Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
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48 Making G<strong>en</strong>eral Practice Attractive: Encouraging GP attraction and Ret<strong>en</strong>tion KCE Reports 90<br />
and the intellectual chall<strong>en</strong>ge’ is the promin<strong>en</strong>t reason (respectively 70,8% and 66,0%).<br />
G<strong>en</strong>eral interest (respectively 54,6% and 62,4%) is the second most m<strong>en</strong>tioned reason.<br />
DECISION TO CHOOSE GENERAL PRACTICE<br />
In most cases either the stud<strong>en</strong>ts decided by themselves to study medicine or the<br />
par<strong>en</strong>ts influ<strong>en</strong>ced their childr<strong>en</strong>. The differ<strong>en</strong>ces betwe<strong>en</strong> groups were not statistically<br />
significant for the other persons who influ<strong>en</strong>ced the decision.<br />
The mom<strong>en</strong>t wh<strong>en</strong> most stud<strong>en</strong>ts decided to study medicine varies, without any<br />
statistically significant differ<strong>en</strong>ce betwe<strong>en</strong> both groups.<br />
There is one noticeable differ<strong>en</strong>ce betwe<strong>en</strong> both groups for the question ‘Did you<br />
already have an idea of your specialty choice at the beginning of your study?’ Stud<strong>en</strong>ts<br />
who want to become a GP were more likely to have this idea before beginning their<br />
studies.<br />
Using a binary logistic regression, controlling for g<strong>en</strong>der and differ<strong>en</strong>ces betwe<strong>en</strong><br />
stud<strong>en</strong>ts of Fr<strong>en</strong>ch and Dutch speaking part of the country, the statistically significant<br />
effect of the control variables on specialty choice can be noticed (app<strong>en</strong>dix 3.8, table 3).<br />
Wom<strong>en</strong> and stud<strong>en</strong>ts in the Dutch-speaking universities have higher odds to choose<br />
g<strong>en</strong>eral practice in their sev<strong>en</strong>th year of education. Furthermore the statistically<br />
significant influ<strong>en</strong>ce of ‘Dealing with people’ (odds ratio 3.895 [95% CI (2,064-7,350)]) as<br />
deciding factor and ‘Already having an idea of the specialization at the beginning of the<br />
medical education’ (odds ratio 2.512 [95% CI (1,553-4,065)]) on choosing family<br />
medicine/g<strong>en</strong>eral practice must be m<strong>en</strong>tioned.<br />
Table 6: Crosstab: Started the medicine study with the idea of becoming a<br />
GP and definite choice in sev<strong>en</strong>th year; n = 153<br />
Stud<strong>en</strong>ts who<br />
choose<br />
another<br />
specialty than<br />
GP<br />
Stud<strong>en</strong>ts who<br />
choose to<br />
become a GP<br />
Stud<strong>en</strong>ts who<br />
are still in<br />
doubt TOTAL<br />
Started the medicine study with n 6 41 2 49<br />
the idea of becoming a GP (%) (12,2) (83,7) (4,1) (100,0)<br />
Didn't start the medicine study n 65 24 15 104<br />
with the idea of becoming a GP (%) (62,5) (23,1) (14,4) (100,0)<br />
n 71 65 17 153<br />
TOTAL (%) (46,4) (42,5) (11,1) (100,0)<br />
Table 6 shows that a high proportion of stud<strong>en</strong>ts who start to study medicine with the<br />
idea of becoming a GP keep their idea through sev<strong>en</strong> years of education (83,7%). A<br />
smaller proportion of stud<strong>en</strong>ts who started education with the idea of becoming a<br />
specialist (62,5%) had still this idea at the <strong>en</strong>d of their studies.<br />
3.6.2 Factors related to the specialty choice during medical education<br />
The table below shows the factors that influ<strong>en</strong>ced the specialty choice during the<br />
curriculum.