ArticlePloS one2026
Does a degree in medicine or a specialist programme or socioeconomic status advance the career of general practitioners in primary healthcare?
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Application of the Theory-Clinical-Community Three-Stage Training Model in General Practitioner Cultivation: A Retrospective Cross-Sectional Survey of an in-Service Continuing Professional Development Program.Advances in medical education and practice · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Extensive studies have investigated possible mechanism to improve the career path of general practitioners (GPs) in order to ensure the primary healthcare system (PHC) functions properly. Nevertheless, this problem persists in many countries and it is aggravated by preferential policy. Against this background, the current study examined whether the diverse groups of GPs employed by the PHC system help to develop a sustainable PHC system or create a dysfunctional one. This quantitative cross-sectional survey sampled 12,767 graduates from 13 medical schools in China. Secondary data was collected on socioeconomic status (SES), career advancement, educational qualification, demographic characteristics and graduates' employment information. The collected data was analyzed using group regression and mediation analysis. Results indicated that, among the 1,769 clinical physicians working in PHC institutions, the ratio of specialist to specialists transferred general practitioners and full general practitioners is 3:2:1, indicating a horizontal mismatch. Furthermore, medical graduates' degree program type significantly relates to their career advancement and SES mediated the link between medical graduates' degree program type and career advancement with an indirect effect: Internal Medicine SP-GP → SES → CA (β = 0.040, P < 0.001); Obstetrics and Gynecology SP-GP → SES → CA (β = 0.026, P < 0.001); Emergency Medicine SP-GP → SES → CA (β = 0.021, P < 0.001); Paediatrics SP-GP → SES → CA (β = 0.024, P < 0.001). This study contributes to discourse on SES and medical education by highlighting how medical education has evolved into a money-driven program in which students' SES influences the program they select.
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