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Research

Career intentions and perceptions of general practice on entry to medical school: baseline findings of a longitudinal survey at three UK universities

Richard Darnton, Efthalia Massou, James Brimicombe, John Kinnear, Roger Tisi, Alys Burns, Diana F Wood and Paul O Wilkinson
BJGP Open 2021; 5 (6): BJGPO.2021.0120. DOI: https://doi.org/10.3399/BJGPO.2021.0120
Richard Darnton
1 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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  • ORCID record for Richard Darnton
  • For correspondence: rmd61{at}medschl.cam.ac.uk
Efthalia Massou
1 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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James Brimicombe
1 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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John Kinnear
2 School of Medicine, Anglia Ruskin University, Cambridge, UK
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Roger Tisi
2 School of Medicine, Anglia Ruskin University, Cambridge, UK
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Alys Burns
3 Norwich Medical School, University of East Anglia, Norwich, UK
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Diana F Wood
4 School of Clinical Medicine, University of Cambridge, Cambridge, UK
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Paul O Wilkinson
4 School of Clinical Medicine, University of Cambridge, Cambridge, UK
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  • Figure 1.
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    Figure 1. Importance of career factors and degree to which they were associated with general practice. Where only two shapes are evident this is because the third is obscured by another which has the same value.

Tables

  • Figures
    • View popup
    Table 1a. Intention to become a doctor and likelihood of choosing different careers, disaggregated by medical school (0 = definitely not/highly unlikely; 100 = definitely yes/highly likely)
    Career intentionARUUEAUOCKruskal–Wallis (H),(P value)
    Mean (SD)Min25th perc.Median75th perc.MaxMean(SD)Min25th perc.Median75th perc.MaxMean(SD)Min25th perc.Median75th perc.Max
    As a doctor97.44 (8.26)4010010010010095.16 (13.41)09710010010089.69(16.35)118598100100H(2) = 39.74, P<0.001
    As a GP51.91 (28.46)034537110054.10 (28.09)030607510035.08 (26.78)0132853100H(2) = 47.16, P<0.001
    Anaesthetics43.08 (28.26)02050669442.63 (28.17)019456710051.84 (25.41)0375970100H(2) = 12.78, P = 0.002
    Dermatology46.71 (30.17)021506210044.98 (29.64)020507010041.51 (26.48)0204060100H(2) = 2.28, P = 0.320
    Emergency Medicine53.67 (29.37)031587810060.01 (29.73)041658210055.93 (26.38)0386275100H(2) = 4.13, P = 0.127
    Geriatrics27.47 (25.07)0020508630.92 (26.45)07285010033.16 (22.55)017345092H(2) = 5.09, P = 0.079
    Hospital Medicine (the physicianly specialties)66.01 (23.20)055708010065.22 (23.01)050708010069.64 (20.22)0587284100H(2) = 3.04, P = 0.219
    Obstetrics & Gynaecology48.87 (29.17)020537010048.34 (30.34)022507010050.36 (28.45)0305471100H(2) = 0.34, P = 0.843
    Paediatrics66.68 (29.91)056759010060.51 (33.08)030679010056.11 (28.17)0355980100H(2) = 11.54, P = 0.003
