Establishing a distributed campus: making sense of disruptions to a doctor community.
BACKGROUND
In August 2004, the Northern Medical Program (NMP), a distributed campus of the Faculty of Medicine at the University of British Columbia, Canada, admitted its first students. Situated at the University of Northern British Columbia in Prince George, the NMP created new opportunities, challenges, stresses and changes for the approximately 180 local specialists and family doctors. This study examines the initial impacts of the NMP on doctors practising in its host community.


METHODS
Qualitative interview methods were used. A purposive sample was drawn from: (i) doctors who had involvement with the NMP, and (ii) doctors who were not involved with the NMP. Data were collected from May to September 2007 using a semi-structured interview guide. Interviews were audiotaped, transcribed and checked by participants. Analysis involved identifying, coding and categorising key emergent themes until saturation.


RESULTS
Prior to the implementation of the NMP, doctors in Prince George had formed cohesive networks, in the face of adverse conditions, that functioned effectively as a form of social capital. The introduction of new doctors and resources through the NMP disrupted this sense of community cohesiveness. Over time, however, the NMP has created new mechanisms by which doctors interact and develop partnerships.


CONCLUSIONS
The study confirms the value of a social capital framework for understanding a medical community's adaptation to change. At this early point, it appears the NMP has created new mechanisms by which doctors can interact and develop the partnerships and relationships necessary to renew a sense of community cohesion.
Hanlon
Neil
N
Geography Program, University of Northern British Columbia, Prince George, British Columbia V2N 4Z9, Canada. hanlon@unbc.ca
Ryser
Laura
L
Crain
Jennifer
J
Halseth
Greg
G
Snadden
David
D
D001955:British Columbia; D003153:Community Health Services / Q000458:organization & administration*; D004504:Education, Medical, Undergraduate / Q000379:methods / Q000458:organization & administration*; D005194:Family Practice; D006801:Humans; D007400:Interprofessional Relations; D008507:Medically Underserved Area; D015397:Program Evaluation; D036301:Qualitative Research; D019035:Rural Health Services / Q000458:organization & administration*; D000078329:Workforce