title: Who wants to become a general practitioner? Student and curriculum factors associated with choosing a GP career--a multivariable analysis with particular consideration of practice-orientated GP courses.
abstract: OBJECTIVE
  Because of the increasing shortage of general practitioners (GPs) in many countries, this study aimed to explore factors related to GP career choice in recent medical graduates. Particular focus was placed on the impact of specific practice-orientated GP courses at different stages of the medical undergraduate curriculum.
  
  
  METHODS
  Observational study. Multivariable binary logistic regression was used to reveal independent associations with career choice.
  
  
  METHODS
  Leipzig Medical School, Germany.
  
  
  METHODS
  659 graduates (response rate = 64.2%).
  
  
  METHODS
  Choice of general practice as a career.
  
  
  RESULTS
  Six student-associated variables were found to be independently related to choice of general practice as a career: age, having family or friends in general practice, consideration of a GP career at matriculation, preference for subsequent work in a rural or small-town area, valuing the ability to see a broad spectrum of patients, and valuing long-term doctor-patient relationships. Regarding the curriculum, after adjustment independent associations were found with a specific pre-clinical GP elective (OR = 2.6, 95% CI 1.3-5.3), a four-week GP clerkship during the clinical study section (OR = 2.6, 95% CI 1.3-5.0), and a four-month GP clinical rotation during the final year (OR = 10.7, 95% CI 4.3-26.7). It was also found that the work-related values of the female participants were more compatible with those of physicians who opt for a GP career than was the case for their male colleagues.
  
  
  CONCLUSIONS
  These results support the suggestion that a practice-orientated GP curriculum in both the earlier and later stages of undergraduate medical education raises medical schools' output of future GPs. The findings are of interest for medical schools (curriculum design, admission criteria), policy-makers, and GPs involved in undergraduate medical education. More research is needed on the effectiveness of specific educational interventions in promoting interest in general practice as a career.
authors.affiliation: Department of Primary Care, Leipzig Medical School , Leipzig , Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Deutsch
authors.forename: Stefan
authors.initials: S
authors.lastname: Lippmann
authors.forename: Thomas
authors.initials: T
authors.lastname: Frese
authors.forename: Hagen
authors.initials: H
authors.lastname: Sandholzer
mesh_terms: D000328:Adult; D002321:Career Choice; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D005194:Family Practice / Q000193:education; D005260:Female; D058006:General Practice / Q000193:education; D058005:General Practitioners / Q000600:supply & distribution*; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D012577:Schools, Medical; D012737:Sex Factors; D013337:Students, Medical
keywords: Career choice; Germany; curriculum; general practice; primary care physician shortage; undergraduate medical education