Amin Maslah, Chande Shiv, Park Sophie, Rosenthal Joe, Jones Melvyn
a Health Education England , London , UK.
b Department of Primary Care and Population Health , UCL Medical School, Royal Free Campus , London , UK.
Educ Prim Care. 2018 Mar;29(2):64-67. doi: 10.1080/14739879.2018.1427003. Epub 2018 Jan 25.
The NHS is struggling with GP recruitment. The Health Education England (HEE) Wass Report (By Choice not by Chance), among its recommendations to boost GP numbers, highlighted undergraduate (UG) GP placement experience as an important influence on future career choice. Aim To explore the UG influences on GP career choice.
Two junior doctors produced a pragmatic rapid appraisal of the literature on the UG influences on GP career choice for the Wass Report. The search strategy was supported by librarians and focused on rapidly accessing and summarising relevant literature. Databases searched, including Medline, EMBASE, HMIC & grey literature, revealed 294 items. Data extraction and synthesis was pragmatic.
The international evidence suggests that UG GP experience can positively influence students towards a primary care career. Longitudinal placements are more influential than traditional blocks. UK literature is limited, but there are consistencies with the international evidence. The relevant studies identified are observational with risk of bias, but this is unavoidable within this research context.
The implications of these results for medical school curricula are discussed with particular reference to Government plans to expand medical student numbers and establish new medical schools with explicit aims to produce more GPs.
英国国家医疗服务体系（NHS）在全科医生招聘方面面临困境。英格兰健康教育署（HEE）的瓦斯报告（《凭选择而非机遇》）在其增加全科医生数量的建议中，强调本科阶段（UG）的全科医生实习经历是对未来职业选择的一项重要影响因素。目的：探讨本科阶段因素对全科医生职业选择的影响。
两名初级医生为瓦斯报告对本科阶段因素对全科医生职业选择影响的文献进行了务实的快速评估。检索策略得到了图书馆员的支持，重点是快速获取和总结相关文献。所检索的数据库包括医学期刊数据库（Medline）、荷兰医学文摘数据库（EMBASE）、英国卫生管理与信息数据库（HMIC）及灰色文献，共检索到294条记录。数据提取与综合分析较为务实。
国际证据表明，本科阶段的全科医生实习经历能够对学生选择初级医疗保健职业产生积极影响。纵向实习比传统的集中实习更具影响力。英国的相关文献有限，但与国际证据存在一致性。已确定的相关研究为观察性研究，存在偏倚风险，但在本研究背景下这是不可避免的。
结合政府扩大医学生数量以及建立旨在培养更多全科医生的新医学院校的计划，对这些结果对医学院课程的影响进行了讨论。
