title: How professional identity shapes youth healthcare.
abstract: OBJECTIVE
  The primary care sector is experiencing considerable change. How change and uncertainty are accommodated by the professional identity of medicine has not been examined. The purpose of this paper is to address the youth healthcare as an exemplar as this field is often a source of uncertainty for general practitioners (GPs).
  
  
  METHODS
  Using heterogeneity sampling, 22 GPs participated in focus groups to explore perceptions of youth healthcare, factors that help and hinder it, and training needs. Analysis of the research material was guided by a theoretical model on professional identity.
  
  
  RESULTS
  GPs described tensions that challenged their professional identity - the challenges of working with young people and their complex issues, the extent to which youth healthcare sits within the purview of general practice, and the scope of training required. These tensions appeared to destabilise professional identity. Some participants had customised their identity by enriching understandings of and approach to general practice. Participants also reported work customisation as a way of managing the complex demands of the general practice role. Deepened insight appeared to bolster perceived capacity to support a complex patient cohort. Research limitations/implications - Participants are not representative of the primary care sector - furthermore, the methodology limits the generalisability of the findings.
  
  
  CONCLUSIONS
  To bolster youth health, mere clinician training is insufficient. Youth health requires explicit support from governments and training providers to be incorporated into the healthcare landscape.
  
  
  CONCLUSIONS
  This study extends current research on professional identity by examining youth healthcare within the changing context of primary care.
authors.affiliation: School of Business, University of Western Sydney, Parramatta, Australia.
authors.forename: Ann
authors.initials: A
authors.lastname: Dadich
authors.forename: Carmen
authors.initials: C
authors.lastname: Jarrett
authors.forename: Fiona
authors.initials: F
authors.lastname: Robards
authors.forename: David
authors.initials: D
authors.lastname: Bennett
mesh_terms: D000293:Adolescent; D000295:Adolescent Medicine; D002648:Child; D003695:Delivery of Health Care; D017144:Focus Groups; D058005:General Practitioners / Q000523:psychology*; D006801:Humans; D010372:Pediatrics; D012933:Social Identification; D055815:Young Adult
keywords: General practitioners; Health services; Primary care; Professions; Roles; Young people