Merrett Alexandra, Jones Daniel, Sein Kim, Green Trish, Macleod Una
Hull York Medical School, University of Hull.
Centre for Health and Population Sciences, Hull York Medical School, University of Hull.
Br J Gen Pract. 2017 Apr;67(657):e253-e259. doi: 10.3399/bjgp17X690221.
A key element of the NHS is universal access to a GP. Recently, UK general practice has been described as being in crisis, with training places unfilled and multiple practices reporting vacancies or facing closure. The recruitment of GPs continues to be a key focus for both the Royal College of General Practitioners (RCGP) and the government.
To understand the attitudes of newly qualified doctors towards a career in general practice, to appreciate potential reasons for the crisis in GP recruitment, and to recommend ways to improve recruitment.
A qualitative study comprising five focus groups with 74 Foundation Year 1 (FY1) doctors from one Yorkshire deanery.
Audio recordings were transcribed verbatim and thematic analysis undertaken.
Foundation Year 1 doctors' thoughts towards a career in general practice were summarised in four themes: quality of life, job satisfaction, uncertainty surrounding the future of general practice, and the lack of respect for GPs among both doctors and the public. Participants felt that general practice could provide a good work-life balance, fair pay, and job stability. Job satisfaction, with the ability to provide care from the cradle to the grave, and to work within a community, was viewed positively. Uncertainties around future training, skill levels, pay, and workload, together with a perceived stigma experienced in medical schools and hospitals, were viewed as a deterrent to a career in general practice.
This study has gathered the opinions of doctors at a critical point in their careers, before they choose a future specialty. Findings highlight areas of concern and potential deterrents to a career in general practice, together with recommendations to address these issues.
英国国家医疗服务体系（NHS）的一个关键要素是全民都能看全科医生。最近，英国的全科医疗被描述为处于危机之中，培训岗位空缺，多家诊所报告有空缺或面临关闭。全科医生的招聘仍然是皇家全科医学院（RCGP）和政府的一个关键重点。
了解新获得资格的医生对全科医疗职业的态度，认识全科医生招聘危机的潜在原因，并提出改善招聘的方法。
一项定性研究，包括与来自约克郡一个地区的74名一年级住院医生（FY1）进行的五个焦点小组讨论。
对录音进行逐字转录并进行主题分析。
一年级住院医生对全科医疗职业的看法归纳为四个主题：生活质量、工作满意度、全科医疗未来的不确定性以及医生和公众对全科医生缺乏尊重。参与者认为全科医疗可以提供良好的工作与生活平衡、合理的薪酬和工作稳定性。工作满意度方面，能够提供从摇篮到坟墓的护理服务以及在社区内工作被给予积极评价。未来培训、技能水平、薪酬和工作量的不确定性，以及在医学院和医院中感受到的耻辱感，被视为从事全科医疗职业的阻碍。
本研究收集了医生在其职业生涯关键节点（即在他们选择未来专业之前）的意见。研究结果突出了对全科医疗职业的关注领域和潜在阻碍，并提出了解决这些问题的建议。
