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Influences on students' career decisions concerning general practice: a focus group study
Sandra Nicholson1, Adrian Michael Hastings2, Robert Kee McKinley3
1Head centre for medical education (acting), Institute of Health Sciences Education, Queen Mary University of London, London.
Summary
High-quality general practice clinical placements and positive role models significantly influence medical students
Area of Science:
- Medical Education
- General Practice Recruitment
- Career Choice Factors
Background:
- Recruitment to UK general practice is a concern.
- No prior educational interventions have been implemented to address this issue.
Purpose of the Study:
- To investigate how medical students' undergraduate curriculum experiences influence their career choices.
- To understand the impact of curriculum perceptions on selecting general practice.
Main Methods:
- Qualitative study utilizing focus groups with 58 medical students from diverse UK institutions.
- Students late in their studies were sampled to capture career considerations.
- Focus group discussions were audio-recorded, transcribed, anonymized, and thematically analyzed.
Main Results:
- Student career aspirations are influenced by family and home, but clinical placements are crucial for confirmation or refutation.
- High-quality, authentic general practice attachments strongly attract students to the specialty.
- General practice tutors serve as powerful, positive role models, though some students hold conflicting views on general practice.
Conclusions:
- Attracting students to general practice is more effective than coercion.
- Early, high-quality, authentic clinical exposure promotes general practice and counters negative stereotypes.
- Recommendations include creating more opportunities for students to understand the role and attainments of a 'good GP'.
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