Which positive view of general practice do medical students and trainees have? A systematic literature review

Floch, Bernard Le; Bastiaens, Hilde; Reste, Jy Le; Lingner, Heidrun; Hoffman, R. G.; Assenova, Radost; Koskela, Tuomas; Klemenc–Ketiš, Zalika; Nabbe, Patrice; Montier, Tristan; Peremans, Lieve

doi:10.1080/14739879.2020.1716200

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…5,14 Although evidence from Canada suggests that recent early-career GPs are not working less than later career cohorts, 15 many GPs in training do not see themselves working full time in clinical practice. [16][17][18][19] Yet, little is known about GPs' clinical practice once they have completed their training and have made the transition to independent practice. An earlier study of early-career GPs looked at up to five years post-Fellowship, 20 but there remains a gap in knowledge of the immediate post-Fellowship period.…”

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confidence: 99%

Cross-sectional analysis of the clinical work hours of early-career general practitioners

Bentley¹,

FitzGerald²,

Fielding³

et al. 2022

Aust J Gen Pract

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PRIMARY HEALTHCARE, in Australia principally via general practice, is the main determinant of effective and equitable healthcare for the entire population. 1 Planning for an adequate general practitioner (GP) workforce remains a challenging balancing act between demand and supply. 2 Australian general practice continues to evolve in a changing political and social context, in which GPs are dealing with an ageing population with more chronic conditions and, at the same time, juggling their work and life responsibilities. 3 Although many GPs are satisfied with their job, 4,5 these demographic and societal changes are affecting their participation in clinical practice. The average number of clinical hours worked by GPs has decreased in recent years, 6 with the trend evident across career stages and genders. 7,8 Although female GPs work, on average, fewer hours than male GPs, 8 male GPs have also been reducing their clinical working hours. 9 Many GPs are also diversifying their career structure to include other non-clinical GP-related activities, such as medical education, research and other professional interests. 10,11 The shift to flexibility in workload and conditions is evident in Australia and internationally. 5,[11][12][13] This flexibility is often associated with the desire to work fewer clinical hours in order to achieve a better work-life balance. 5,14 Although evidence from Canada suggests that recent early-career GPs are not working less than later career cohorts, 15 many GPs in training do not see themselves working full time in clinical practice. [16][17][18][19] Yet, little is known about GPs' clinical practice once they have completed their training and have made the transition to independent practice. An earlier study of early-career GPs looked at up to five years post-Fellowship, 20 but there remains a gap in knowledge of the immediate post-Fellowship period. Addressing this gap is important because the early patterns in general practice can establish future intentions, 13,19 and thus inform planning for GP workforce capacity and distribution. 3 The aim of this study was to establish the prevalence of early-career GPs working full time in clinical practice and the characteristics associated with early-career GPs working full time.

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mentioning

confidence: 99%

Cross-sectional analysis of the clinical work hours of early-career general practitioners

Bentley¹,

FitzGerald²,

Fielding³

et al. 2022

Aust J Gen Pract

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“…In previously published systematic reviews, our research team highlighted several positive satisfaction factors, intrinsic motivation and positive values associated with choosing to practice general medicine 6 7. To complete these literature reviews, the European General Practice Research Network research team conducted a series of qualitative studies in Europe 8.…”

Section: Introductionmentioning

confidence: 99%

Examining positive views from students, trainees and GPs about general practice: a generational problem? A set of qualitative studies in France

et al. 2022

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ObjectiveThis study aimed to explore the positive factors related to working in general practice in France, from a student studying medicine, trainee general practitioner (GP) and GP point of view.SettingPrimary care, France.DesignNine different qualitative studies involving medical students, trainees and GPs.ParticipantsSixty-seven medical students, 22 trainees in general practice and 71 GPs.ResultsThe final codebook contained 66 interpretative codes and 8 positive themes. The themes were general practice as a commitment, doctor–patient care and relationships, skills and competencies in general practice, practice organisation and work–life balance, relationship with the professional community, GPs and university, GPs in the social community and private life, relatives and family. Positive feelings about being a GP are similar throughout the different age groups, from young students to older professionals.Discussion and conclusionThis study provided a comprehensive picture of the satisfied GP across different ages. This picture describes GPs as patient-centred professionals who need to have the freedom to choose an efficient working environment, organise their practice, have opportunities for professional development and acquire specific competencies. Both younger and older GPs believe in the future of general practice.

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“…Efforts have been made to identify factors in uencing choice of specialty, with broad explorations(8) or focus on general practice (9)(10)(11)(12), surgical specialities (13)(14)(15)(16)) and internal medicine (17). To date, no such review exists for paediatrics.…”

Section: Introductionmentioning

confidence: 99%

Why choose paediatrics? A systematic review of factors affecting choice of paediatrics as a career

Kahvo

Vallabhaneni

2022

Preprint

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Background Despite being a popular specialty at the undergraduate level, paediatrics lags behind most other medical and surgical specialties for postgraduate recruitment. As many individuals decide on their future career choice while still in medical school, it is important to identify the factors that attract individuals to a career in paediatrics. Objective To determine the positive influencing factors determining paediatrics as a career choice. Methods A systematic review of primary research articles was conducted searching Medline, Embase, ERIC and Google Scholar, in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses recommendations. Studies exploring medical student, junior doctor and current paediatricians’ perceptions of paediatrics were included. Factors affecting career choice were identified. Results Eight studies out of a possible 705 met the inclusion criteria and were included in this review. Five key influencing themes were identified. These were: early undergraduate and clinical exposure to paediatrics; the presence of role models and mentors; an enjoyable working atmosphere and varied clinical work; a personal commitment to paediatrics; and working with children. Conclusion Medical students are drawn by the wide clinical variety in paediatrics, enjoyable ward atmosphere and enthusiastic colleagues. Given the importance of early clinical exposure in determining student motivation, paediatrics needs to do more to advertise the wide variety of clinical and research work available, starting early in medical school. Medical students need to be offered more opportunities to experience the specialty through student selected components, summer schools, or workshops, requiring coordination between medical schools and regional paediatric departments.

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Which positive view of general practice do medical students and trainees have? A systematic literature review

Cited by 6 publications

References 26 publications

Cross-sectional analysis of the clinical work hours of early-career general practitioners

Cross-sectional analysis of the clinical work hours of early-career general practitioners

Examining positive views from students, trainees and GPs about general practice: a generational problem? A set of qualitative studies in France

Why choose paediatrics? A systematic review of factors affecting choice of paediatrics as a career

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