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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Factors affecting recruitment into General Practice: a double binary choice approach.

Ian Davison1, Chris McManus2, Celia Brown3

  • 1School of Education, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. i.w.davison@bham.ac.uk.

Advances in Health Sciences Education : Theory and Practice
|November 8, 2019
PubMed
Summary

Low recruitment to General Practice (GP) is a concern. Personality and prior GP experience significantly influence junior doctors' decisions to apply for GP training, with some viewing it as a backup option.

Keywords:
Career choiceCohort studyGeneral PracticePath analysisRecruitmentSpecialty selection

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Area of Science:

  • Medical Education
  • Health Workforce Research
  • Primary Care

Background:

  • General Practice (GP) faces low recruitment globally.
  • Understanding factors influencing junior doctors' career choices is crucial for addressing this.
  • Previous studies identified attitudinal factors, but quantification of their impact is needed.

Purpose of the Study:

  • To quantify the relative impact of various factors on junior doctors' decisions to apply for and accept General Practice training positions.
  • To identify key drivers and barriers influencing specialty selection in medical training.

Main Methods:

  • An online questionnaire was distributed to candidates applying for UK specialty training in 2015.
  • Descriptive statistics and path analysis were employed to evaluate factors affecting GP applications.
  • Survey data (n=3838) were synthesized with online application portal data.

Main Results:

  • Personality traits and previous General Practice experiences were strongly associated with the decision to apply for GP training.
  • Approximately 9% of accepted GP trainees viewed the specialty as a backup plan.
  • GP entry appeared comparatively easier than other specialties, influencing acceptance decisions.

Conclusions:

  • Recruitment strategies should target doctors considering GP but not applying, or applying without it being their first choice.
  • Enhancing GP exposure and highlighting specialty positives (work-life balance, intellectual challenge) are recommended.
  • Competition for other medical specialties influences GP post acceptance.