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Research

Medical applicant general practice experience and career aspirations: a questionnaire study

Priyesh Agravat, Tafsir Ahmed, Esme Goudie, Shahraz Islam, Douglas GJ McKechnie, Haji Mohamed Abdirahman, Mahnoor Ahmed, Amer Al-Balah, Ayesha Alam, Fahima Amin, Sara Beqiri, Smruthy Chakka, Katy Chisenga, Roshni Goodka, Nida Hafiz, Ankita Kotamarthi, Ayobami Emmanuel Olatunji, Molly V Fyfe, Nina Dutta, Ian Chris McManus, David Harrison and Katherine Woolf
BJGP Open 2021; 5 (3): BJGPO.2021.0023. DOI: https://doi.org/10.3399/BJGPO.2021.0023
Priyesh Agravat
1 University College London Medical School, London, UK
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Tafsir Ahmed
1 University College London Medical School, London, UK
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Esme Goudie
1 University College London Medical School, London, UK
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Shahraz Islam
1 University College London Medical School, London, UK
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Douglas GJ McKechnie
2 Department of Primary Care and Population Health, University College London, London, UK
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  • ORCID record for Douglas GJ McKechnie
Haji Mohamed Abdirahman
1 University College London Medical School, London, UK
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Mahnoor Ahmed
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Amer Al-Balah
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Ayesha Alam
1 University College London Medical School, London, UK
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Fahima Amin
1 University College London Medical School, London, UK
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Sara Beqiri
1 University College London Medical School, London, UK
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Smruthy Chakka
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Katy Chisenga
4 Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
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Roshni Goodka
1 University College London Medical School, London, UK
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Nida Hafiz
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Ankita Kotamarthi
1 University College London Medical School, London, UK
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Ayobami Emmanuel Olatunji
1 University College London Medical School, London, UK
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Molly V Fyfe
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Nina Dutta
3 Department of Primary Care and Public Health, Imperial College London, London, UK
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Ian Chris McManus
1 University College London Medical School, London, UK
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David Harrison
1 University College London Medical School, London, UK
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Katherine Woolf
1 University College London Medical School, London, UK
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  • For correspondence: k.woolf{at}ucl.ac.uk
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    Figure 1. Mean general practice appeal by experience type. GP = general practice.

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    Table 1. Predictors of finding general practice appealing as a future career (pooled results from 10 multiple imputations). Predictors ordered by significance level
    PredictoraUnstandardised estimate (b)SELower 95% CIUpper 95% CIP value
    Intercept2.0600.3921.2922.827<0.00001
    Wanting to practice in rural location0.1530.0210.1110.194<0.00001b
    Wanting to practice close to where they live or grew up0.1280.020.0890.168<0.00001b
    Has had at least one GP experience0.3650.0610.2450.485<0.00001b
    Wanting to practice overseas–0.1070.022–0.150–0.065<0.00001b
    Wanting to practice in the NHS0.1330.0280.0770.189<0.00001b
    Personality trait: agreeable0.1310.0280.0750.187<0.00001b
    Wanting to practice in the armed forces–0.0770.017–0.111–0.0420.00001b
    Wanting to practice in the private sector0.0900.0220.0470.1330.00004b
    Motivated by an economically secure occupation0.0990.0260.0490.1500.00011b
    Motivated by a challenging role under pressure–0.0980.026–0.150–0.0470.00019b
    Wanting to practice in an urban area–0.110.03–0.169–0.0500.00032b
    Motivated by being helpful to others and society0.1590.0490.0630.2550.00116b
    Asian ethnicity0.1650.0540.0590.2700.0022
    Has had at least one hospital experience–0.1460.048–0.240–0.0510.00247
    GCSE points–0.0050.002–0.008–0.0010.00705
    Personality trait: conscientious–0.0750.028–0.131–0.0200.00782
    Wanting to practice in a deprived area0.0630.0240.0160.1100.00846
    Motivated by expressing own values and interests–0.0620.026–0.112–0.0120.01487
    'Other' ethnicityc 0.2720.1130.0500.4930.01643
    Personality trait: neurotic–0.0420.018–0.079–0.0060.02197
    Attends a private school–0.1450.065–0.273–0.0180.0259
    Personality trait: extraverted–0.0420.019–0.080–0.0040.03175
    Black ethnicity0.1510.086–0.0170.3190.07784
    Wanting to practice in an affluent area0.0440.029–0.0120.1000.12622
    Attends a grammar school–0.0960.069–0.2310.0400.16673
    Motivated by opportunities to travel–0.0110.023–0.0560.0330.62023
    Mixed ethnicity0.0390.106–0.1690.2470.71371
    Total number of experiences related to medicine–0.0020.012–0.0250.0210.88662
    Personality trait: open–0.0020.022–0.0440.0410.94475
    • aReference category for ethnic groups = White ethnic group; reference category for school type = state-funded school. bBonferroni corrected significance level = 0.0017. cIncludes Arab ethnicity. SE = standard error.

