (8 months to 20 months). Despite their diverse histories, they voiced similar concerns regarding the training program (i.e. lack of support, unsociable hours), regarding relationships (i.e. motherhood, family time), and also with regards to self (i.e. burnout, work-life balance). Conclusion. This study highlights the need for a formal exit interview to address attrition in the Division of EM. The framework for the exit interview should encompass factors related to self, relationships and the training program. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors TI - Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors UR - http://hdl.handle.net/11427/29677 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/29677
dc.identifier.vancouvercitationVan Koningsbruggen CA. Attrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors. []. University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/29677en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Emergency Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEmergency Medicine
dc.titleAttrition amongst Emergency Medicine Registrars in the Western Cape: an exploration of contributing factors
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMed
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