Koehler Nicole, McMenamin Christine
a Medical Student Programs, Eastern Health Clinical School , Monash University and Deakin University , Box Hill , Australia.
b Faculty of Medicine, Nursing, Health Sciences , Monash University , Clayton , Australia.
Educ Prim Care. 2016 Jul;27(4):280-91. doi: 10.1080/14739879.2016.1194360. Epub 2016 Jun 10.
Australia will continue to face a general practitioner (GP) shortage unless a significant number of medical students make general practice their chosen career. Perceptions regarding general practice may influence career choices. Thus this study investigated what Australian medical students perceived to be the advantages and disadvantages of pursuing a career in general practice via an anonymous online survey. Fifty-one students indicated general practice to be their first ranked career preference, 200 indicated a career other than general practice, and 106 were undecided. Two-hundred and two students reported having been on a GP placement, whereas 88 students had not. Flexibility, continuity of patient care and work-life balance were the three most common stated advantages to pursuing a career in general practice whereas general practice being boring, poorly paid, and of low prestige were the three most common disadvantages stated. Some disadvantages stated by those with a non-GP preference were not stated by those with a GP preference (e.g. lack of procedural skills, lack of career advancement opportunities). Students with more than 80 h of GP placement experience were more likely to list the advantages of work-life balance and a diversity of problems/illnesses/patients than those with no placement experience but were also more likely to list the disadvantage of low prestige. Negative stereotypes regarding general practice continue to exist which may influence students' career choices.
除非大量医学生选择全科医学作为他们的职业,否则澳大利亚将继续面临全科医生短缺的问题。对全科医学的认知可能会影响职业选择。因此,本研究通过一项匿名在线调查,探究了澳大利亚医学生认为从事全科医学职业的利弊。51名学生将全科医学列为他们首选的职业,200名学生选择了全科医学以外的职业,106名学生尚未决定。202名学生报告曾进行过全科医生实习,而88名学生没有。灵活性、患者护理的连续性和工作与生活的平衡是从事全科医学职业最常提到的三个优点,而全科医学枯燥、薪水低和声望低则是最常提到的三个缺点。一些非全科医学偏好者提到的缺点,全科医学偏好者并未提及(例如缺乏操作技能、缺乏职业发展机会)。有超过80小时全科医生实习经验的学生比没有实习经验的学生更有可能列出工作与生活平衡以及问题/疾病/患者多样性的优点,但也更有可能列出声望低的缺点。关于全科医学的负面刻板印象仍然存在,这可能会影响学生的职业选择。