Denigration of general practice as a career choice: The students’ perspective. A qualitative study

Background: General practice in the UK and other parts of the world is facing a recruitment crisis with insufficient numbers of medical students selecting it as a career choice. Denigration of general practice has been postulated as one of the contributing factors. Aim: To explore comments about g...

Full description

Bibliographic Details
Main Authors: Emmet Carlin, Hugh Alberti, Kristen Davies
Format: Article
Language:English
Published: Royal College of General Practitioners 2021-01-01
Series:BJGP Open
Subjects:
Online Access:https://bjgpopen.org/content/5/1/bjgpopen20X101132
_version_ 1818880110978138112
author Emmet Carlin
Hugh Alberti
Kristen Davies
author_facet Emmet Carlin
Hugh Alberti
Kristen Davies
author_sort Emmet Carlin
collection DOAJ
description Background: General practice in the UK and other parts of the world is facing a recruitment crisis with insufficient numbers of medical students selecting it as a career choice. Denigration of general practice has been postulated as one of the contributing factors. Aim: To explore comments about general practice as a career made by clinical teachers from the medical student’s perspective, and in doing so to further understand the current difficulties of recruiting into general practice. Design & setting: A qualitative, explorative study of three focus groups of medical students from two medical schools in northern England. Method: A semi-structured interview format was utilised. The following four questions were posed to the participants about choosing general practice as a career: had they heard negative comments? Had they heard positive comments? Do they think comments influence student career decisions or is it a problem? Could they suggest any solutions to the issue? Results were analysed using thematic analysis. Results: Students reported hearing both positive and negative comments about general practice as a career choice. They perceived the comments to potentially influence student career choice. Three underlying themes emerged: the individual (personal characteristics of students affecting the influence that comments have on them); the curriculum (presence and content of general practice teaching); and culture (in the medical school and profession). These were used to postulate a model that may explain how negative comments shape students’ perceptions of general practice. Conclusion: Denigration of general practice is an ongoing problem within the medical profession and strategies to address it must be developed or recruitment to the specialty will continue to decline. This study suggests a model that can help to understand the complex relationship between different factors that result in negative comments being taken on board by medical students.
first_indexed 2024-12-19T14:40:46Z
format Article
id doaj.art-aa87ffa284f340c2a061f7efcc3b79f8
institution Directory Open Access Journal
issn 2398-3795
language English
last_indexed 2024-12-19T14:40:46Z
publishDate 2021-01-01
publisher Royal College of General Practitioners
record_format Article
series BJGP Open
spelling doaj.art-aa87ffa284f340c2a061f7efcc3b79f82022-12-21T20:17:05ZengRoyal College of General PractitionersBJGP Open2398-37952021-01-015110.3399/bjgpopen20X101132Denigration of general practice as a career choice: The students’ perspective. A qualitative studyEmmet Carlin0Hugh Alberti1Kristen Davies2Newcastle University, School of Medical Education, Newcastle, UKNewcastle University, School of Medical Education, Newcastle, UKNewcastle University, School of Medical Education, Newcastle, UKBackground: General practice in the UK and other parts of the world is facing a recruitment crisis with insufficient numbers of medical students selecting it as a career choice. Denigration of general practice has been postulated as one of the contributing factors. Aim: To explore comments about general practice as a career made by clinical teachers from the medical student’s perspective, and in doing so to further understand the current difficulties of recruiting into general practice. Design & setting: A qualitative, explorative study of three focus groups of medical students from two medical schools in northern England. Method: A semi-structured interview format was utilised. The following four questions were posed to the participants about choosing general practice as a career: had they heard negative comments? Had they heard positive comments? Do they think comments influence student career decisions or is it a problem? Could they suggest any solutions to the issue? Results were analysed using thematic analysis. Results: Students reported hearing both positive and negative comments about general practice as a career choice. They perceived the comments to potentially influence student career choice. Three underlying themes emerged: the individual (personal characteristics of students affecting the influence that comments have on them); the curriculum (presence and content of general practice teaching); and culture (in the medical school and profession). These were used to postulate a model that may explain how negative comments shape students’ perceptions of general practice. Conclusion: Denigration of general practice is an ongoing problem within the medical profession and strategies to address it must be developed or recruitment to the specialty will continue to decline. This study suggests a model that can help to understand the complex relationship between different factors that result in negative comments being taken on board by medical students.https://bjgpopen.org/content/5/1/bjgpopen20X101132general practiceundergraduate educationpostgraduate educationcareer choicestudents, medical
spellingShingle Emmet Carlin
Hugh Alberti
Kristen Davies
Denigration of general practice as a career choice: The students’ perspective. A qualitative study
BJGP Open
general practice
undergraduate education
postgraduate education
career choice
students, medical
title Denigration of general practice as a career choice: The students’ perspective. A qualitative study
title_full Denigration of general practice as a career choice: The students’ perspective. A qualitative study
title_fullStr Denigration of general practice as a career choice: The students’ perspective. A qualitative study
title_full_unstemmed Denigration of general practice as a career choice: The students’ perspective. A qualitative study
title_short Denigration of general practice as a career choice: The students’ perspective. A qualitative study
title_sort denigration of general practice as a career choice the students perspective a qualitative study
topic general practice
undergraduate education
postgraduate education
career choice
students, medical
url https://bjgpopen.org/content/5/1/bjgpopen20X101132
work_keys_str_mv AT emmetcarlin denigrationofgeneralpracticeasacareerchoicethestudentsperspectiveaqualitativestudy
AT hughalberti denigrationofgeneralpracticeasacareerchoicethestudentsperspectiveaqualitativestudy
AT kristendavies denigrationofgeneralpracticeasacareerchoicethestudentsperspectiveaqualitativestudy