Lockyer, JocelynOddone Paolucci, ElizabethRoggensack, Anne2018-01-222018-01-222017-12-19Roggensack, A. M. (2017). What are the factors influencing Canadian-trained residents’ choice of pursuing the subspecialty of Maternal-Fetal Medicine? (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.http://hdl.handle.net/1880/106293An increasing need for Maternal-Fetal Medicine (MFM) physicians in Canada has been reported, along with decreasing resident interest in the subspecialty. This study was designed to explore the factors influencing Canadian-trained residents’ career choice of Maternal-Fetal Medicine (MFM), focusing on their perceptions of MFM residency and career, the positive and negative influencing factors, and how MFM could be perceived as a more attractive career choice by residents. Twenty-one residents from Canadian Obstetrics and Gynecology (O&G) and MFM residency programs participated in semi-structured telephone interviews. A qualitative approach was selected, and interview data were analyzed using a thematic analysis approach, drawing on constructivist grounded theory techniques. Seven themes influencing resident perception of MFM were identified, including the field of MFM, O&G residency experiences, the MFM residency program, perceived variety of MFM practice, lifestyle of MFM, academic career, and finances. Current trainees identified the field itself, a dislike of gynecology, academic practice, and mentorship from MFM faculty as positive factors influencing their choice of MFM. Residents viewed the emotional toll of MFM practice, increasing demand and burnout, patient complexity, the exclusion of gynecology, and their O&G residency MFM experience as negative factors pushing them away from MFM. The resident perception of positive and negative influencing factors varied by their general favourability towards MFM. Factors intrinsic and extrinsic to MFM were identified, as well as potential changes to attract residents to the subspecialty, including opportunities for change within O&G residency, MFM residency, and gynecology practice as part of a MFM career. This study revealed several novel and contemporaneous factors influencing MFM subspecialisation decision-making, including the field of MFM itself, exposure to MFM residents and residency program requirements, and the impact of staff physician burnout on residency education and career choice. The results have implications for O&G and MFM postgraduate education, as well as for the subspecialty of MFM in Canada. Further research is needed to (1) define Canadian MFM practice, (2) determine accurate workforce needs, (3) assess the effect of physician burnout on trainees, and (4) resolve the question of gynecology practice in MFM.enUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.Maternal-Fetal MedicinePerinatologyObstetricsSpecializationEducation, Medical, GraduateMedical EducationResidencyResidency and InternshipFellowshipSubspecialisationEducationEducation--HealthHealth SciencesMedicine and SurgeryObstetrics and Gynecologymaster thesis10.11575/PRISM/5374