What influences young doctors in their decision-making about general practice as a possible career? A qualitative study.

Research output: Contribution to journalArticle

Abstract

Background
Recruitment to General Practitioner (GP) training programmes in the United Kingdom is poor. Colleagues’ negative comments about general practice could contribute to this.
Aim
To investigate what influences Foundation Year 2 (FY2) doctors in their decisions to choose general practice as a career, and how colleagues’ comments about GPs might affect those decisions.
Design and Setting
A qualitative study in Southwest England.
Method
Thematic analysis of interviews with FY2 doctors.
Results
Twenty-four doctors participated. They thought that GPs worked hard and had very varied clinical work. The effect on their career choice depended on their personalities. GP placement experiences significantly influenced their career intentions. The loneliness of working in general practice was a key concern.
FY2 doctors thought colleagues’ criticisms of GPs did not reflect reality and were outdated. ‘Banter’ had little effect on career choices. Whichever specialty they were choosing, FY2s experienced support from colleagues in their career choices.
Conclusion
Person-specialty fit and FY2 doctors’ experiences of GP work have a significant effect on career choices. Loneliness in their GP work placements is a particular problem that should be addressed. While colleagues’ derogatory comments about GPs may affect medical students’ views on their career choices, they appear to have little effect on the career decision-making of qualified doctors.
Original languageEnglish
JournalEducation for Primary Care
Early online date18 Dec 2019
DOIs
Publication statusE-pub ahead of print - 18 Dec 2019

Keywords

  • General Practice
  • Career Choice
  • Job Satisfaction

Cite this

@article{cb906d8d494e40fcb08348f5c316940d,
title = "What influences young doctors in their decision-making about general practice as a possible career? A qualitative study.",
abstract = "BackgroundRecruitment to General Practitioner (GP) training programmes in the United Kingdom is poor. Colleagues’ negative comments about general practice could contribute to this.AimTo investigate what influences Foundation Year 2 (FY2) doctors in their decisions to choose general practice as a career, and how colleagues’ comments about GPs might affect those decisions.Design and SettingA qualitative study in Southwest England. MethodThematic analysis of interviews with FY2 doctors.Results Twenty-four doctors participated. They thought that GPs worked hard and had very varied clinical work. The effect on their career choice depended on their personalities. GP placement experiences significantly influenced their career intentions. The loneliness of working in general practice was a key concern.FY2 doctors thought colleagues’ criticisms of GPs did not reflect reality and were outdated. ‘Banter’ had little effect on career choices. Whichever specialty they were choosing, FY2s experienced support from colleagues in their career choices.ConclusionPerson-specialty fit and FY2 doctors’ experiences of GP work have a significant effect on career choices. Loneliness in their GP work placements is a particular problem that should be addressed. While colleagues’ derogatory comments about GPs may affect medical students’ views on their career choices, they appear to have little effect on the career decision-making of qualified doctors.",
keywords = "General Practice, Career Choice, Job Satisfaction",
author = "Michael Harris and David Wainwright and Elaine Wainwright",
year = "2019",
month = "12",
day = "18",
doi = "10.1080/14739879.2019.1697967",
language = "English",
journal = "Education for Primary Care",
issn = "1473-9879",
publisher = "Taylor and Francis",

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TY - JOUR

T1 - What influences young doctors in their decision-making about general practice as a possible career? A qualitative study.

AU - Harris, Michael

AU - Wainwright, David

AU - Wainwright, Elaine

PY - 2019/12/18

Y1 - 2019/12/18

N2 - BackgroundRecruitment to General Practitioner (GP) training programmes in the United Kingdom is poor. Colleagues’ negative comments about general practice could contribute to this.AimTo investigate what influences Foundation Year 2 (FY2) doctors in their decisions to choose general practice as a career, and how colleagues’ comments about GPs might affect those decisions.Design and SettingA qualitative study in Southwest England. MethodThematic analysis of interviews with FY2 doctors.Results Twenty-four doctors participated. They thought that GPs worked hard and had very varied clinical work. The effect on their career choice depended on their personalities. GP placement experiences significantly influenced their career intentions. The loneliness of working in general practice was a key concern.FY2 doctors thought colleagues’ criticisms of GPs did not reflect reality and were outdated. ‘Banter’ had little effect on career choices. Whichever specialty they were choosing, FY2s experienced support from colleagues in their career choices.ConclusionPerson-specialty fit and FY2 doctors’ experiences of GP work have a significant effect on career choices. Loneliness in their GP work placements is a particular problem that should be addressed. While colleagues’ derogatory comments about GPs may affect medical students’ views on their career choices, they appear to have little effect on the career decision-making of qualified doctors.

AB - BackgroundRecruitment to General Practitioner (GP) training programmes in the United Kingdom is poor. Colleagues’ negative comments about general practice could contribute to this.AimTo investigate what influences Foundation Year 2 (FY2) doctors in their decisions to choose general practice as a career, and how colleagues’ comments about GPs might affect those decisions.Design and SettingA qualitative study in Southwest England. MethodThematic analysis of interviews with FY2 doctors.Results Twenty-four doctors participated. They thought that GPs worked hard and had very varied clinical work. The effect on their career choice depended on their personalities. GP placement experiences significantly influenced their career intentions. The loneliness of working in general practice was a key concern.FY2 doctors thought colleagues’ criticisms of GPs did not reflect reality and were outdated. ‘Banter’ had little effect on career choices. Whichever specialty they were choosing, FY2s experienced support from colleagues in their career choices.ConclusionPerson-specialty fit and FY2 doctors’ experiences of GP work have a significant effect on career choices. Loneliness in their GP work placements is a particular problem that should be addressed. While colleagues’ derogatory comments about GPs may affect medical students’ views on their career choices, they appear to have little effect on the career decision-making of qualified doctors.

KW - General Practice

KW - Career Choice

KW - Job Satisfaction

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DO - 10.1080/14739879.2019.1697967

M3 - Article

JO - Education for Primary Care

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SN - 1473-9879

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