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Medical students’ attitudes towards careers in primary care in Singapore

BACKGROUND: Singapore needs more family doctors to care for its ageing population and their chronic conditions. While there is a shifting of care from acute care settings to more community care, this has not been reflected in the primary care training in local medical schools. Furthermore, no resear...

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Autores principales: Zainal, Humairah, Smith, Helen Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687750/
https://www.ncbi.nlm.nih.gov/pubmed/33238960
http://dx.doi.org/10.1186/s12909-020-02377-x
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author Zainal, Humairah
Smith, Helen Elizabeth
author_facet Zainal, Humairah
Smith, Helen Elizabeth
author_sort Zainal, Humairah
collection PubMed
description BACKGROUND: Singapore needs more family doctors to care for its ageing population and their chronic conditions. While there is a shifting of care from acute care settings to more community care, this has not been reflected in the primary care training in local medical schools. Furthermore, no research has explored how different aspects of the medical school curricula in Singapore influence students’ perceptions of careers in General Practice and Family Medicine- a gap that is filled by this study. METHODS: Six focus groups involving 54 students from all three medical schools in Singapore were conducted. Discussions focused on their primary care experience, their professional and career aspirations, and perceptions towards the opportunities and challenges of primary care careers. Qualitative content analysis was used to interpret the data. RESULTS: The respondents shared eight key concerns of pursuing primary care careers including limited professional opportunities, emphasis on lifestyle benefits rather than professional characteristics, need for business acumen, conflicts created by business in clinical care, mundane case mix, lack of continuity of care, limited consultation time, and specialists’ negative attitudes towards family doctors. The positive views articulated included the opportunities for entrepreneurialism and a portfolio career, breadth of clinical problems presented, and an improved future for primary care. CONCLUSIONS: Improving students’ perceptions of careers in primary care in Singapore would benefit from a concerted effort from multiple stakeholders; medical schools, healthcare providers, professional and regulatory bodies, and government.
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spelling pubmed-76877502020-11-30 Medical students’ attitudes towards careers in primary care in Singapore Zainal, Humairah Smith, Helen Elizabeth BMC Med Educ Research Article BACKGROUND: Singapore needs more family doctors to care for its ageing population and their chronic conditions. While there is a shifting of care from acute care settings to more community care, this has not been reflected in the primary care training in local medical schools. Furthermore, no research has explored how different aspects of the medical school curricula in Singapore influence students’ perceptions of careers in General Practice and Family Medicine- a gap that is filled by this study. METHODS: Six focus groups involving 54 students from all three medical schools in Singapore were conducted. Discussions focused on their primary care experience, their professional and career aspirations, and perceptions towards the opportunities and challenges of primary care careers. Qualitative content analysis was used to interpret the data. RESULTS: The respondents shared eight key concerns of pursuing primary care careers including limited professional opportunities, emphasis on lifestyle benefits rather than professional characteristics, need for business acumen, conflicts created by business in clinical care, mundane case mix, lack of continuity of care, limited consultation time, and specialists’ negative attitudes towards family doctors. The positive views articulated included the opportunities for entrepreneurialism and a portfolio career, breadth of clinical problems presented, and an improved future for primary care. CONCLUSIONS: Improving students’ perceptions of careers in primary care in Singapore would benefit from a concerted effort from multiple stakeholders; medical schools, healthcare providers, professional and regulatory bodies, and government. BioMed Central 2020-11-25 /pmc/articles/PMC7687750/ /pubmed/33238960 http://dx.doi.org/10.1186/s12909-020-02377-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zainal, Humairah
Smith, Helen Elizabeth
Medical students’ attitudes towards careers in primary care in Singapore
title Medical students’ attitudes towards careers in primary care in Singapore
title_full Medical students’ attitudes towards careers in primary care in Singapore
title_fullStr Medical students’ attitudes towards careers in primary care in Singapore
title_full_unstemmed Medical students’ attitudes towards careers in primary care in Singapore
title_short Medical students’ attitudes towards careers in primary care in Singapore
title_sort medical students’ attitudes towards careers in primary care in singapore
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7687750/
https://www.ncbi.nlm.nih.gov/pubmed/33238960
http://dx.doi.org/10.1186/s12909-020-02377-x
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