Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
22 Making G<strong>en</strong>eral Practice Attractive: Encouraging GP attraction and Ret<strong>en</strong>tion KCE Reports 90<br />
Professional<br />
id<strong>en</strong>tity<br />
e.g. :<br />
Medical school<br />
Expectations<br />
regarding the<br />
profession<br />
e.g. :<br />
Autonomy<br />
Governm<strong>en</strong>tal,<br />
regional and<br />
local policies<br />
e.g. :<br />
Inc<strong>en</strong>tives<br />
Rural exposure<br />
during resid<strong>en</strong>cy or<br />
medical school<br />
Model of recruitm<strong>en</strong>t and ret<strong>en</strong>tion of the GPs in distant area (Bilodeau and<br />
al. 2006 ).<br />
Personal id<strong>en</strong>tity<br />
e.g. :<br />
Age, g<strong>en</strong>der<br />
Origin<br />
Attraction<br />
Expectations<br />
regarding the<br />
local community<br />
e.g. :<br />
Cultural activities<br />
The quality of public<br />
schools<br />
(op<strong>en</strong>ing their owner<br />
family practice office)<br />
RECRUITMENT<br />
Three parts are developed in the following pages.<br />
Personal id<strong>en</strong>tity<br />
e.g. :<br />
Age, g<strong>en</strong>der<br />
Origin<br />
Working<br />
conditions<br />
e.g. :<br />
Heavy workload<br />
Satisfaction<br />
Life satisfaction<br />
e.g. :<br />
Spousal happiness<br />
Fit<br />
Work<br />
Social<br />
G<strong>en</strong>eral<br />
Governm<strong>en</strong>tal,<br />
regional and<br />
local policies<br />
RETENTION<br />
• The first one details factors influ<strong>en</strong>cing favorably or not the choice to<br />
become g<strong>en</strong>eral practitioner (GP) (College, high school and<br />
undergraduate Stud<strong>en</strong>ts).<br />
• The second one pres<strong>en</strong>ts the parameters that have an impact on the<br />
recruitm<strong>en</strong>t of the g<strong>en</strong>eral practitioner in a giv<strong>en</strong> area.<br />
• The final chapter considers the factors influ<strong>en</strong>cing the longevity of a<br />
career of g<strong>en</strong>eral practitioner (ret<strong>en</strong>tion).<br />
2.3.1.2 Attraction: Choice to become g<strong>en</strong>eral practitioner (College, high school and<br />
undergraduate Stud<strong>en</strong>ts)<br />
Several characteristics related to the profession attract stud<strong>en</strong>ts who are likely or plan<br />
to be GPs, influ<strong>en</strong>cing specialty choice of undergraduate and graduate stud<strong>en</strong>ts, and<br />
educating future GPs.<br />
This literature mainly comes from the US (61%) and from the UK (71% of the European<br />
papers). Some Australian and New Zealand studies (5%) and a few Canadian ones (3%)<br />
complete the sources.<br />
PERSONAL IDENTITY<br />
The profile of the stud<strong>en</strong>t, namely his personal experi<strong>en</strong>ce as regards health<br />
(personal/family experi<strong>en</strong>ces with health problems) 18 , his participation in health-related<br />
curricula/activities (such as an internship in a healthcare setting, career fair or field trip)<br />
18 , its rural or urban origins 19 and its academic str<strong>en</strong>gths in required subjects<br />
(particularly mathematics and sci<strong>en</strong>ce) 18 have an impact on the attraction for the<br />
g<strong>en</strong>eral practice.<br />
The personality of the future GP also weigh in the balance of the choice of the<br />
profession. He pres<strong>en</strong>ts a pronounced t<strong>en</strong>d<strong>en</strong>cy for altruism 18 , 20 , 21 , for social<br />
compassion attitudes and values 22 , 23 and a less authoritarian personality 21 than in other<br />
specialties. The future GPs are less concerned than other future specialists about the