School of Medical Education, The Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Subdean for Primary and Community Care, School of Medical Education, The Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Educ Prim Care. 2021 May;32(3):149-156. doi: 10.1080/14739879.2020.1846142. Epub 2020 Nov 23.
General practice worldwide is facing a severe recruitment crisis, with significantly fewer medical students choosing to pursue careers in primary care than are required to meet society's growing demands. The role of GP placements and GP tutors has been highlighted as having a significantly positive influence on medical students' perceptions of general practice. However, how students perceive these experiences to have influenced their subsequent career preferences remains poorly understood.We sought to explore how a longitudinal GP placement influences medical students' preferences regarding a career in general practice, in order to gain a deeper understanding of the significance of such placements. Semi-structured interviews were undertaken with five fourth-year medical students using Interpretive Phenomenological Analysis methodology.Four overarching concepts were identified, with nine superordinate themes, to describe how a longitudinal placement had influenced medical students' preference regarding a career in general practice. There appears to have been a matching process between an expanding knowledge of the realities of being a GP and an increasing understanding of self. The GP tutor and 'authentic' experiences to consult patients themselves developed a growing sense of self-efficacy within students, all of which resulted in a significant internal desire to become future GPs.
全科医学在全球范围内面临着严重的招聘危机，选择从事初级保健工作的医学生人数明显少于满足社会日益增长需求所需的人数。全科医生实习和导师的作用已被强调为对医学生对全科医学的看法产生了非常积极的影响。然而，学生如何看待这些经历对他们随后的职业偏好的影响仍知之甚少。我们试图探讨纵向全科医生实习如何影响医学生对全科医学职业的偏好，以更深入地了解这种实习的重要性。我们使用解释性现象学分析方法对五名四年级医学生进行了半结构化访谈。确定了四个总体概念，九个上级主题，以描述纵向实习如何影响医学生对全科医学职业的偏好。在扩大对成为全科医生的现实的认识和对自我认识的不断加深之间似乎存在着一种匹配过程。全科医生导师和“真实”的为患者咨询的经验在学生中培养了越来越强的自我效能感，所有这些都导致了他们成为未来全科医生的强烈内在愿望。
