Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
PLoS One. 2020 Aug 17;15(8):e0237533. doi: 10.1371/journal.pone.0237533. eCollection 2020.
Switzerland lacks future general practitioners (GPs). Residents who wished to specialize as general practitioners were formerly trained solely in hospital settings. To better prepare and also attract more young doctors to become GPs, the canton of Bern (equivalent to a state) has implemented a partly state-funded vocational training program in GP practices. Our study examines the efficacy of this 10-year program, identifies factors that positively influence residents in their decision to become a GP and the distribution of new GPs in the canton of Bern, who had taken part in the traineeship.
This cross-sectional survey among all residents, who participated in a traineeship in general practice from 2008 to 2017 in the canton of Bern asked if residents had taken a subsequent career choice as a GP and if so in which region. Residents scored the importance of their traineeship and their mentor's influence on becoming a GP. By using zip codes of work area of respondents already working as GPs and matching it with population census data, we could obtain the distribution of GPs on a per capita basis.
Out of 165 residents who participated in a traineeship, 151 (92%) completed our survey. 81% had chosen a career as a GP or were on track to become a GP. Almost half of the participants became GPs in the offices of their mentors or in the area. Our respondents emphasized the importance of their mentors' influence as well as the training program in their decision-making to become a GP. Most mentioned benefits of being a GP were broad field of medical care (37%) and a fulfilling doctor-patient relationship (34%). We could show an increase in GP practices in the canton of Bern, not only in urban but also accordingly in rural areas.
Most residents continued subsequent careers as general practitioners after having completed a GP traineeship, with almost half of them in the region of their training. A vocational training program helped motivating young doctors to become GPs and underserved regions of the canton of Bern to gain new GPs.
瑞士缺乏未来的全科医生（GP）。以前，希望成为全科医生的住院医师仅在医院环境中接受培训。为了更好地准备并吸引更多年轻医生成为全科医生，伯尔尼州（相当于一个州）在全科医生诊所实施了一项部分由国家资助的职业培训计划。我们的研究考察了该 10 年计划的效果，确定了积极影响居民决定成为全科医生的因素以及在伯尔尼州参加实习的新全科医生的分布情况。
这项在伯尔尼州参加 2008 年至 2017 年全科实习的所有住院医师中进行的横断面调查询问了住院医师是否选择了随后的全科医生职业选择，如果是，选择了哪个地区。住院医师对他们的实习重要性以及导师对成为全科医生的影响进行了评分。通过使用已经作为全科医生工作的受访者的工作区域邮政编码并将其与人口普查数据相匹配，我们可以按人均计算全科医生的分布情况。
在参加实习的 165 名住院医师中，有 151 名（92%）完成了我们的调查。81%的人选择了全科医生的职业或正在成为全科医生的道路上。几乎一半的参与者成为其导师办公室或所在地区的全科医生。我们的受访者强调了导师的影响以及培训计划在他们成为全科医生的决策中的重要性。大多数人提到成为全科医生的好处是广泛的医疗领域（37%）和充实的医患关系（34%）。我们可以表明，伯尔尼州的全科医生诊所数量有所增加，不仅在城市地区，而且在农村地区也相应增加。
大多数住院医师在完成全科实习后继续从事全科医生的后续职业，其中近一半在培训地区。职业培训计划有助于激励年轻医生成为全科医生，并使伯尔尼州的服务不足地区获得新的全科医生。
