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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Australian academic primary health-care careers: a scoping survey

Christopher Barton A E , Joanne Reeve B , Ann Adams C and Ellen McIntyre D
+ Author Affiliations
- Author Affiliations

A Social Health Sciences Unit, School of Health Sciences, Flinders University, SA 5042, Australia.

B Department of Health Services Research, Institute of Psychology Health and Society, University of Liverpool, Liverpool L69 3BX, United Kingdom.

C Division of Mental Health and Wellbeing, Warwick Medical School, The University of Warwick, Coventry CV4 7AL, United Kingdom.

D Primary Health Care Research and Information Service (PHCRIS), School of Medicine, Flinders University, SA 5042, Australia.

E Corresponding author. Email: christopher.barton@flinders.edu.au

Australian Journal of Primary Health 22(2) 167-173 https://doi.org/10.1071/PY14129
Submitted: 28 August 2014  Accepted: 6 December 2014   Published: 5 March 2015

Abstract

This study was undertaken to provide a snapshot of the academic primary health-care workforce in Australia and to provide some insight into research capacity in academic primary health care following changes to funding for this sector. A convenience sample of individuals self-identifying as working within academic primary health care (n = 405) completed an anonymous online survey. Respondents were identified from several academic primary health-care mailing lists. The survey explored workforce demographics, clarity of career pathways, career trajectories and enablers/barriers to ‘getting in’ and ‘getting on’. A mix of early career (41%), mid-career (25%) and senior academics (35%) responded. Early career academics tended to be female and younger than mid-career and senior academics, who tended to be male and working in ‘balanced’ (teaching and research) roles and listing medicine as their disciplinary background. Almost three-quarters (74%) indicated career pathways were either ‘completely’ or ‘somewhat unclear’, irrespective of gender and disciplinary backgrounds. Just over half (51%) had a permanent position. Males were more likely to have permanent positions, as were those with a medical background. Less than half (43%) reported having a mentor, and of the 57% without a mentor, more than two-thirds (69%) would like one. These results suggest a lack of clarity in career paths, uncertainty in employment and a large number of temporary (contract) or casual positions represent barriers to sustainable careers in academic primary health care, especially for women who are from non-medicine backgrounds. Professional development or a mentoring program for primary health-care academics was desired and may address some of the issues identified by survey respondents.


References

Adams A, Lester H, Reeve J, Roberts J, Wilson A (2014) Investigating the sustainability of careers in academic primary care in the United Kingdom. Primary Health Care Research and Development 15, 331–335.
Investigating the sustainability of careers in academic primary care in the United Kingdom.Crossref | GoogleScholarGoogle Scholar | 24968957PubMed |

Beasley JW, Starfield B, van Wheel C, Rosser WW, Haq CL (2007) Global health and primary care research. Journal of the American Board of Family Medicine 20, 518–526.
Global health and primary care research.Crossref | GoogleScholarGoogle Scholar | 17954858PubMed |

Del Mar C, Askew D (2004) Building family/general practice research capacity. Annals of Family Medicine 2, S35–S40.
Building family/general practice research capacity.Crossref | GoogleScholarGoogle Scholar | 15655086PubMed |

Kalucy L, Katterl R, McIntyre E (2009) Australia’s primary health care research workforce. PHCRIS Research Round Up. Available at http://www.phcris.org.au/publications/researchroundup/issues/10.php [Verified 17 February 2015]

Kavallaris M, Meachem S, Hulett M, West C, Pitt R, Chesters J, Laffan W, Boreham P, Kachigian L (2008) Perceptions in health and medical research careers: the Australian Society for Medical Research Workforce Survey. The Medical Journal of Australia 188, 520–524.

Levine RB, Lin F, Kern DE, Wright S, Carrese J (2011) Stories from early career women physicians who have left academic medicine. Academic Medicine 86, 752–758.
Stories from early career women physicians who have left academic medicine.Crossref | GoogleScholarGoogle Scholar | 21512363PubMed |

McIntyre EL, Mazza D, Harris NP (2011a) NHMRC funding for primary health care research, 2000–2008. The Medical Journal of Australia 195, 230

McIntyre E, Brun L, Cameron J (2011b) Researcher development program of the primary health care research, evaluation and development strategy. Australian Journal of Primary Health 17, 114–121.
Researcher development program of the primary health care research, evaluation and development strategy.Crossref | GoogleScholarGoogle Scholar | 21616035PubMed |

Medical Training Review Panel (2013) Medical Training Review Panel Sixteenth Report. Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/38D69486D82F4A59CA257BF0001ACD8E/$File/Medical%20Training%20Review%20Panel%2016th%20Report.pdf [Verified 17 February 2015]

Sambunjak D, Straus S, Marusic A (2010) A systematic review of qualitative research on the meaning and characteristics of mentoring in academic medicine. Journal of General Internal Medicine 25, 72–78.
A systematic review of qualitative research on the meaning and characteristics of mentoring in academic medicine.Crossref | GoogleScholarGoogle Scholar | 19924490PubMed |

Yen L, Kalucy L, Ward N, Katterl R, McIntyre E, Patterson S (2010) Stocktake of primary health care research in Australia. Report published by Australian Primary Health Research Institute and the Primary Health Care Research and Information Service, Adelaide.