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    Table 2. Predictors of having at least one GP experience (pooled results from 10 multiple imputations). Predictors ordered by significance level
    PredictoraUnstandardised estimate (b)SEORLower 95% CIUpper 95% CIP value
    Total number of experiences relating to medicine0.300.021.361.301.41<0.0001b
    Attends a private school0.500.121.651.312.08<0.0001b
    Has at least one parent/carer in ‘professional’ socioeconomic group0.480.121.621.282.050.0001b
    'Other' ethnicityc –0.990.310.370.200.670.0011b
    Attends a grammar school0.280.131.331.021.720.0321b
    Mixed ethnicity–0.420.240.660.411.050.0779
    Has at least one parent/carer who is a doctor0.230.141.260.961.660.0948
    Number of medical students or doctors the applicant knows0.070.041.070.991.160.098
    Mean GCSE points0.010.011.011.001.010.1263
    Black ethnicity–0.270.180.760.531.080.1285
    Asian ethnicity–0.050.110.950.771.180.6525
    Has had at least one hospital medicine experience0.030.101.030.851.250.7787
    Lives in a less deprived postcode–0.010.021.000.961.030.851
    Number of other applicants to medicine that the applicant knows0.00070.041.000.921.080.9853
    • aReference category for ethnic groups is the White ethnic group; reference category for school type is state-funded school. bPredictors statistically significant at the Bonferroni corrected level = 0.0035. cIncludes Arab ethnicity. OR = odds ratio. SE = standard error.

Supplementary Data

  • PA_10.3399BJGPO.2021.0023_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Medical applicant general practice experience and career aspirations: a questionnaire study
Priyesh Agravat, Tafsir Ahmed, Esme Goudie, Shahraz Islam, Douglas GJ McKechnie, Haji Mohamed Abdirahman, Mahnoor Ahmed, Amer Al-Balah, Ayesha Alam, Fahima Amin, Sara Beqiri, Smruthy Chakka, Katy Chisenga, Roshni Goodka, Nida Hafiz, Ankita Kotamarthi, Ayobami Emmanuel Olatunji, Molly V Fyfe, Nina Dutta, Ian Chris McManus, David Harrison, Katherine Woolf
BJGP Open 2021; 5 (3): BJGPO.2021.0023. DOI: 10.3399/BJGPO.2021.0023

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Medical applicant general practice experience and career aspirations: a questionnaire study
Priyesh Agravat, Tafsir Ahmed, Esme Goudie, Shahraz Islam, Douglas GJ McKechnie, Haji Mohamed Abdirahman, Mahnoor Ahmed, Amer Al-Balah, Ayesha Alam, Fahima Amin, Sara Beqiri, Smruthy Chakka, Katy Chisenga, Roshni Goodka, Nida Hafiz, Ankita Kotamarthi, Ayobami Emmanuel Olatunji, Molly V Fyfe, Nina Dutta, Ian Chris McManus, David Harrison, Katherine Woolf
BJGP Open 2021; 5 (3): BJGPO.2021.0023. DOI: 10.3399/BJGPO.2021.0023
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Keywords

  • career choice
  • general practitioners
  • Socioeconomic factors
  • schools
  • education, premedical

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