Examining positive views from students, trainees and GPs about general practice: a generational problem? A set of qualitative studies in France

Objective This study aimed to explore the positive factors related to working in general practice in France, from a student studying medicine, trainee general practitioner (GP) and GP point of view. Setting Primary care, France. Design Nine different qualitative studies involving medical students, trainees and GPs. Participants Sixty-seven medical students, 22 trainees in general practice and 71 GPs. Results The final codebook contained 66 interpretative codes and 8 positive themes. The themes were general practice as a commitment, doctor–patient care and relationships, skills and competencies in general practice, practice organisation and work–life balance, relationship with the professional community, GPs and university, GPs in the social community and private life, relatives and family. Positive feelings about being a GP are similar throughout the different age groups, from young students to older professionals. Discussion and conclusion This study provided a comprehensive picture of the satisfied GP across different ages. This picture describes GPs as patient-centred professionals who need to have the freedom to choose an efficient working environment, organise their practice, have opportunities for professional development and acquire specific competencies. Both younger and older GPs believe in the future of general practice.

[1]  B. Floch,et al.  Which positive view of general practice do medical students and trainees have? A systematic literature review , 2020, Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors.

[2]  B. Floch,et al.  Which positive factors give general practitioners job satisfaction and make general practice a rewarding career? A European multicentric qualitative research by the European general practice research network , 2019, BMC Family Practice.

[3]  H. Bastiaens,et al.  Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review , 2016, BMC Family Practice.

[4]  Eva Pfarrwaller,et al.  Impact of Interventions to Increase the Proportion of Medical Students Choosing a Primary Care Career: A Systematic Review , 2015, Journal of General Internal Medicine.

[5]  T. Wilkinson,et al.  Influences on final year medical students' attitudes to general practice as a career. , 2014, Journal of primary health care.

[6]  M. Wensing,et al.  Motivation for career choice and job satisfaction of GP trainees and newly qualified GPs across Europe: a seven countries cross-sectional survey , 2014, Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors.

[7]  J. Szecsenyi,et al.  The influence of workload and health behavior on job satisfaction of general practitioners. , 2013, Family medicine.

[8]  S. McLeod,et al.  Factors influencing medical students' choice of family medicine: effects of rural versus urban background. , 2012, Canadian family physician Medecin de famille canadien.

[9]  Margarete Sandelowski,et al.  Mapping the Mixed Methods–Mixed Research Synthesis Terrain , 2012, Journal of mixed methods research.

[10]  David Reeves,et al.  Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England. , 2011, European journal of public health.

[11]  Laurent Karila,et al.  Career choices of medical students: a national survey of 1780 students , 2010, Medical education.

[12]  C. Laurence,et al.  "Latte rural": the tangible and intangible factors important in the choice of a rural practice by recent GP graduates. , 2010, Rural and remote health.

[13]  J. Bunker,et al.  Choosing general practice as a career - the influences of education and training. , 2009, Australian family physician.

[14]  B. Arroll,et al.  When should I do rural general practice? A qualitative study of job/life satisfaction of male rural GPs of differing ages in New Zealand. , 2008, The New Zealand medical journal.

[15]  R. Hogg,et al.  Do Medical Students Want a Career in General Practice? a Rich Mix of Influences! , 2008 .

[16]  M. Pirotta,et al.  What keeps Melbourne GPs satisfied in their jobs? , 2007, Australian family physician.

[17]  P. Lehoux,et al.  Primary care practice a la carte among GPs: using organizational diversity to increase job satisfaction. , 2007, Family practice.

[18]  G. M. Allan,et al.  Rewards and challenges of family practice: Web-based survey using the Delphi method. , 2007, Canadian family physician Medecin de famille canadien.

[19]  P. Paulman,et al.  The characteristics of successful family physicians in rural Nebraska: a qualitative study of physician interviews. , 2006, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[20]  J. Groothoff,et al.  Job satisfaction among general practitioners: A systematic literature review , 2006, The European journal of general practice.

[21]  W H Isbister,et al.  Qualitative research in health care , 2000, BMJ : British Medical Journal.

[22]  E. Ferguson,et al.  A competency model for general practice: implications for selection, training, and development. , 2000, The British journal of general practice : the journal of the Royal College of General Practitioners.

[23]  J. Humphreys,et al.  What factors contribute most to the retention of general practitioners in rural and remote areas? , 2012, Australian journal of primary health.

[24]  C. Joyce,et al.  The Medical Journal of Australia , 2010 .

[25]  W. V. Lerberghe,et al.  The World Health Report 2008 Primary Health Care – Now More Than Ever 100 Adapting reforms to country context , 2008 .

[26]  S. Ziebland,et al.  QUALITATIVE RESEARCH IN HEALTH CARE: ANALYZING QUALITATIVE DATA , 2000 .

[27]  J. Kitzinger Education and debate Qualitative Research: Introducing focus groups , 1995 .