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Pitfalls and pleasures of pick-and-mix careers: portfolio working and whole-person medicine in general practice

Kelly, Martina, Berlin, Anita, Abrams, Ruth and Park, Sophie (2019) Pitfalls and pleasures of pick-and-mix careers: portfolio working and whole-person medicine in general practice British Journal of General Practice, 69 (689). pp. 622-623.

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Abstract

Pick-and-mix or 'portfolio' careers are increasingly popular in general practice and are a dominant strand of recruitment initiatives in the UK and Canada. Portfolio careers are frequently framed as GPs adopting roles outside of and in addition to general practice, for example, working in clinics or other organisations, offering subspecialist care. 'Portfolio GPs' are generally employed on a short-term or sessional contract basis, in contrast to 'partnership' or salaried employment models. Advertising 'variety' for new GPs appears sensible given worldwide workforce shortages and the promise of work–life balance from adaptable work hours. When asked about career intentions, medical students expressing interest in family medicine frequently add the caveat 'GP with a special interest'. Graduates are attracted to developing expertise in subspecialties and working in different contexts. Yet, in supporting career flexibility, we may in fact diminish the breadth of thinking as the cornerstone of general practice expertise and increase the vulnerability of GP careers. In this article, the authors reflect on the untoward clinical and educational consequences of 'pick-and-mix general practice' as a potentially counter-productive message capable of eroding the complex nature of general practice work.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Kelly, Martina
Berlin, Anita
Abrams, Ruthr.abrams@surrey.ac.uk
Park, Sophie
Date : December 2019
DOI : 10.3399/bjgp19X707021
Depositing User : Clive Harris
Date Deposited : 30 Apr 2020 17:18
Last Modified : 30 Apr 2020 17:18
URI: http://epubs.surrey.ac.uk/id/eprint/855429

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