    Pathology31.58 (26.94)02305010023.68 (24.66)0019409444.43 (26.13)0255065100H(2) = 59.56, P<0.001
    Psychiatry43.20 (33.47)04416910048.45 (30.42)020557010041.43 (26.87)019426298H(2) = 5.99, P = 0.050
    Public Health29.06 (25.11)00295010030.44 (26.73)0425509541.92 (28.16)0174162100H(2) = 22.35, P<0.001
    Radiology38.48 (29.96)04436310039.93 (28.57)017416110041.95 (26.15)0254362100H(2) = 0.95, P = 0.619
    Surgery58.99 (33.48)030668610059.97 (32.11)040668510067.48 (28.19)0507590100H(2) = 5.98, P = 0.05
    Outside of medicine15.16 (21.79)001287521.91 (29.14)0054510028.75 (28.60)012051100H(2) = 20.98, P<0.001
    • SD
      standard deviation
      ARU
      Anglia Ruskin University
      UOC
      University of Cambridge
      UEA
      University of East Anglia
      perc.
      percentile
    • View popup
    Table 1b. Intention to become a doctor and likelihood of choosing different careers, aggregated data (0 = definitely not/highly unlikely; 100 = definitely yes/highly likely).
    Total
    Mean (SD)Min25th perc.Median75th perc.Max
    Career as a doctor92.69 (14.73)09010010090
    Career as a GP43.78 (28.91)020417520
    Anaesthetics47.53 (27.10)0245070100
    Dermatology43.45 (28.14)0204663100
    Emergency Medicine56.84 (28.00)0386179100
    Geriatrics31.53 (24.28)0103050100
    Hospital Medicine (the physicianly specialties)67.67 (21.68)0557182100
    Obstetrics & Gynaecology49.48 (29.12)0255371100
    Paediatrics59.22 (30.25)0366585100
    Pathology35.84 (27.42)0103557100
    Psychiatry43.91 (29.56)0184867100
    Public Health36.23 (27.83)0103659100
    Radiology40.75 (27.54)0194262100
    Surgery63.74 (30.55)0477090100
    A career outside of medicine24.39 (28.19)001050100
    • SD
      standard deviation
      perc.
      percentile
    • View popup
    Table 2. Extent of associating certain words with general practice, in each school (0 = not at all; 100 = completely)
    VariableARUUEAUOCTotalKruskal–Wallis (H),(P value)
    Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.
    Intellectual stimulation58.28(25.57)137627655.95
    (24.81)
    237557554.83(26.74)035557555.74
    (25.94)
    0365775H(2) = 1.35, P = 0.510
    Favourable working hours83.57(17.91)9758910079.99
    (22.10)
    3708510077.68(23.89)070859979.36(22.52)07086100H(2) = 2.61, P = 0.271
    Flexibility76.39(23.55)1065859772.28
    (24.71)
    260789269.07(25.40)050759071.27
    (24.99)
    0547790H(2) = 6.623, P = 0.037
    Research/ academic42.24(27.70)017466229.92(24.54)010244638.08(27.32)016355836.21(26.87)0143256H(2) = 13.126, P = 0.001
    Prestige/ status49.53(27.66)125507248.44(24.91)030506648.11(25.21)030506748.45(25.48)0305068H(2) = 0.144, P = 0.930
    Team working57.63(30.82)030608751.05(26.88)030507157.70(26.69)036587955.61(27.58)0345477H(2) = 6.012, P = 0.049
    Scientifically based59.94(26.05)142608058.11(26.89)237607960.37(26.59)041628159.59(26.56)0406080H(2) = 0.782, P = 0.676
    Leadership60.19(28.66)035628555.25(26.63)036537658.45(25.42)040607657.73(26.36)0386080H(2) = 2.285, P = 0.304
    Opportunities for creativity37.75(26.12)015305933.56(24.24)014305035.63(25.02)015315035.33(24.95)0153050H(2) = 1.241, P = 0.537
    • The maximum for all variables and schools was 100 and it is omitted from the table for space economy.

