Objectives: ududGeneral practice is experiencing a growing crisis with the numbers of doctors who are training and then entering the profession in the UK failing to keep pace with workforce needs. This study investigated the immediate to medium term career intentions of those who are about to become general practitioners (GPs) and the factors that are influencing career plans.ududDesign: ududOnline questionnaire survey, with quantitative answers analysed using descriptive statistics and free text data analysed using a thematic framework approach.ududSetting and participants: ududDoctors approaching the end of 3-year GP vocational training in the West Midlands, England.ududResults: udud178 (57.2%) doctors completed the survey. Most participants planned to work as salaried GPs or locums rather than entering a general practice partnership for at least the first 5 years post-completion of training; others failed to express a career plan or planned to leave general practice completely or work overseas. Many were interested in developing portfolio careers.ududThe quality of general practice experience across undergraduate, foundation and vocational training were reported as influencing personal career plans, and in particular perceptions about workload pressure and morale within the training practices in which they had been placed. Experience of a poor work–life balance as a trainee had a negative effect on career intentions, as did negative perceptions about how general practice is portrayed by politicians and the media.ududConclusion: ududThis study describes a number of potentially modifiable factors related to training programmes that are detrimentally influencing the career plans of newly trained GPs. In addition, there are sociodemographic factors, such as age, gender and having children, which are also influencing career plans and so need to be accommodated. With ever-increasing workload in general practice, there is an urgent need to understand and where possible address these issues at national and local level.
展开▼
机译：目标： ud ud由于在英国接受培训然后进入该行业的医生数量未能跟上劳动力需求的步伐，全科医疗正面临越来越严重的危机。这项研究调查了即将成为全科医生（GPs）的人员的近期到中期职业意向以及影响职业计划的因素。 ud ud设计： ud ud在线问卷调查，使用描述性统计数据分析了定量答案以及使用主题框架方法分析的自由文本数据。 ud ud设置和参与者： ud ud医生正在英格兰西米德兰兹郡进行为期3年的GP职业培训结束。 ud ud结果： ud ud178（57.2 ％）医生完成了调查。大多数参加者计划至少在培训结束后的头五年以受薪全科医生或私生子的身份工作，而不是进入全科医生合伙制；其他人则没有表达职业计划，也没有计划完全放弃一般执业或在海外工作。许多人都对发展证券职业感兴趣。 ud ud据报道，本科，基础和职业培训的一般实践经验质量会影响个人职业计划，尤其是对他们所接受的培训实践中工作量压力和士气的看法放置。 ud ud结论： ud ud结论： ud ud这项研究描述了许多潜在的潜在影响，即作为受训者的工作与生活之间的平衡差对职业生涯的意图有负面影响，对一般实践如何被政客和媒体描绘的负面看法也有负面影响。与培训计划有关的可修改因素，会对新培训的GP的职业计划产生不利影响。此外，还有一些社会人口统计学因素，例如年龄，性别和生育子女，这些因素也影响职业计划，因此需要加以考虑。随着一般实践中工作量的不断增加，迫切需要了解并在国家和地方两级解决这些问题。
展开▼
