What do future general practitioners think about their training pathway? Findings from a nationwide survey in Italy

In Italy, general practitioners (GPs), pivotal figures in the healthcare system, face growing challenges due to limited support and a healthcare system misaligned with modern complexities.1 The capitation model requires them to manage over 1500 patients each, limiting meaningful engagement. The lack of integrated multidisciplinary teams and impending retirements further strains the workforce. To address these issues, the Italian government has launched reforms, such as the National Recovery and Resilience Plan (Mission 6), allocating substantial resources to strengthen primary care through new structures, including the Case della Comunità (Community Health Houses). However, their implementation is still inconsistent across regions, and critical questions regarding GPs’ roles, contractual status and training remain unresolved.2