Evidence map›Paper›PMID 38491385›Full record

ArticleBMC medical education2024

Attitudes towards career choice and general practice: a cross-sectional survey of medical students and residents in Tyrol, Austria.

Angelika Mahlknecht, Adolf Engl, Verena Barbieri, Herbert Bachler, Alois Obwegeser, Giuliano Piccoliori, Christian J Wiedermann

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Angelika MahlknechtInstitute of General Practice and Public Health, College of Health Care Professions, Lorenz-Boehler-street 13, Bolzano, 39100, Italy. angelika.mahlknecht@am-mg.claudiana.bz.it.ORCID http://orcid.org/0000-0002-5280-5447
Adolf EnglInstitute of General Practice and Public Health, College of Health Care Professions, Lorenz-Boehler-street 13, Bolzano, 39100, Italy.
Verena BarbieriInstitute of General Practice and Public Health, College of Health Care Professions, Lorenz-Boehler-street 13, Bolzano, 39100, Italy.
Herbert BachlerInstitute of General Practice, Medical University Innsbruck, Christoph-Probst-square 1, Innsbruck, 6020, Austria.
Alois ObwegeserDepartment of Neurosurgery, University Hospital of Innsbruck, Anich-street 35, Innsbruck, 6020, Austria.
Giuliano PiccolioriInstitute of General Practice and Public Health, College of Health Care Professions, Lorenz-Boehler-street 13, Bolzano, 39100, Italy.
Christian J WiedermannInstitute of General Practice and Public Health, College of Health Care Professions, Lorenz-Boehler-street 13, Bolzano, 39100, Italy. christian.wiedermann@am-mg.claudiana.bz.it.ORCID http://orcid.org/0000-0002-4639-8195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global primary healthcare workforce is declining, leading to a shortage of general practitioners. Although various educational models aim to increase interest in general practice, effective interventions are limited. The reasons for this low appeal among medical graduates remain unclear.

methodsThis cross-sectional study surveyed medical students' and residents' attitudes towards general practice in Tyrol, Austria. The online questionnaire addressed professional values, general practice-related issues, personal professional intentions, and demographics. Data analysis employed chi-square tests and multivariate logistic regression to explore predictors of interest in general practice.

resultsThe study included 528 students and 103 residents. Key values identified were stable positions, assured income, and work-family reconciliation. General practice was recognised for long-term patient relationships and patient contact, with students attributing more positive work-environmental characteristics and higher reputation to it than residents. Few participants (students: 3.2%, residents: 11.7%) had opted for general practice; about half were considering it as career option. Reasons not to choose general practice were preferences for other specialties, intrinsic characteristics of general practice, workload, insufficient time for the patients, financial pressures, low reputation, and perceived mediocre training quality. Predictors of interest in general practice included perception of independent decision-making, importance of work-family balance (students), better practical experiences in general practice during medical school (students and residents), younger age, and perceiving general practice as offering a promising future (residents). Both groups felt underprepared by medical school and/or general practice training for general practice roles. The attractiveness of specialist medicine over general practice was related to clearer content boundaries, better career opportunities, and higher incomes.

conclusionsAccording to these results, measures to improve attractiveness of general practice should focus on (i) high-quality undergraduate education including practical experiences, and (ii) on ensuring professional autonomy, work-family reconciliation, and job stability. Efforts to encourage more graduates to pursue this essential healthcare sector are crucial for strengthening primary healthcare and public health services.

trial registrationThe study has not been registered as it did not include a direct medical intervention on human participants.

Indexed as

General PracticeRural Health ServicesStudents, MedicalAustriaCareer ChoiceCross-Sectional StudiesHumansSurveys and QuestionnairesCareer choiceCross-sectional surveyCurriculumGeneral practiceGraduate medical educationPrimary health careUndergraduate medical education

Identifiers

PMID38491385
PMCPMC10943776

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.