This report, jointly commissioned by Health Education England (HEE) and the Medical Schools Council (MSC), investigates how medical schools influence students’ decisions to pursue careers in general practice (GP). It aims to identify barriers and propose actionable recommendations to improve GP recruitment. This project has been led by Professor Val Wass.
Key findings
- Cultural Divide: GP is often seen as lower status than hospital specialties, reinforced by negative comments and outdated perceptions.
- Low Morale: Students encounter disillusioned GPs and negative media portrayals, which deter interest.
- Funding Inequity: GP teaching is underfunded compared to hospital placements, limiting quality and access.
- Curriculum Gaps: GP is underrepresented in teaching and leadership, and students lack clarity on what the role entails.
- Student Preferences: Students want intellectually stimulating, flexible careers—qualities GP can offer but are poorly communicated.
Recommendations
- Reform Funding: Ensure equitable funding for GP teaching and placements.
- Curriculum Change: Integrate GP more fully into teaching, with clear distinction from generalism.
- Promote Role Models: Increase visibility of enthusiastic GPs and academic GP leaders.
- Tackle Negativity: Address undermining of GP across all settings and promote professional respect.
- Support Career Awareness: Provide honest, accessible information about GP careers, including portfolio and academic paths.
Conclusion
The report emphasises that students do not choose general practice by chance. They need structured, positive, and informed experiences throughout their education. Addressing systemic barriers and promoting general practice as a respected, intellectually challenging, and flexible career is essential to meet future healthcare needs.
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