[What factors aid in the recruitment of general practice as a career? An enquiry by interview of general practitioners].
OBJECTIVE
In some parts of Germany there is already a lack of general practitioners (GPs). The reasons for this lack are complex. On the one hand there is an increasing demand for GPs as a result to demographic changes and an increase in the number of chronic diseases. On the other hand fewer medical students decide to become a general practitioner. The aim of this study was to explore, from the perspective of GPs, factors influencing the choice of general practice as a career. Also analysed is the extent to which those factors influence medical students in their carrier choice.


METHODS
16 GPs were interviewed. Qualitative content analysis according to Mayring has been assisted by the Atlas.ti software program.


RESULTS
GPs thought that the occupational orientation of medical students would be strongly dependent on the attractiveness of their future profession. Factors affecting the day-to-day work of general practice and may deterring the carrier choice of students were: poor working and general conditions leading to an increasing dissatisfaction among GPs; decreasing prestige of GPs caused by changed personal and occupational values and attitudes within the society; as well as poor representation and image of general practice as a discipline within the medical curriculum.


CONCLUSIONS
Various approaches aimed at different target groups can be derived from these identified factors: the government providing general and occupational conditions that would relieve GPs of excessive bureaucracy; universities and medical associations meeting the challenge by improving undergraduate and postgraduate education in general practice; and GPs themselves giving a more self-confident presentation of general practice.
Natanzon
Iris
I
Kompetenzzentrum Allgemeinmedizin Baden-Württemberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Heidelberg. iris.natanzon@med.uni-heidelberg.de
Ose
D
D
Szecsenyi
J
J
Joos
S
S
D001291:Attitude of Health Personnel; D002321:Career Choice; D005194:Family Practice / Q000706:statistics & numerical data*; D005858:Germany; D007407:Interviews as Topic; D010560:Personnel Selection / Q000706:statistics & numerical data*; D010820:Physicians / Q000600:supply & distribution*; D013337:Students, Medical / Q000706:statistics & numerical data*