Attitudes of medical students to general practice: a multinational cross-sectional survey.


Journal

Family practice
ISSN: 1460-2229
Titre abrégé: Fam Pract
Pays: England
ID NLM: 8500875

Informations de publication

Date de publication:
17 06 2021
Historique:
pubmed: 1 12 2020
medline: 26 10 2021
entrez: 30 11 2020
Statut: ppublish

Résumé

A shortage of general practitioners (GPs) is common to many European countries. To counteract this, it is essential to understand the factors that encourage or discourage medical students from choosing to become a GP. To evaluate medical students' attitudes towards general practice and to identify factors that discourage them from considering a career as a GP. In this multinational cross-sectional online survey, 29 284 students from nine German, four Austrian and two Slovenian universities were invited to answer a questionnaire consisting of 146 closed and 13 open-ended items. Of the 4486 students that responded (response rate: 15.3%), 3.6% wanted to become a GP, 48.1% were undecided and 34.6% did not want to be a GP. Significant predictors for interest in becoming a GP were higher age [odds ratio (OR) = 1.06; 95% confidence interval (CI) = 1.02-1.10], positive evaluation of the content of a GP's work (OR = 4.44; 95% CI = 3.26-6.06), organizational aspects (OR = 1.42; 95% CI = 1.13-1.78), practical experience of general practice (OR = 1.66; 95% CI = 1.08-2.56) and the country of the survey [Slovenian versus German students (Reference): OR = 2.19; 95% CI = 1.10-4.38; Austrian versus German students (Reference): OR = 0.50; 95% CI = 0.32-0.79]. Strategies to convince undecided students to opt for a career as a GP should include a positive representation of a GP's work and early and repeated experience of working in a general practice during medical school.

Sections du résumé

BACKGROUND
A shortage of general practitioners (GPs) is common to many European countries. To counteract this, it is essential to understand the factors that encourage or discourage medical students from choosing to become a GP.
OBJECTIVE
To evaluate medical students' attitudes towards general practice and to identify factors that discourage them from considering a career as a GP.
METHODS
In this multinational cross-sectional online survey, 29 284 students from nine German, four Austrian and two Slovenian universities were invited to answer a questionnaire consisting of 146 closed and 13 open-ended items.
RESULTS
Of the 4486 students that responded (response rate: 15.3%), 3.6% wanted to become a GP, 48.1% were undecided and 34.6% did not want to be a GP. Significant predictors for interest in becoming a GP were higher age [odds ratio (OR) = 1.06; 95% confidence interval (CI) = 1.02-1.10], positive evaluation of the content of a GP's work (OR = 4.44; 95% CI = 3.26-6.06), organizational aspects (OR = 1.42; 95% CI = 1.13-1.78), practical experience of general practice (OR = 1.66; 95% CI = 1.08-2.56) and the country of the survey [Slovenian versus German students (Reference): OR = 2.19; 95% CI = 1.10-4.38; Austrian versus German students (Reference): OR = 0.50; 95% CI = 0.32-0.79].
CONCLUSION
Strategies to convince undecided students to opt for a career as a GP should include a positive representation of a GP's work and early and repeated experience of working in a general practice during medical school.

Identifiants

pubmed: 33251543
pii: 6011164
doi: 10.1093/fampra/cmaa126
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

265-271

Informations de copyright

© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

Alexander Avian (A)

Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.

Stephanie Poggenburg (S)

Institute of General Practice and Evidence-Based Health Services Research, Medical University of Graz, Graz, Austria.

Dagmar Schaffler-Schaden (D)

Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria.

Kathryn Hoffmann (K)

Center for Public Health, Department of General Practice and Family Medicine, Medical University of Vienna, Vienna, Austria.

Linda Sanftenberg (L)

Institute of General Practice and Family Medicine, Munich University Hospital LMU Munich, Munich, Germany.

Svetla Loukanova (S)

Department of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany.

Herbert Bachler (H)

Institute of General Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Sabine Gehrke-Beck (S)

Institute of General Practice Charité-Universitätsmedizin Berlin, Berlin, Germany.

Marija Petek Ster (M)

Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana Slovenia.

Annette Becker (A)

Institute of General Practice, Preventive and Rehabilitation Medicine, Philipps-University Marburg, Marburg, Germany.

Markus Herrmann (M)

Institute of General Practice and Family Medicine of the Medical Faculty, Otto-von-Guericke-University, Magdeburg, Germany.

Thomas Frese (T)

Institute of General Practice at the Medical Faculty of Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Germany.

Ferdinand Gerlach (F)

Institute of General Practice, Goethe University, Frankfurt am Main, Germany.

Erika Zelko (E)

Faculty of Medicine University of Maribor, Maribor, Slovenia.

Maria Flamm (M)

Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University, Salzburg, Austria.

Marco Roos (M)

Institute of General Practice, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen-Nürnberg, Germany.

Michael Freitag (M)

Institute of General Practice, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.

Julia Schirgi (J)

Institute of General Practice and Evidence-Based Health Services Research, Medical University of Graz, Graz, Austria.

Anita Rieder (A)

Center for Public Health, Department of General Practice and Family Medicine, Medical University of Vienna, Vienna, Austria.

Andrea Siebenhofer (A)

Institute of General Practice and Evidence-Based Health Services Research, Medical University of Graz, Graz, Austria.
Institute of General Practice, Goethe University, Frankfurt am Main, Germany.

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