title: Primary health care models: medical students’ knowledge and perceptions.
abstract: OBJECTIVE
  To explore the knowledge and perceptions of fourth-year medical students regarding the new models of primary health care (PHC) and to ascertain whether that knowledge influenced their decisions to pursue careers in family medicine.
  
  
  METHODS
  Qualitative study using semistructured interviews.
  
  
  METHODS
  The Schulich School of Medicine and Dentistry at The University of Western Ontario in London. Participants Fourth-year medical students graduating in 2009 who indicated family medicine as a possible career choice on their Canadian Residency Matching Service applications.
  
  
  METHODS
  Eleven semistructured interviews were conducted between January and April of 2009. Data were analyzed using an iterative and interpretive approach. The analysis strategy of immersion and crystallization assisted in synthesizing the data to provide a comprehensive view of key themes and overarching concepts.
  
  
  RESULTS
  Four key themes were identified: the level of students’ knowledge regarding PHC models varied; the knowledge was generally obtained from practical experiences rather than classroom learning; students could identify both advantages and disadvantages of working within the new PHC models; and although students regarded the new PHC models positively, these models did not influence their decisions to pursue careers in family medicine.
  
  
  CONCLUSIONS
  Knowledge of the new PHC models varies among fourth-year students, indicating a need for improved education strategies in the years before clinical training. Being able to identify advantages and disadvantages of the PHC models was not enough to influence participants’ choice of specialty. Educators and health care policy makers need to determine the best methods to promote and facilitate knowledge transfer about these PHC models.
authors.affiliation: Centre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, King’s University College. jbbrown@uwo.ca
authors.forename: Judith Belle
authors.initials: JB
authors.lastname: Brown
authors.forename: Reta
authors.initials: R
authors.lastname: French
authors.forename: Amy
authors.initials: A
authors.lastname: McCulloch
authors.forename: Eric
authors.initials: E
authors.lastname: Clendinning
mesh_terms: D002321:Career Choice; D005194:Family Practice / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D017146:Models, Organizational; D009864:Ontario; D011320:Primary Health Care / Q000458:organization & administration*; D013337:Students, Medical / Q000523:psychology*