The online version of this article (https://doi.org/10.1186/s12875-017-0706-1) contains supplementary material, which is available to authorized users.
Switzerland, like many other countries, has a shortage of General Practitioners (GPs). Optional GP training modules in GP practices were offered during the at least 5-year GP training program to increase student and trainee interest in becoming a GP. The training modules had not yet been evaluated. We determined how many Swiss GP trainees became practicing GPs after they completed optional training modules, and if longer modules were associated with higher rates of GP specialization.
In this population-based cohort study, we included GP trainees who chose an optional GP training module in GP practice, provided by the Foundation to Promote Training in General Practice (WHM) between 2006 and 2015. GP trainees were invited to complete an online survey to assess the primary outcome (becoming a practicing GP by 2016). Data on non-responders was collected via an internet search. We calculated univariate time-to-event curves to become a practicing GP, stratified by trainee’s gender, length, part-time training, and number of years after graduation until training modules were completed. We used a multivariate model to adjust for characteristics of participants, training, and satisfaction with training modules.
We assessed primary outcome for 351 (92.1%) of 381 former GP trainees who participated in a WHM program between 2006 and 2015. Of these 218 (57%) were practicing GPs by 2016. When focusing on the trainees who had completed training between 2006 and 2010, the rate of practicing GPs was even 73%. Longer (p = 0.018) and part-time training modules (p = 0.003) were associated with higher rates of being a practicing GP. Most (81%) practicing GPs thought their optional GP training module was (very) important in their choice of specialty.
GP trainees who spent more time training in a GP practice, or who trained part-time were more likely to become practicing GPs. Most (80%) rated their training module as (very) important in their choice of career, highlighting that these modules effectively encourage the interests of those already inclined towards the GP specialty. Longer GP training modules and more opportunities for part-time training may attract and retain more interested trainees, and possibly increase the number of practicing GPs.
Walker K. Primary care is dying in the United States: mutatis mutandis. Med Educ. 2006 Jan;40(1):9–11. https://doi.org/10.1111/j.1365-2929.2005.02376.x. CrossRefPubMed
Dall T, Chakrabarti R, Iacobucci W, et al. The complexities of physician supply and demand: projections from 2015 to 2030. Association of American Medical Colleges, 2017.
Majeed A. Primary care: a fading jewel in the NHS crown London. J Prim Care (Abingdon) 2015;358:89–91.
Chan B. From perceived surplus to perceived shortage: What happened to Canadas physician workforce in the 1990’s? Canadian Institute for Health Information, Ottawa Ontario, 2002, ISBN 1–55392–023-6 (PDF).
Kopetsch T. Dem deutschen Gesundheitswesen gehen die Ärzte aus! Berlin: Bundesärztekammer und Kassenärztliche Bundesvereinigung; 2010. 146 p. German.
Hostettler S, Kraft E. FMH-Ärztestatistik 2015 - Zuwanderung grundlegend für Versorgungssystem. Schweizerische Ärztezeitung. 2016;97(12–13):448–453. Germanica.
Faktenblatt: Masterplan Hausarztmedizin und medizinische Grundversorgung. Bundesamt für Gesundheit, 2013 September 27. 4 p. German, French, Italian.
The World Health Report. Primary care - now more than ever. Geneva: World Health Organization; 2008. p. 2008, 148.
Zeller A, Tschudi P. Medizinische Grundversorgung: Neue Studie prognostiziert rasant steigenden Hausarztmangel mit hohen Kostenfolgen [Internet]. Bern, Switzerland: Haus- und Kinderärzte Schweiz; 2016 31 March [cited 2016 April 1 st]. Available from: www.hausaerzteschweiz.ch/fileadmin/user_upload/hausaerzteschweiz/Dokumente/Tag_der_Hausarztmedizin/mfe_Medienmitteilung_310316_D.pdf. Germanica. Accessed December 23 2017
Buddenberg-Fischer B, Stamm M, Marty F. Attraktivitätssteigerung der Hausarztmedizin –Ansichten und Vorschläge von praktizierenden Hausärzten. PrimaryCare. 2007;7(42-43): 639-641. Germanica.
Olle Ten C, Fedde S. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice. Acad Med. 2007;82:542–7. CrossRef
Anthony D, MacNamara M, Paul G, Scott TJ. A focus on primary care: effective strategies for recruiting students. Med Health R I. 2011 Aug;94(8):230–3. PubMed
Buddeberg-Fischer B, Klaghofer R, Stamm M et.al. Primary care in Switzerland – no longer attractive for young physicians? Swiss Med Wkly . 2006 Jul 8;136(27–28):416–24 doi: 2006/27/smw-11542.
Merçay C, Camenzind P. ÄrztlRiche Grundversorgerinnen und Grundversorger – berufliche Vor- und Nachteile. Neuchâtel, Switzerland: Swiss Health Observatory; 2016. p. 4. Obsan Bulletin 3/2016
Buddeberg-Fischer B, Klaghofer R, Stamm M. Family physicians in Switzerland:transition from residency to family practice. Fam Med. 2011 Jan;43(1):29–36. PubMed
Isler R, Romerio S, Halter U, et al. One-on-one long-term tutorials in general practitioners' practices - a succesful new teaching concept in primary care medicine. Swiss Med Wkly. 2009 Mar 21;139(11–12):161–5. PubMed
Swiss Institute of Medical Education. Facharzt für Allgemeine Innere Medizin. Available from: https://www.fmh.ch/files/pdf19/aim_version_internet_d.pdf. Accessed December 23 2017. German.
Häuptle C, von Erlach M. Praxis tut Not. VSAO JOURNAL ASMAC. 2015 Apr; 34(4):14–19. German.
Stiftung zur Förderung der Weiterbildung in Hausarztmedizin. WHM Available from: http://www.whm-fmf.ch/. Accessed December 23 2017.
Goeldlin A, Tal K, Schaufelberger T. Apprenticeship for students and faculty: a pragmatic approach to buliding a large, mandatory 4-year longitudinal clerkship infamily medicine at the University of Bern. Switzerland Unpublished Manuscript.
- Optional part-time and longer GP training modules in GP practices associated with more trainees becoming GPs – a cohort study in Switzerland
- BioMed Central
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