'Just a GP': a mixed method study of undermining of general practice as a career choice in the UK. 2017

Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
Newcastle School of Medical Education, The Faculty of Medical Sciences, Newcastle University, Newcastle, UK.

OBJECTIVE Failure to recruit sufficient applicants to general practice (GP) training has been a problem both nationally and internationally for many years and undermining of GP is one possible contributing factor. The aim of our study was to ascertain what comments, both negative and positive, are being made in UK clinical settings to GP trainees about GP and to further explore these comments and their influence on career choice. METHODS We conducted a mixed methods study. We surveyed all foundation doctors and GP trainees within one region of Health Education England regarding any comments they experienced relating to a career in GP. We also conducted six focus groups with early GP trainees to discuss any comments that they experienced and whether these comments had any influence on their or others career choice. RESULTS Positive comments reported by trainees centred around the concept that choosing GP is a positive, family-focused choice which facilities a good work-life balance. Workload was the most common negative comment, alongside the notion of being 'just a GP'; the belief that GP is boring, a waste of training and a second-class career choice. The reasons for and origin of the comments are multifactorial in nature. Thematic analysis of the focus groups identified key factors such as previous exposure to and experience of GP, family members who were GPs, GP role models, demographics of the clinician and referral behaviour. Trainees perceived that negative comments may be discouraging others from choosing GP as a career. CONCLUSIONS Our study demonstrates that negative comments towards GP as a career do exist within clinical settings and are having a potential impact on poor recruitment rates to GP training. We have identified areas in which further negative comments could be prevented by changing perceptions of GP as a career. Additional time spent in GP as undergraduates and postgraduates, and positive GP role models, could particularly benefit recruitment. We recommend that undermining of GP as a career choice be approached with a zero-tolerance policy.

UI MeSH Term Description Entries
D007407 Interviews as Topic Works about conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes works about school admission or job interviews. Group Interviews,Interviewers,Interviews, Telephone,Oral History as Topic,Group Interview,Interview, Group,Interview, Telephone,Interviewer,Interviews, Group,Telephone Interview,Telephone Interviews
D007588 Job Satisfaction Personal satisfaction relative to the work situation. Work Satisfaction,Job Satisfactions,Satisfaction, Job,Satisfaction, Work,Satisfactions, Job,Satisfactions, Work,Work Satisfactions
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D002321 Career Choice Selection of a type of occupation or profession. Career Choices,Choice, Career,Choices, Career
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001291 Attitude of Health Personnel Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc. Staff Attitude,Attitude, Staff,Attitudes, Staff,Health Personnel Attitude,Health Personnel Attitudes,Staff Attitudes
D016526 Workload The total amount of work to be performed by an individual, a department, or other group of workers in a period of time. Employee Workload,Staff Workload,Employee Work Load,Staff Work Load,Work Load,Employee Work Loads,Employee Workloads,Staff Work Loads,Staff Workloads,Work Load, Employee,Work Load, Staff,Work Loads,Work Loads, Employee,Work Loads, Staff,Workload, Employee,Workload, Staff,Workloads,Workloads, Employee,Workloads, Staff
D017144 Focus Groups A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions. Focus Group,Group, Focus,Groups, Focus
D058006 General Practice Patient-based medical care provided across age and gender or specialty boundaries. Practice, General

Related Publications

Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
November 2008, Australian family physician,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
January 2021, BJGP open,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
January 1964, The Journal of the College of General Practitioners,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
June 1997, Family practice,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
June 2007, BMC medical education,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
July 1999, American family physician,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
July 2020, Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
January 2016, The Health service journal,
Hugh Alberti, and Kimberley Banner, and Helen Collingwood, and Kymberlee Merritt
October 1991, BMJ (Clinical research ed.),
Copied contents to your clipboard!