title: Personality characteristics and attributes of international medical graduates in general practice training: Implications for supporting this valued Australian workforce.
abstract: OBJECTIVE
  To describe the personality profiles of International Medical Graduates (IMGs) undertaking General Practice (GP) training in Australia. A better understanding of the personal characteristics of IMGs may inform their training and enhance support for their vital contribution to the Australian rural workforce.
  
  
  METHODS
  Cross-sectional self-report questionnaires. Independent variables included socio-demographics, prior training, the Temperament and Character Inventory, and the Resilience Scale.
  
  
  METHODS
  GP registrars (IMGs = 102; AMGs = 350) training in the Australian General Practice Training rural and general pathway and the Australian College of Rural and Remote Medicine independent pathway.
  
  
  METHODS
  Univariate analysis explored the differences in levels of traits between IMG and AMG registrars.
  
  
  RESULTS
  Compared to the general population both groups have moderately high resilience, and well-organised characters with high Self-directedness, high Cooperativeness and low Self-transcendence, supported by temperaments which were high in Persistence and Reward Dependence. IMGs were different than AMGs in two temperament traits, Novelty Seeking and Persistence and two character traits, Self-directedness and Cooperativeness.
  
  
  CONCLUSIONS
  Factors such as cultural and training backgrounds, personal and professional expectations, and adjustments necessary to assimilate to a new lifestyle and health system are likely to be responsible for differences found between groups. Understanding the personality profiles of IMGs provides opportunities for targeted training and support which may in turn impact on their retention in rural areas.
authors.affiliation: Discipline of General Practice, The University of Adelaide, North Terrace, South Australia, Australia. caroline.laurence@adelaide.edu.au.
authors.forename: Caroline O
authors.initials: CO
authors.lastname: Laurence
authors.affiliation: School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Diann S
authors.initials: DS
authors.lastname: Eley
authors.affiliation: Flinders University Rural Clinical School, Flinders University, Mount Gambier, South Australia, Australia.
authors.forename: Lucie
authors.initials: L
authors.lastname: Walters
authors.affiliation: Adelaide to Outback GP Training Program, North Adelaide, South Australia, Australia.
authors.forename: Taryn
authors.initials: T
authors.lastname: Elliott
authors.affiliation: Department of Psychiatry, School of Medicine, Washington University, St. Louis, Missouri, USA.|Center for Psychobiology of Personality, Sansone Center for Well-Being, Washington University, St. Louis, Missouri, USA.
authors.forename: Claude Robert
authors.initials: CR
authors.lastname: Cloninger
mesh_terms: D000328:Adult; D001315:Australia; D003430:Cross-Sectional Studies; D005260:Female; D005550:Foreign Medical Graduates; D058006:General Practice / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D019035:Rural Health Services; D057566:Self Report; D055815:Young Adult
keywords: education/training; medical education; primary health care; rural medicine education; rural/remote GP; workforce