BACKGROUND:There is a worldwide recruitment and retention crisis in general practice. Workforce planning has identified the need to train more general practitioners as an urgent priority. Exposure of medical students to general practice as part of the formal and hidden curriculum, the use of longitudinal integrated clerkships, and positive experiences and role models in general practice are all thought to be contributing factors to doctors choosing careers in general practice. AIM:The aim of this study was to identify career destinations of medical school graduates in a medical school with an 18-week longitudinal integrated clerkship in general practice. DESIGN AND SETTING:This study was conducted in a single graduate entry medical school at the University of Limerick, Ireland. PARTICIPANTS:Medical school alumni 6-8 years after graduation. METHOD:A survey of graduating cohorts of the medical school from 2011 to 2013 was conducted through email and telephone. RESULTS:There were a total of 175 alumni for the period 2011 to 2013. Data was collected on 92% (161/175) through an online survey, follow-up email and telephone interview, and was triangulated with searches of professional registration databases and information from key informants. Between 6 and 8 years after graduation, a total of 43% of alumni were engaged in general practice as a career. CONCLUSION:The reform of the delivery of general practice within medical school curricula should be considered by medical schools, curriculum designers and policy-makers as part of an overall strategy to address the recruitment and retention of general practitioners as part of the global healthcare workforce.

译文

背景:在全球范围内,普遍存在招募和挽留危机。劳动力规划已确定有必要培训更多的全科医生作为当务之急。作为正规和隐藏课程的一部分,医科学生应接受全科医学治疗,使用纵向综合业务,在全科医学中获得积极的经验和榜样,都被认为是医生选择全科医学职业的因素。
目的:本研究的目的是确定在一般实践中具有18周纵向综合业务的医学院的医学院毕业生的职业目的地。
设计与地点:这项研究是在爱尔兰利默里克大学的一所研究生入学医学院中进行的。
参加者:毕业后6至8年的医学院校友。
方法:通过电子邮件和电话对医学院2011年至2013年即将毕业的人群进行了调查。
结果:2011年至2013年期间,共有175名校友。通过在线调查,后续电子邮件和电话采访收集了92%(161/175)的数据,并与专业注册数据库和来自关键线人的信息。毕业后的6至8年间,共有43%的校友从事普通职业。
结论:医学院,课程设计者和政策制定者应考虑对医学院课程中的全科医学实践进行改革,作为整体战略的一部分,以解决作为全球卫生保健劳动力一部分的全科医生的招聘和留任问题。

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