Influencing medical student choice of primary care worldwide: international application of the four pillars for primary care physician workforce

Weidner, Amanda; Davis, Ardis

doi:10.1186/s13584-018-0254-8

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…There is a distinct possibility that medical school students could be influenced to avoid a specialty where the government (who holds the purse strings and sets policy) is perceived as not supporting FM. A potential decrease in interest in FM in Canada may follow similar declines reported in other countries, 26,[46][47][48][49] creating major concerns about the future health and wellness of communities.…”

Section: Repeated-measures Cohortmentioning

confidence: 82%

Perceptions of family medicine in Canada through the eyes of learners

2021

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Objective To examine the perceptions of family medicine (FM) residents about their chosen specialty and how they perceive that patients, other specialists, and the government value FM.Design Self-report data from the Family Medicine Longitudinal Survey collected from 2014 (time 1 [T1]) to 2016 (time 2 [T2]). Setting Canada.Participants Family medicine residents from 16 out of the 17 FM residency programs. Main outcome measuresResponses to statements in the survey were evaluated using a 5-point Likert scale (from strongly disagree to strongly agree). Data were analyzed in 2 ways: cross sectionally (participation in either T1 or T2), and longitudinally (participation in both T1 and T2). ResultsFor both the cross-sectional cohorts (T1, n = 916; T2, n = 785) and the repeated-measures cohort (n = 420), most residents responded positively to feeling proud of becoming a family physician, with little change from entrance to exit. For both cohorts, a higher proportion of residents at the end of training reported that other medical specialists value the contributions of family physicians (P < .001); however, fewer believed that the government perceived FM as essential to the health care system (P < .001).

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Section: Repeated-measures Cohortmentioning

confidence: 82%

Perceptions of family medicine in Canada through the eyes of learners

2021

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“…2 Despite this growing global need for general practitioners (GPs), recruitment into GP remains an international challenge. [3][4][5] Studies have explored the factors that may influence doctors' declining interest for careers in GP. 6 7 These include factors such as perceived lack of intellectual challenge, social status, medical school exposure, lack of role models, working conditions and remuneration.…”

Section: Introductionmentioning

confidence: 99%

Medical students’ experience of the hidden curriculum around primary care careers: a qualitative exploration of reflective diaries

Parekh

Jones²,

Singh³

et al. 2021

BMJ Open

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ObjectivesPrimary healthcare internationally is facing a workforce crisis with fewer junior doctors choosing general practice (GP) as a career. In the UK, a national report on GP careers highlighted adverse influences during medical school on students’ career choices. The authors explored these influences in two urban UK medical schools, both with relatively low numbers of students entering GP training.DesignUsing a phenomenological approach, the authors thematically analysed the reflective diaries of four medical students who were recruited as ‘participant researchers’ over a period of 10 months. These students made regular reflexive notes about their experiences related to GP career perceptions in their academic and personal environments, aiming to capture both positive and negative perceptions of GP careers. The research team discussed emerging data and iteratively explored and developed themes.SettingTwo UK medical schoolsParticipantsUndergraduate medical studentsResultsSeven key themes were identified: the lack of visibility and physicality of GP work, the lack of aspirational GP role models, students’ perceptions of a GP career as default, the performativity of student career choice with the perceptions of success linked to specialism, societal perceptions of GP careers, gender stereotyping of career choices and the student perception of life as a GP.ConclusionsStudents overwhelmingly reflected on negative cues to GP careers, particularly through their experience of the hidden curriculum. Three recommendations are made: the need for increased representation of GP role models in clinical curricula content delivery and senior leadership; ensuring GP clerkships involve an active and authentic student role with patients, enabling students to experience GP’s ‘work’ including managing complexity, uncertainty and risk. Finally, institutions need to consider students’ experiences of the hidden curriculum and the effect this can have on students’ perception of careers, alongside the challenges of rankings and perceived hierarchical positioning of disciplines.

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Influencing medical student choice of primary care worldwide: international application of the four pillars for primary care physician workforce

Cited by 2 publications

References 17 publications

Perceptions of family medicine in Canada through the eyes of learners

Perceptions of family medicine in Canada through the eyes of learners

Medical students’ experience of the hidden curriculum around primary care careers: a qualitative exploration of reflective diaries

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