Young general practitioners’ professional activities: a survey in the French-speaking part of Belgium

Lenoir, Anne Laure; Richelle, Lou; Ketterer, Frédéric; Fraipont, Bénédicte; Cayn, Marion; Duchesnes, Christiane; Leconte, Sophie

doi:10.1080/17843286.2017.1302624

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Our study highlights how these decisions evolve and may change. Our previous survey study on the professional activities of recently-graduated GPs found that those who had not picked GP as their first choice represented 9.4% of all of those still in practice [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…We chose to focus on early to mid-career general practice graduates to examine factors that were likely still at play in the profession. In a previous study, we had targeted the same population by surveying the doctors who had graduated with an Advanced Master of General Practice degree from one of the Belgian French-speaking universities between 1999 and 2013 [ 6 ]. We had asked them for consent to be recontacted.…”

Section: Methodsmentioning

confidence: 99%

“…GPs leaving general practice before retirement, is also a major issue. For example, 21.5% of general practice graduates who had completed training in Belgian French-speaking universities between 1999 and 2013 were not practising as GPs in 2015 [ 6 ]. Similarly, in the United Kingdom, a survey conducted in 2017 in the South of England found 18% of GPs intended to leave general practice in the next two years [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the diverse career trajectories of general practice graduates in the French-speaking part of Belgium: An interview study

Lenoir

Leconte

Cayn

et al. 2021

European Journal of General Practice

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Background Several European countries face a shortage of general practitioners (GPs), in part due to GP attrition. Most studies of GP attrition have focussed on why GPs decide to leave. Yet understanding why GPs decide to remain may also elicit potential interventions to reduce attrition. Objectives This study examined GP graduates’ career trajectories and underlying decisions to elucidate the factors influencing GP attrition. Methods We conducted semi-structured interviews of early to mid-career general practice graduates having completed training in Belgian French-speaking universities between 1999 and 2013. We sampled participants from three categories: full-time GPs, part-time GPs, no longer working as GPs. We analysed each participant’s career trajectory and broke it down into major phases. We performed thematic analysis of the factors influencing participants’ trajectories. We compared and contrasted trajectories to develop a typology of career trajectories. Results We identified six types of career trajectories: ‘stable’ (never considered leaving general practice), ‘reaffirmed’ (had considered leaving but made substantial changes whilst remaining), ‘reactional reorientations’ (had left to escape the challenges of general practice), ‘inspired reorientations’ (had left to pursue a different job), ‘reorientations out of loyalty’ (had never wanted to practice as GPs and had remained true to their original professional aspirations) and ‘mobiles’ (valued change and did not want to set-up practice). Conclusion Reasons GPs leave the profession are multiple. The typology that emerged indicates that only some of the career trajectories would benefit from interventions to reduce attrition such as improving working conditions and providing psychological support for GPs.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the diverse career trajectories of general practice graduates in the French-speaking part of Belgium: An interview study

Lenoir

Leconte

Cayn

et al. 2021

European Journal of General Practice

Self Cite

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General practitioners’ consultation counts and associated factors in Swiss primary care – A retrospective observational study

Rachamin¹,

Meier²,

Grischott³

et al. 2019

PLoS ONE

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BackgroundResearch on individual general practitioner (GP) workload, e.g. in terms of consultation counts, is scarce. Accurate measures are desirable because GPs’ consultation counts might be related to their work satisfaction and arguably, there is a limit to the number of consultations a GP can hold per day without jeopardizing quality of care. Moreover, understanding the association of consultation counts with GP characteristics is crucial given current trends in general practice, such as the increasing proportion of female GPs, part-time work and group practices.AimThe aim of this study was to describe GPs’ consultation counts and efficiency and to assess associations with GP and practice variables.MethodsIn this retrospective observational study we used routine data in electronic medical records obtained from 245 Swiss GPs in 2018. We described GPs’ daily consultation counts as well as their efficiencies (i.e. total consultation counts adjusted for part-time work) and used hierarchical linear models to find associations of the GPs’ total consultation counts in 2018 with GP- and practice-level variables.ResultsThe median daily consultation count was 28 over all GPs and 33 for full-time working GPs. Total consultation counts increased non-linearly with part-time status, with high part-time working GPs (60%-90% of full-time) being equally or more efficient than full-time workers. Excluding part-time status in the regression resulted in higher consultation counts for male GPs working in single practices and with older patients, whereas part-time adjusted consultation counts were unaffected by GP gender and practice type.ConclusionFemale gender, part-time work in the range of 60%-90% of full-time, and working in group practices do not decrease GP efficiency. However, the challenge of recruiting sufficient numbers of GPs remains.

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Young general practitioners’ professional activities: a survey in the French-speaking part of Belgium

Cited by 2 publications

References 9 publications

Exploring the diverse career trajectories of general practice graduates in the French-speaking part of Belgium: An interview study

Exploring the diverse career trajectories of general practice graduates in the French-speaking part of Belgium: An interview study

General practitioners’ consultation counts and associated factors in Swiss primary care – A retrospective observational study

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