    • ARU
      Anglia Ruskin University
      SD
      standard deviation
      perc.
      percentile
      UOC
      University of Cambridge
      UEA
      University of East Anglia
    • View popup
    Table 3. Responses for 'Rate how important the following factors are to you when choosing your future career?' (0 = not at all; 100 = completely)
    VariableARUUEAUOCTotalKruskal–Wallis (H),(P value)
    Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.Mean (SD)Min25th perc.Median75th perc.
    Intellectual stimulation79.11
    (20.60)
    070819677.91(17.8)1970809186(16.35)0799010082.34(17.94)07385100H(2)=25.4, P<0.001
    Flexibility68.20
    (24.97)
    1550739067.26(24.24)050708558.68(25.98)040607762.92(25.62)0496581H(2) = 15.13, P<0.001
    Opportunities for creativity60.81
    (25.91)
    044637957.67(25.81)039577565.2(25.95)150708562.13(26.07)0476582H(2) = 10.03P = 0.007
    Working hours70.70
    (24.05)
    157759068.13(25.75)050718857.49(27.72)040608062.98(27.12)0466882H(2) = 22.50, P<0.001
    Team working77.75
    (22.91)
    0668110074.66(22.58)062809072.61(23.38)060769074.09(23.08)0617991H(2) = 4.06,P = 0.131
    Research/ academic opportunities50.14
    (26.72)
    030516843.28(27.26)020456265.3(26.19)050708355.94(28.41)0356079H(2) = 64.07, P<0.001
    Prestige/status34.76
    (27.53)
    010305238.41(28.14)015315941.76(28.08)016456239.57(28.07)0154060H(2) = 4.51, P = 0.11
    Opportunities for leadership61.78
    (27.17)
    050658059.75(27)040648061.02(25.72)048657960.75(26.32)0436580H(2) = 0.57, P = 0.75
    • The maximum for all variables and schools was 100 and it is omitted from the table for space economy.

    • ARU
      Anglia Ruskin University
      UEA
      University of East Anglia
      UOC
      University of Cambridge
      perc.
      percentile
      SD
      standard deviation
    • View popup
    Table 4. Media representation of GPs/negativity from staff, students, family and friends/quality of experience of GP as a patient or relative (0 = extremely negatively/not at all/very negative; 100 = extremely positively/a great deal/very positive)
    VariableAnglia Ruskin University (ARU)University of East Anglia (UEA)University of Cambridge (UOC)TotalKruskal Wallis (H), (p-value)
    Mean (sd)25th perc.Median75th perc.Mean (sd)25th perc.Median75th perc.Mean (sd)25th perc.Median75th perc.Mean (sd)25th perc.Median75th perc.
    Media *54.81 (21.36)40507158.64 (20.27)41617355.51 (19.44)40587056.37 (20.04)406071F(2)=1.44, P=0.238
    Negativity from academics, clinicians and/ or educational trainers14.51 (23.19)051521.56 (24.94)0103218.75 (24.31)072918.94 (24.39)0830H(2)=5.66, P=0.06
    Negativity from medical students29.90 (29.95)1225333.37 (28.30)7305227.81 (27.33)1215029.89 (28.13)22350H(2)=4.54, P=0.10
    Negativity from family and friends21.68 (27.64)083027.77 (31.05)1155727.34 (29.67)1135026.55 (29.81)11150H(2)=2.73, P=0.25
    Experience of general practice as a patient or relative65.66 (26.04)50708370.64 (26.09)58807568.32 (25.51)51758968.61 (25.51)507789H(2)=3.37, P=0.186
    • The minimum and the maximum for all variables and schools was 0 and 100 correspondingly, and it is omitted from the table for space economy.

    • * Denotes that ANOVA F test was done for this variable rather than Kruskal–Wallis test as data met its assumptions

    • ARU
      Anglia Ruskin University
      UEA
      University of East Anglia
      UOC
      University of Cambridge
      perc.
      percentile
      SD
      standard deviation

Supplementary Data

  • BJGPO.2021.0120_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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Career intentions and perceptions of general practice on entry to medical school: baseline findings of a longitudinal survey at three UK universities
Richard Darnton, Efthalia Massou, James Brimicombe, John Kinnear, Roger Tisi, Alys Burns, Diana F Wood, Paul O Wilkinson
BJGP Open 2021; 5 (6): BJGPO.2021.0120. DOI: 10.3399/BJGPO.2021.0120

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Career intentions and perceptions of general practice on entry to medical school: baseline findings of a longitudinal survey at three UK universities
Richard Darnton, Efthalia Massou, James Brimicombe, John Kinnear, Roger Tisi, Alys Burns, Diana F Wood, Paul O Wilkinson
BJGP Open 2021; 5 (6): BJGPO.2021.0120. DOI: 10.3399/BJGPO.2021.0120
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Keywords

  • career choice
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  • GPs’ perspectives regarding suicide prevention: a systematic scoping review
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