TY - JOUR T1 - Career intentions and perceptions of general practice on entry to medical school: baseline findings of a longitudinal survey at three UK universities JF - BJGP Open JO - BJGP Open DO - 10.3399/BJGPO.2021.0120 SP - BJGPO.2021.0120 AU - Richard Darnton AU - Efthalia Massou AU - James Brimicombe AU - John Kinnear AU - Roger Tisi AU - Alys Burns AU - Diana F. Wood AU - Paul O. Wilkinson Y1 - 2021/09/01 UR - http://bjgpopen.org/content/early/2021/09/01/BJGPO.2021.0120.abstract N2 - Background Medical graduates from the universities of Oxford and Cambridge have a lower intention to become general practitioners compared to other UK medical graduates. It is not clear to what extent this difference is present on admission to medical school.Aim To compare the career intention and influencing factors of students on admission to different medical schools.Design & setting First year of a six year prospective cohort study of medical students admitted to the three East of England medical schools in Autumn 2020: University of East Anglia(UEA), University of Cambridge (UOC) and Anglia Ruskin University (ARU).Method An online survey instrument was administered at the start of the first year. This measured self-reported career interests and various influencing factors including perceptions of general practice.Results UOC students declared a lower intention to become a doctor, a higher likelihood of choosing careers in pathology and public health and a much lower likelihood of becoming a GP (all at P<0.001). In all three schools, the phrases least associated with general practice were “opportunities for creativity/innovation” and “research/academic opportunities” while the phrases most associated with general practice were “favourable working hours” and “flexibility”. However, research/academic opportunities were far more important, and favourable working hours far less important, to UOC students (P<0.001 for both).Conclusions UOC students’ lower intention to become a GP appears to be present on entry to medical school. This may be explained in part by these students placing a higher importance on research/academic opportunities combined with the widely held perception that GP careers lack these opportunities. ER -