Undergraduate medical education in general practice/family medicine throughout Europe - a descriptive study

Background: It is increasingly becoming evident that a strong primary health care system is more likely to provide better population health, more equity in health throughout the population, and better use of economic resources, compared to systems that are oriented towards specialty care. Developing and maintaining a strong and sustainable primary health care requires that a substantial part of graduating doctors go into primary care. This in turn requires that general practicefamily medicine (GPFM) strongly influences the curricula in medical schools. In the present paper we aim at describing the extent of GPFM teaching in medical schools throughout Europe, checking for the presence of GPFM curricula and clinical teaching in GP offices. Methods: A brief questionnaire was e-mailed to GPFM or other professors at European medical universities. Results: 259 out of 400 existing universities in 39 European countries responded to our questionnaire. Out of these, 35 (13.5%) reported to have no GPFM curriculum. These 35 medical faculties were located in 12 different European countries. In addition, 15 of the medical schools where a GPFM curriculum did exist, reported that this curriculum did not include any clinical component (n = 5), or that the clinical part of the course was very brief - less than one week, mostly only a few hours (n = 10). In total, 50 universities (19%) thus had no or a very brief GPFM curriculum. These were mainly located in the Eastern or Southern European regions. Conclusion: It is still possible to graduate from European medical universities without having been exposed to a GPFM curriculum. The European Academy of Teachers in General Practice (EURACT) will launch efforts to change this situation.