Negotiating the Gemeinschaft/Gesellschaft Dichotomy: Appalachian Medical Student Perceptions of Practice
This study investigated motivations for Appalachian medical students to stay or leave the region weighing postgraduation options. Semi‐structured interviews were employed with final year medical students. Transcripts were open‐coded and analyzed using the theoretical concept of Gemeinschaft/Gesellsc...
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Veröffentlicht in: | Rural sociology 2023-09, Vol.88 (3), p.763-790 |
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description | This study investigated motivations for Appalachian medical students to stay or leave the region weighing postgraduation options. Semi‐structured interviews were employed with final year medical students. Transcripts were open‐coded and analyzed using the theoretical concept of Gemeinschaft/Gesellschaft. Participants were in continuous negotiation between notions of Gemeinschaft and Gesellschaft in their decisions to stay or leave rural Appalachian communities. Students navigated multiple tensions in their decisions to stay or leave, including: (1) geographic isolation versus place identity and (2) community responsibility versus individual opportunity. Utilization of Gemeinschaft/Gesellschaft provides a novel contribution to the literature on decisions to stay or leave as the majority of participants hedged in their decision‐making regarding future practice location. These students tended to employ a Gesellschaft rationale to stay and a Gemeinschaft rationale to leave, expressing complicated ideas about community and individual opportunity. |
doi_str_mv | 10.1111/ruso.12492 |
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These students tended to employ a Gesellschaft rationale to stay and a Gemeinschaft rationale to leave, expressing complicated ideas about community and individual opportunity.</description><subject>Community</subject><subject>Decision making</subject><subject>Decisions</subject><subject>Gemeinschaft and gesellschaft</subject><subject>Medical students</subject><subject>Motivation</subject><subject>Negotiation</subject><subject>Perceptions</subject><subject>Responsibility</subject><subject>Rural communities</subject><subject>Student attitudes</subject><subject>Students</subject><subject>Weighing</subject><issn>0036-0112</issn><issn>1549-0831</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNotkMFLwzAYxYMoOKcX_4KAN6FbviTNWm9j6hSmDtRzydKva0bX1CQ97L-3c77L48HjPfgRcgtsAoOmvg9uAlzm_IyMIJV5wjIB52TEmFAJA-CX5CqEHRuUpmpE6nfcumh1tO2WxhrpEvdo22BqXcXpEgM2zSnQR2tqF93-8EDnXacbbWqrW_qGpTW6oZ-xL7GNdI3eYBetawN1FV17baI1eE0uKt0EvPn3Mfl-fvpavCSrj-XrYr5KDM_TmCBuNiLXyCTjykjFS64yU6X5LBMaSiFwI4GziqNSMyjRVCCBlaCUlLNUcTEmd6fdzrufHkMsdq737XBZ8EwBqFQKNrTuTy3jXQgeq6Lzdq_9oQBWHEkWR5LFH0nxC3OfZ2A</recordid><startdate>202309</startdate><enddate>202309</enddate><creator>Hedrick, Jason S.</creator><creator>McHenry‐Sorber, Erin</creator><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>WZK</scope><orcidid>https://orcid.org/0000-0001-8606-5427</orcidid></search><sort><creationdate>202309</creationdate><title>Negotiating the Gemeinschaft/Gesellschaft Dichotomy: Appalachian Medical Student Perceptions of Practice</title><author>Hedrick, Jason S. ; McHenry‐Sorber, Erin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c295t-eebb39ae04026c462d268cf59783a1d33eb4120f2e6671decf1410d1664475623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Community</topic><topic>Decision making</topic><topic>Decisions</topic><topic>Gemeinschaft and gesellschaft</topic><topic>Medical students</topic><topic>Motivation</topic><topic>Negotiation</topic><topic>Perceptions</topic><topic>Responsibility</topic><topic>Rural communities</topic><topic>Student attitudes</topic><topic>Students</topic><topic>Weighing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hedrick, Jason S.</creatorcontrib><creatorcontrib>McHenry‐Sorber, Erin</creatorcontrib><collection>CrossRef</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Rural sociology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hedrick, Jason S.</au><au>McHenry‐Sorber, Erin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Negotiating the Gemeinschaft/Gesellschaft Dichotomy: Appalachian Medical Student Perceptions of Practice</atitle><jtitle>Rural sociology</jtitle><date>2023-09</date><risdate>2023</risdate><volume>88</volume><issue>3</issue><spage>763</spage><epage>790</epage><pages>763-790</pages><issn>0036-0112</issn><eissn>1549-0831</eissn><abstract>This study investigated motivations for Appalachian medical students to stay or leave the region weighing postgraduation options. 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subjects | Community Decision making Decisions Gemeinschaft and gesellschaft Medical students Motivation Negotiation Perceptions Responsibility Rural communities Student attitudes Students Weighing |
title | Negotiating the Gemeinschaft/Gesellschaft Dichotomy: Appalachian Medical Student Perceptions of Practice |
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