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Factors associated with the entry to general practice training: A multicentre study.

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Consistent primary care exposure during all three clinical years positively influences medical students' decisions to enter general practice (GP) training. This highlights the importance of sustained early exposure for GP career choices.

Keywords:
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Area of Science:

  • Medical Education
  • Primary Care Research
  • Career Development

Background:

  • General practice (GP) career choice is a critical area in medical workforce planning.
  • The specific impact of undergraduate primary care exposure on choosing a GP career remains underexplored.
  • Understanding factors influencing GP training entry is essential for addressing physician shortages.

Purpose of the Study:

  • To investigate the association between undergraduate primary care exposure and entry into general practice training.
  • To identify key factors influencing medical graduates' decisions to pursue a career in general practice.

Main Methods:

  • An unmatched case-control study design was utilized.
  • 130 general practice trainees and 260 trainees in other specialties were randomly selected.
  • Questionnaires assessed primary care exposure and career decision-making factors; logistic regression analyzed associations.

Main Results:

  • A 66.4% response rate was achieved.
  • Timetabled primary care sessions across all three clinical years significantly increased the odds of entering GP training (adjusted OR = 2.91).
  • Enrollment in rural medical student schemes (adjusted OR = 3.07) and valuing core GP values (adjusted OR = 8.46) were also strongly associated with GP training entry.

Conclusions:

  • Continuous primary care exposure throughout undergraduate clinical years positively influences the decision to enter general practice training.
  • This study underscores the significance of sustained exposure in shaping career choices towards general practice.
  • Findings contribute to strategies for enhancing recruitment into primary care.