Do primary care placements influence career choice: What is the evidence?

Amin, Maslah; Chande, Shiv; Park, Sophie; Rosenthal, Joe; Jones, Melvyn

doi:10.1080/14739879.2018.1427003

“…In fact, the choice of career is strongly influenced by the experience and attitude towards the specialty. is link has been proven in the literature by several authors in different contexts and medical education programs [6][7][8].…”

Section: Introductionmentioning

confidence: 94%

Medical Students’ Career Choice and Attitudes towards Family Medicine in Morocco

Sebbani

¹

,

Mansouri

²

,

Adarmouch

³

et al. 2020

Education Research International

View full text Add to dashboard Cite

Background. The motivation of this work is driven on the one hand from the need to understand the medical students’ attitude towards medical training in the context of the reform in Morocco and the creation of “family medicine” as a specialty. This study aims to explore the expectations of medical students regarding family medicine and to identify the factors that may influence setting their choices after graduation. Methods. We conducted a cross-sectional study among Moroccan medical students from public faculties during the month of August 2019. The data collection was based on an online self-administered electronic questionnaire. The quantitative data were analyzed by SPSS version 16. The analyses were descriptive univariate (Fisher’s test) and multivariate (binary logistic regression) with a P value of 5%. The qualitative data were synthesized according to a thematic analysis grid. Results. The medical students in Morocco have a positive perception of family medicine as an important specialty but low interest in it as a future career. Only 6.4% had the intention to choose it as a future career. However, 27.5% chose to become a general practitioner if it is a specialty (family medicine, as part of the new medical reform). The factors associated with the choice of career in general practice were mainly the ambition for career development (OR = 4.8; 95% CI [2.46; 9.51]), income (OR = 2.6; 95% CI [1.11; 6.29]), or the personal experience as a student or patient in contact with a general practitioner (OR = 0.48; 95% CI [0.25; 0.92]). Conclusion. The practical experience with family medicine seems to have an important influence on being attracted to family medicine careerwise. The study findings will inform future planning to introduce the residency program.

show abstract

“…Students' career choices contribute to widespread labour market shortages in community care [9,10]. This is not unique for nursing education, a similar process is taking place in medical education with increasing de cits in primary care [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…Placement experiences have proved to be in uential, as exposure to the professional practice appeared to positively in uence students' perceptions in community nursing [5,10,[18][19][20][21][22][23] and in primary care [24,25].…”

Section: Introductionmentioning

confidence: 99%

How nursing students’ placement preferences and perceptions of community care develop in a more ‘community-oriented’ curriculum: A longitudinal cohort study

Iersel

¹

,

Latour

²

,

Rijn

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Extramuralisation in healthcare has influenced medical and nursing curricula internationally with the incorporation of themes related to primary/ community care. Despite this, students do not easily change their career preferences. The hospital is still favourite, leading to labour market shortages in extramural care. This study investigates how baccalaureate nursing students’ perceptions of community care and placement preferences develop over time in a more'community-care-oriented' curriculum, to gain insights on which curriculum elements potentially influence career choices.Methods: A nursing student cohort of a University of Applied Sciences in the Netherlands (n = 273) underwent a new four-year curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). Data were collected each year of study. Descriptive statistics were used to investigate students’ placement preferences and perceptions, and linear mixed model techniques (LMMs) for measuring how students’ perceptions develop over time. Patterns of placement preferences at individual level were visualised. Results: Students’ perceptions of community care, as measured with SCOPE, show a slight decrease between year 1 and 4, while items mutually differ substantially. In contrast, the preference of community care for a placement increases from 2.6% in year 1 tot 8.2% in year 4. The hospital is favourite in year 1 (79.8%), and remains most popular. At individual level, students often change placement preferences, although a preference for the hospital is more consistent. The LMMs indicates that, at the four time-points, the estimated marginal means of students’ perceptions fluctuate between 6 and 7 (range 1-10). A placement in community care did not positively influence students’ perceptions, and an intensive one week theoretical programme was only temporarily influential. Conclusions: Although interest for placement in community care increased substantially, it was not clear which curriculum elements stimulated this, nor did the curriculum positively influence students’ perceptions. As most students do not look forward to the high responsibility of the field, other curricula with educational tracks for more mature students/ nurses with a vocational training may be an alternative contribution to solving the labour market problems in community care.

show abstract

“…Placement experiences have proved to be in uential, as exposure to the professional practice appeared to positively in uence students' perceptions in community nursing [5,10,[18][19][20][21][22][23] and in primary care [24,25]. Educational nursing programs on elderly care have proved to be successful in stimulating students' interest [26][27][28][29], and a simulated short community event recently successfully promoted the relevance and importance of community nursing to students in the UK [30].…”

Section: Introductionmentioning

confidence: 99%

How Nursing Students’ Placement Preferences and Perceptions of Community Care Develop in a More ‘Community-Oriented’ Curriculum: A Longitudinal Cohort Study

Iersel

¹

,

Latour

²

,

Rijn

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Extramuralisation in healthcare has influenced medical and nursing curricula internationally with the incorporation of themes related to primary/ community care. Despite this, students do not easily change their career preferences. The hospital is still favourite, leading to labour market shortages in extramural care. This study investigates how baccalaureate nursing students’ perceptions of community care and placement preferences develop over time in a more'community-care-oriented' curriculum, to gain insights on which curriculum elements potentially influence career choices.Methods: A nursing student cohort of a University of Applied Sciences in the Netherlands (n = 273) underwent a new four-year curriculum containing extended elements of community care. The primary outcome was assessed with the Scale on Community Care Perceptions (SCOPE). Data were collected each year of study. Descriptive statistics were used to investigate students’ placement preferences and perceptions, and linear mixed model techniques (LMMs) for measuring how students’ perceptions develop over time. Patterns of placement preferences at individual level were visualised. Results: Students’ perceptions of community care, as measured with SCOPE, show a slight decrease between year 1 and 4, while items mutually differ substantially. In contrast, the preference of community care for a placement increases from 2.6% in year 1 tot 8.2% in year 4. The hospital is favourite in year 1 (79.8%), and remains most popular. At individual level, students often change placement preferences, although a preference for the hospital is more consistent. The LMMs indicates that, at the four time-points, the estimated marginal means of students’ perceptions fluctuate between 6 and 7 (range 1-10). A placement in community care did not positively influence students’ perceptions, and an intensive one week theoretical programme was only temporarily influential. Conclusions: Although interest for placement in community care increased substantially, it was not clear which curriculum elements stimulated this, nor did the curriculum positively influence students’ perceptions. As most students do not look forward to the high responsibility of the field, other curricula with educational tracks for more mature students/ nurses with a vocational training may be an alternative contribution to solving the labour market problems in community care.

show abstract

Do primary care placements influence career choice: What is the evidence?

Abstract: The implications of these results for medical school curricula are discussed with particular reference to Government plans to expand medical student numbers and establish new medical schools with explicit aims to produce more GPs.

Cited by 33 publications

References 21 publications

Medical Students’ Career Choice and Attitudes towards Family Medicine in Morocco

Medical Students’ Career Choice and Attitudes towards Family Medicine in Morocco

How nursing students’ placement preferences and perceptions of community care develop in a more ‘community-oriented’ curriculum: A longitudinal cohort study

How Nursing Students’ Placement Preferences and Perceptions of Community Care Develop in a More ‘Community-Oriented’ Curriculum: A Longitudinal Cohort Study

Contact Info

Product

Resources

About