Table 2:

Themes and subthemes

ThemeSubthemes
1. Choosing rural practice
  • Baseline interest in what rural has to offer

  • Familiarity and comfort with a community

  • Influence of practice incentives

2. Preparedness for practice
  • Lack of business knowledge for medical practice

  • Adequacy of knowledge base for full-scope practice

3. Navigating work–life balance
  • Impact of overscheduling

  • Distance to friends and family

  • Conflict between career and family

  • Importance of being integrated into the broader community

4. Navigating transition to practice
  • Developing confidence and managing uncertainty

  • Role of mentorship

  • Using other early-year physicians to bridge knowledge gaps

5. Challenges during transition to practice
  • Navigating community expectations and generational changes in practice styles

  • Experiencing rural-specific challenges

6. Successes during transition to practice
  • Rewarding experiences and feeling fulfilled

  • Collegiality

7. Locuming
  • Value of locuming

8. Rural emergency department practice
  • Unique challenges of emergency department practice

  • Emergency department support and backup