Career choices for ophthalmology made by newly qualified doctors in the United Kingdom, 1974-2005.

Career choices for ophthalmology made by newly qualified doctors in the United Kingdom, 1974-2005.
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DOI:
10.1186/1471-2415-8-3
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发表时间:
2008-03-04
期刊:
影响因子:
2
通讯作者:
Bron AJ
Bron AJ
中科院分区:
医学4区
文献类型:
--
作者:
Lambert TW;Goldacre MJ;Bron AJ

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本文旨在报告英国医学毕业生眼科职业选择的趋势。自1974年以来,在9个资格年对所有英国医学院的合格者进行了邮寄问卷调查。通过单变量交叉表分析数据。使用卡方检验和调整后的残差计算各组医生之间比较的显著性。眼科是2.3%的男性和1.5%的女性在获得资格一年后的长期职业首选; 2.0%的男性和1.4%的女性在三年后; 1.8%的男性和1.2%的女性在五年后。将早期选择与最终目的地进行比较,64%的人在第一年选择了眼科,84%在第三年,92%在第五年最终在该专业实习。第一年的选择和最终的目的地之间的一致性是眼科高于大多数其他专业。"对专业的热情和承诺"是影响职业选择的最重要的单一因素。良好的工作时间和工作条件的前景也是一个重要的影响因素:它对职业选择的影响很大,选择眼科的人(第三年为66%)比选择其他手术的人(23%)要高。那些选择眼科的人表现出对它的高度承诺。他们的承诺被有吸引力的时间和工作条件的前景所加强。许多成为眼科医生的医生在获得资格后的第一年年底就已经做出了选择。
The paper aims to report trends in career choices for ophthalmology among UK medical graduates. Postal questionnaire surveys were undertaken of qualifiers from all UK medical schools in nine qualification years since 1974. Data were analysed by univariate cross-tabulation. The significance of comparisons between groups of doctors were calculated by the use of chi-squared tests and adjusted residuals. Ophthalmology was the first choice of long term career for 2.3% of men and 1.5% of women one year after qualification; 2.0% of men and 1.4% of women three years after; and 1.8% of men and 1.2% of women at five years. Comparing early choices with eventual destinations, 64% who chose ophthalmology in year one, 84% in year three, and 92% in year five eventually practised in the specialty. The concordance between year one choice and eventual destination was higher for ophthalmology than for most other specialties. 'Enthusiasm for and commitment to the specialty' was the most important single factor in influencing career choice. The prospect of good working hours and conditions was also an important influence: it influenced career choice a great deal for a higher percentage of those who chose ophthalmology (66% in the third year) than those who made other surgical choices (23%). Those choosing ophthalmology show a high level of commitment to it. Their commitment is strengthened by the prospect of attractive hours and working conditions. Many doctors who become ophthalmologists have already made their choice by the end of their first post-qualification year.
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