Selection for Dutch postgraduate GP training; time for improvement

Figures & data

Table I. European overview of entrance procedure for post graduate GP training. Based on correspondence with key persons of EURACT.^a

	Registration and Selection procedure
Registration Checking minimum criteria: MD	Discipline based assessment procedure		Competency based assessment procedure
No additional criteria	In case of sufficient vacations, all candidates are admitted	Threshold scores on knowledge and or personal qualities	Threshold scores on competencies (and knowledge tests)
Austria, Bosnia & Herzegovina, Croatia, Finland, Flanders, Greece, Montenegro ( >n2 yr experience as MD), Norway, Slovakia	Czech, Bulgaria, Latvia, Macedonia, Poland, Portugal, Serbia, Slovenia, Switzerland	Cyprus, Estonia, Hungary, Iceland, Ireland, Italy, the Netherlands, Romania, Spain, Sweden	Denmark, United Kingdom

^aUnknown or no GP certification: Albania, France, Germany, Lithuania, Wallonia.

Table II. Number of candidates, vacancies, admission and evaluable candidates, baseline characteristics of evaluable candidates per department.

Department	1	2	3	4	5	6	7	8	Total
Number of candidates	27	34	38	62	66	134	155	81	597
Number of vacancies	36	36	36	36	36	72	80	36	368
Ratio candidate/vacancy	0.75	0.94	1.03	1.72	1.83	1.86	1.91	2.25	1.62
Number admitted	23	27	28	44	46	80	87	40	375
Percentage admitted	85.2	79.4	73.7	71.0	69.7	59.7	56.1	49.4	62.8
Number evaluable	26^a	24^b	37^c	29^d	64^e	131^f	150^g	81	542
Male, n (%)	11 (42.3)	9 (37.5)	17 (45.9)	12 (41.4)	15 (23.4)	42 (32.1)	53 (35.3)	22 (27.2)	181 (33.4)
Age in years mean (SD)	32.0 (8.5)	32.1 (7.7)	29.8 (5.5)	28.2 (4.8)	28.8 (4.8)	30.3 (5.0)	29.9 (4.6)	29.0 (4.2)	29.9 (5.2)
Medical school NW-Europe, n (%)	25 (96.2)	19 (79.2)	33 (89.2)	27 (93.1)	59 (92.2)	125 (95.4)	140 (93.3)	78 (96.3)	506 (93.4)
First time of application, n (%)	19 (73.1)	12 (50.0)	30 (81.1)	22 (75.9)	54 (84.4)	84 (64.1)	108 (72.0)	63 (77.8)	392 (72.6)

^aWithdrawal during procedure: 1.

^bNo informed consent: 10.

^cNo informed consent: 1.

^dNo informed consent: 33.

^eWithdrawal during procedure: 2.

^fWithdrawal during procedure: 3.

^gMissing 3, no informed consent: 2.

Table III Univariate and multivariate relative risks (RR (95% CI)) of being admitted to the interview stage (Stage 1) and of being admitted to the GP training (Stage 2).

	Admission to interview (stage 1) n = 542		Admission to GP training (stage 2) n = 479
	Univariate RR (95% CI)	Multivariate RR (95% CI)	Univariate RR (95% CI)	Multivariate RR (95% CI)
Department 1 (= ref.)^a	1.00	1.00	1.00	1.00
Department 2	0.69 (0.60–0.81)	0.74 (0.63–0.87)	0.77 (0.62–0.96)	0.79 (0.65–0.97)
Department 3	0.63 (0.57–0.71)	0.63 (0.57–0.70)	0.68 (0.56–0.83)	0.68 (0.56–0.81)
Department 4	0.38 (0.32–0.43)	0.36 (0.32–0.42)	0.43 (0.35–0.53)	0.45 (0.36–0.56)
Department 5	0.40 (0.38–0.41)	0.38 (0.35–0.41)	0.34 (0.28–0.42)	0.34 (0.29–0.41)
Department 6	0.33 (0.30–0.36)	0.32 (0.29–0.36)	0.34 (0.29–0.41)	0.34 (0.29–0.40)
Department 7	0.33 (0.31–0.36)	0.33 (0.30–0.36)	0.30 (0.25–0.36)	0.29 (0.25–0.35)
Department 8	0.32 (0.30–0.33)	0.30 (0.28–0.33)	0.20 (0.15–0.25)	0.20 (0.16–0.24)
Gender (male = ref.)	1.11 (1.01–1.21)	1.08 (1.01–1.16)	1.00 (0.87–1.16)	0.95 (0.86–1.06)
Age (in years)	0.98 (0.97–0.99)	0.99 (0.98–1.00)	0.98 (0.96–1.00)^a	1.00 (0.99–1.01)
Region medical school (NW Europe = ref.)	0.63 (0.45–0.88)	0.66 (0.48–0.90)	0.48 (0.24–0.95)	0.68 (0.37–1.27)
Times of application (first time = ref.)	0.94 (0.89–1.00)	0.96 (0.92–1.02)	0.94 (0.84–1.04)	1.00 (0.93–1.08)
Motivation			1.51 (1.39–1.63)	1.20 (1.10–1.31)
Orientation on the job			1.41 (1.31–1.52)	1.09 (1.02–1.17)
Personal attributes			1.54 (1.42–1.67)	1.25 (1.14–1.36)
Learning needs			1.49 (1.38–1.61)	1.09 (0.99–1.19)

^aref.: reference.