Research Article

Medical Students’ Career Choice and Attitudes towards Family Medicine in Morocco

Table 2

Comparison of Likert scale means of the items according to gender and study level.

AttitudesTotal N=280Cycle of studies scoreGender
Mean Likert scale (standard deviations)
1st cycle2nd cycleFemaleMale

Personal attitude towards general practice
General practice is a valid discipline like internal medicine or pediatrics3.62 (1.197)3.23 (1.16)3.76 (1.18)<0.0013.66 (1.21)3.56 (1.18)0.394
Experiences in general medicine are valuable to future doctors, regardless of their eventual specialty choice4.19 (0.929)4.13 (0.89)4.21 (0.94)0.3384.24 (0.88)4.09 (1.02)0.347
General practitioners are particularly capable of providing comprehensive care3.53 (1.084)3.34 (1.01)3.60 (1.10)0.0553.57 (1.06)3.44 (1.14)0.363
GPs should spend more time per patient3.95 (0.932)4.00 (0.89)3.94 (0.95)0.7174.00 (0.87)3.56 (1.06)0.439

Comparison to the specialist's work
The work of a hospital specialist is intellectually more stimulating than that of general practitioners3.34 (1.310)3.65 (1.31)3.23 (1.30)0.0173.26 (1.31)3.50 (1.29)0.144
The work of a specialist working in ambulant care is intellectually more stimulating than that of general practitioners3.16 (1.177)3.48 (1.11)3.06 (1.18)0.0143.17 (1.16)3.14 (1.22)0.892
A specialist (e.g., cardiologist) must earn more money than a general practitioner3.52 (1.230)3.80 (1.15)3.43 (1.24)0.0263.43 (1.23)3.71 (1.21)0.062
General practitioners have deeper relationships with their patients than specialists3.24 (1.181)3.14 (1.10)3.27 (1.21)0.4563.16 (1.20)3.40 (1.14)0.132
I would feel frustrated if I could not obtain a specialty (other than general practice)3.60 (1.286)3.86 (1.291)3.51 (1.28)0.0263.61 (1.28)3.59 (1.32)0.947
A general practitioner must enjoy the same prestige as the specialist3.62 (1.142)3.61 (1.12)3.63 (1.15)0.8953.63 (1.12)3.61 (1.19)0.912

Image and prestige of general medicine
Being in general practice offers the doctor an excellent opportunity to earn a good living3.22 (1.040)3.13 (1.01)3.25 (1.05)0.4383.24 (1.031)3.17 (1.063)0.632
Generalists are the most respected members of their communities2.58 (1.006)2.72 (0.81)2.54 (1.06)0.0732.52 (1.00)2.71 (1.02)0.207
Treating acute illnesses is more beneficial than counseling or caring for patients with chronic illnesses2.86 (1.219)3.06 (1.17)2.80 (1.23)0.1012.68 (1.20)3.24 (1.19)<0.0001
Maintaining health (prevention) is not as interesting to me as curative treatment2.25 (1.217)2.46 (1.19)2.18 (1.22)0.0482.02 (1.09)2.74 (1.32)<0.001
I prefer to spend time dealing with patients’ medical problems rather than their psychosocial problems2.71 (1.316)2.73 (1.39)2.71 (1.29)0.9972.53 (1.26)3.10 (1.35)0.001
As a doctor, I take more pleasure in talking to patients3.74 (0.991)3.90 (0.85)3.68 (1.03)0.1693.78 (0.98)3.64 (1.02)0.302

Future perspectives
If I was asked to include the three most fascinating medical specialties, I would include general medicine2.92 (1.284)2.52 (1.16)3.06 (1.30)0.0032.94 (1.27)2.89 (1.32)0.762
The future as a specialist is more attractive than that of the general practitioner3.93 (0.981)4.03 (0.96)3.89 (0.99)0.3123.89 (0.98)4.00 (0.98)0.348

Skills and qualities of a general practitioner
A wide variety of issues affecting all age groups interest me3.74 (1.012)3.70 (0.93)3.76 (1.04)0.5203.69 (1.03)3.86 (0.98)0.189
The care of geriatric patients (elderly subjects) is less interesting for me2.78 (1.233)2.54 (1.13)2.86 (1.26)0.0842.68 (1.23)2.98 (1.23)0.076
The quality of medical care provided by GPs is not good2.56 (1.184)2.48 (1.15)2.58 (1.20)0.5942.43 (1.17)2.83 1.1730.008
In case of uncertainty, generalists should not hesitate to consult a specialist4.48 (0.851)4.37 (1.02)4.51 (0.79)0.4884.54 (0.70)4.33 (1.09)0.426
Generalist is not as competent as the internist or another specialist2.56 (1.234)2.73 (1.24)2.50 (1.23)0.1552.42 (1.17)2.86 (1.32)0.008
Complex professional training in general practice in many places and including different specialties is a reason not to choose it as a career option2.99 (1.145)3.11 (0.99)2.94 (1.19)0.2762.90 (1.14)3.17 (1.13)0.075
General practitioner should not take long-term responsibility for patients with chronic illness alone3.39 (1.127)3.37 (0.93)3.40 (1.19)0.6993.34 (1.16)3.50 (1.06)0.288
General practitioner should always consult specialists for patient management2.81 (1.208)3.13 (1.23)2.70 (1.18)0.0132.78 (1.21)2.87 (1.20)0.601
Other health professionals (nurse, medical assistants) should be integrated into primary care3.80 (0.997)3.62 (0.99)3.86 (0.99)0.0723.85 (0.97)3.69 (1.06)0.304
The provision of services by specialized doctors must be coordinated and controlled by general practitioners3.35 (1.116)3.23 (1.05)3.39 (1.14)0.2073.34 (1.10)3.37 (1.15)0.766
Epidemiological and preventive research in medicine interests me3.31 (1.275)3.15 (1.27)3.36 (1.28)0.2723.27 (1.27)3.38 (1.30)0.510
General practice is based on sound scientific principles3.94 (0.902)3.97 (086)3.92 (0.92)0.8343.90 (0.86)4.01 (0.99)0.144
The psychosocial care by the general practitioner encroaches on the time to allocate to clinical care3.24 (1.092)3.13 (1.07)3.28 (1.10)0.3283.24 (1.10)3.24 (1.07)0.919
The introduction of electronic patient records is essential4.15 (0.899)4.01 (0.89)4.20 (0.90)0.0824.15 (0.81)4.14 (1.07)0.399
Respect for a referral system between general practitioner and other levels of care is essential4.36 (0.744)4.25 (0.77)4.40 (0.73)0.1424.39 (0.68)4.30 (0.87)0.710

Perceived place of GP in the Moroccan health system
The Moroccan health system can only work well with general practitioners as an integral part of the system4.09 (1.066)3.85 (1.20)4.17 (1.01)0.054.05 (1.04)4.17 (1.12)0.169
Morocco needs more specialists than generalists3.36 (1.202)3.62 (1.29)3.28 (1.16)0.0453.40 (1.15)3.29 (1.30)0.514
Working as a general practitioner in Morocco is unattractive3.74 (1.120)3.68 (1.25)3.76 (1.07)0.8203.69 (1.11)3.83 (1.13)0.267