title: Predictors of a positive attitude of medical students towards general practice - a survey of three Bavarian medical faculties.
abstract: OBJECTIVE
  Germany is witnessing an increasing shortage of general practitioners (GPs). The aim was to determine predictors of the job-related motivation of medical students of three medical faculties with different institutionalisation of general practice as an academic discipline.
  
  
  METHODS
  Medical students were surveyed with a standardised questionnaire about their attitudes towards general practice and their motivation to work as a GP in different working conditions. Predictors for positive attitudes and motivation were calculated using logistic regression models.
  
  
  RESULTS
  940 (15.2%) out of 6182 medical students from three Bavarian medical faculties participated in an online survey. 585 (62.7%) were female, and the average age was 25.0 (standard deviation 3.7). The average grade of a university-entrance diploma was 1.6 (standard deviation 0.5). 718 (76.4%) could imagine working as a GP. However, they favoured being employed within another organisation and not having their own private practice (65.5% vs. 35.1%). "Presence of a professorship of general practice" was associated with a positive attitude towards general practice (OR 1.57; 95%CI 1.13-2.417). Motivation for working as a GP was associated with "being female" (OR 2.56; 95%CI 1.80-3.56) and "presence of a professorship of general practice" (OR 1.68; 95%CI 1.14-2.46). Having a lower grade for one's university-entrance diploma was associated with a higher preference to work in one's own practice (OR 1.39; 95%CI 1.02-1.90).
  
  
  CONCLUSIONS
  A high amount of medical students were open-minded towards general practice. However, they favoured employment within an organization over working in their own practice. Institutionalisation of general practice as an academic discipline might be of importance to gain positive attitudes towards general practice and motivate medical students to work as a GP.
authors.affiliation: Technische Universität München, Klinikum rechts der Isar, Lehrstuhl für Allgemeinmedizin, München, Deutschland.
authors.forename: Antonius
authors.initials: A
authors.lastname: Schneider
authors.forename: Marlies
authors.initials: M
authors.lastname: Karsch-Völk
authors.forename: Alica
authors.initials: A
authors.lastname: Rupp
authors.forename: Martin R
authors.initials: MR
authors.lastname: Fischer
authors.forename: Hans
authors.initials: H
authors.lastname: Drexler
authors.forename: Jörg
authors.initials: J
authors.lastname: Schelling
authors.forename: Pascal
authors.initials: P
authors.lastname: Berberat
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002321:Career Choice; D003625:Data Collection; D005180:Faculty, Medical; D005260:Female; D058006:General Practice / Q000193:education*; D005858:Germany; D006801:Humans; D008297:Male; D009042:Motivation; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: general practice; institutionalisation; medical profession; medical students; motivation