Primary Care Education Unit, Division of Primary Care, University of Nottingham , Nottingham, UK.
Department of Primary Care & Population Health, University College London , London, UK.
Educ Prim Care. 2020 Jul;31(4):205-209. doi: 10.1080/14739879.2020.1768440. Epub 2020 May 21.
There is a workforce crisis in NHS general practice (GP). It is estimated that to meet future healthcare needs around 50% of current medical students will need to choose a career in GP. Positive role modelling is an influential factor in medical students' career choice, but denigration of primary care during medical training may undermine the aspirations of students considering GP as a career. This article discusses the importance of medical schools detecting and managing denigration of GP in their curricula and, for the first time, suggests an objective approach to the measurement of denigration. Four facets which constitute denigration are discussed and proposed as a collective measure. These are: language used about GP, proportion of curriculum time spent by students in GP, accurate representation of the clinical content of GP and equity of funding between hospital and GP placements. Furthermore, we discuss the key ethical and legal challenges that are faced by medical schools and, indeed, healthcare settings, that need to be overcome to enable proactive measurement and management of denigration.
NHS 全科医学领域存在劳动力危机。据估计，为了满足未来的医疗保健需求，目前大约有 50%的医学生需要选择全科医学作为职业。积极的榜样作用是影响医学生职业选择的一个因素，但在医学培训期间贬低初级保健可能会破坏那些考虑将全科医学作为职业的学生的抱负。本文讨论了医学院在课程中发现和管理对全科医学诋毁的重要性，并首次提出了一种衡量诋毁的客观方法。本文讨论并提出了构成诋毁的四个方面，作为一个综合衡量标准。这些方面是：用于描述全科医生的语言、学生在全科医学中花费的课程时间比例、对全科医学临床内容的准确描述以及医院和全科医生实习之间的资金公平性。此外，我们还讨论了医学院甚至医疗保健机构所面临的关键伦理和法律挑战，这些挑战需要克服，以便能够主动衡量和管理诋毁。
