‘You're just a locum’: professional identity and temporary workers in the medical profession

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Ferguson, J
Tazzyman, A
Walshe, K
Bryce, M
Boyd, A
Archer, J
Price, T
Tredinnick-Rowe, J
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2021
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Abstract

Internationally, there has been substantial growth in temporary working, including in the medical profession where temporary doctors are known as locums. There is little research into the implications of temporary work in health care. In this paper, we draw upon theories concerning the sociology of the medical profession to examine the implications of locum working for the medical profession, healthcare organisations and patient safety. We focus particularly on the role of organisations in professional governance and the positioning of locums as peripheral to or outside the organisation, and the influence of intergroup relationships (in this case between permanent and locum doctors) on professional identity. Qualitative semi-structured interviews were conducted between 2015 and 2017 in England with 79 participants including locum doctors, locum agency staff, and representatives of healthcare organisations who use locums. An abductive approach to analysis combined inductive coding with deductive, theory-driven interpretation. Our findings suggest that locums were perceived to be inferior to permanently employed doctors in terms of quality, competency and safety and were often stigmatised, marginalised and excluded. The treatment of locums may have negative implications for collegiality, professional identity, group relations, team functioning and the way organisations deploy and treat locums may have important consequences for patient safety.

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Sociology of Health and Illness

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43

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1

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©2020 The Authors.Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL). This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution andreproduction in any medium, provided the original work is properly cited.

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locum doctors

medical sociology

professional identity

qualitative

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Ferguson, J; Tazzyman, A; Walshe, K; Bryce, M; Boyd, A; Archer, J; Price, T; Tredinnick-Rowe, J, ‘You're just a locum’: professional identity and temporary workers in the medical profession, Sociology of Health and Illness, 2021, 43 (1), pp. 149-166

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