• Jeremy Bunker and Narelle Shadbolt.
• Sydney Institute of General Practice Education and Training, New South Wales. jeremyb@sigpet.com.au
• Aust Fam Physician. 2009 May 1; 38 (5): 341-4.

BackgroundIn Australia, most medical students graduate without a firm career choice, with this decision being made during their early postgraduate years. Strategies addressing the current lack of meaningful exposure to general practice during these formative prevocational years are likely to be the most effective in increasing the proportion and number of entrants to general practice.ObjectiveThis review summarises the influences of medical student selection criteria, curriculum, geographical location, timing and duration of general practice exposure and experience, prevocational experience, and vocational training, on an eventual choice of general practice as a career.DiscussionThese are important influences on the complex process of career choice. Much research has focused on isolated interventions at one point along the pipeline. Varied and conflicting conclusions emerge from individual studies. In complex systems it is hard to understand the influence of an isolated intervention without looking at the system as a whole.

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