title: Motives of former interns in general practice for speciality-choice--results of a cross-sectional study among graduates 2007 to 2012.
abstract: BACKGROUND
  The influence of a final-year elective internship in general practice (IGP) on motives affecting graduates' choice of specialty is the object of great public interest, yet still insufficiently evaluated. Longitudinal studies show the influence of numerous motives (e.g., work-life balance), but not following the IGP experience itself. Thus, we performed a cross-sectional questionnaire study of all graduates who completed the IGP in Saxony-Anhalt during 2007-2012 regarding their motives for choosing a speciality.
  
  
  METHODS
  A standardized questionnaire was sent to 109 former interns in general practice. The questionnaire contained 29 items addressing three topics (personal attitudes, concept of personal and professional life, motives for speciality choice) and used single-choice and multiple-choice answers, as well as Likert scales. Correlation analysis was carried out by means of Kendall's tau.
  
  
  RESULTS
  The questionnaire reached 97 former interns, of which 45 (46%) responded. In the overall ranking of motives for speciality choice, family (71%), leisure time (66%) and job opportunities (48%) rated as more important than income (36%), mentoring (20%), status or scientific work (20%). Only 29% of the respondents stated that their speciality choice was changed by the IGP. If the speciality choice was already established before the IGP, the influence of the IGP on speciality choice was significantly low (r = -.5; p < .01). However, if the IGP had an influence on speciality choice, it was correlated with a new perception of general practice (r = .36; p<.01). This new perception was associated with a positive influence of the medical teacher during the IGP.
  
  
  CONCLUSIONS
  The final-year IGP is an opportunity to change the perception of general practice in students who are still undecided. This can lead to different speciality choices in a subgroup. Personal attitudes and concepts of personal life and career were also important factors affecting speciality choice. The aspects of the positive influence exerted by medical teachers on those students who are still undecided during the IGP should be carefully evaluated.
authors.affiliation: Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Sektion Allgemeinmedizin, Halle (Saale), Deutschland.
authors.forename: Jens
authors.initials: J
authors.lastname: Abendroth
authors.affiliation: Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Sektion Allgemeinmedizin, Halle (Saale), Deutschland.
authors.forename: Ute
authors.initials: U
authors.lastname: Schnell
authors.affiliation: Otto-von-Guericke-Universität Magdeburg, Medizinische Fakultät, Institut für Allgemeinmedizin, Magdeburg, Deutschland.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lichte
authors.affiliation: Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Sektion Allgemeinmedizin, Halle (Saale), Deutschland.
authors.forename: Matthias
authors.initials: M
authors.lastname: Oemler
authors.affiliation: Martin-Luther-Universität Halle-Wittenberg, Medizinische Fakultät, Institut für Medizinische Epidemiologie, Biometrie und Informatik, Sektion Allgemeinmedizin, Halle (Saale), Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Klement
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002321:Career Choice; D003430:Cross-Sectional Studies; D003479:Curriculum; D005260:Female; D058006:General Practice / Q000193:education*; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012189:Retrospective Studies; D013038:Specialization; D011795:Surveys and Questionnaires; D055815:Young Adult