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Medical students’ attitudes towards careers in primary care in Singapore

机译：医学生对新加坡初级保健职业的态度

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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.
机译：背景新加坡需要更多家庭医生来关心其年龄的人口和他们的慢性病。虽然将护理从急性护理环境转移到更多社区护理，但这尚未反映在当地医学院的初级保健培训中。此外，没有研究探索了新加坡医学院课程的不同方面如何影响学生对一般实践和家庭医学的职业看起来的看法 - 这项研究填补了差距。方法进行六种涉及来自新加坡所有三所学校的54名学生的六个焦点小组。讨论重点关注他们的初级保健体验，他们的专业和职业抱负，以及对初级保健职业生涯的机遇和挑战的看法。定性内容分析用于解释数据。结果受访者共同追求初级保健职业的八个关键问题，包括有限的专业机会，重点是生活方式的益处，而不是专业特色，需要企业敏锐，临床护理中企业的冲突，平凡的案例组合，有限的缺乏关注，有限咨询时间，专家对家庭医生的负面态度。阐述的积极观点包括创业主义和投资组合职业的机会，呈现出临床问题的广度，以及初级保健的改善的未来。结论提高学生对新加坡初级保健职业看法的看法将受益于多个利益攸关方的一致努力;医学院，医疗保健提供者，专业和监管机构和政府。

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