Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international medical graduates?

Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international medical graduates?
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DOI:
10.1186/1472-6920-9-77
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发表时间:
2009-12-24
影响因子:
3.6
通讯作者:
Ebmeier KP
Ebmeier KP
中科院分区:
医学3区
文献类型:
--
作者:
Fazel S;Ebmeier KP

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在英国和许多其他国家,许多专业长期存在招聘问题,越来越多地依赖国际医学毕业生来填补初级和高级职位。我们的目的是确定哪些专业是最受欢迎的,最理想的培训职位的候选人,这是否不同的国家的本科培训。我们对2008年英格兰所有培训岗位的现代化医疗职业申请进行了数据库分析。10个不同专业的申请总数(作为受欢迎指数)和每个空缺的申请(作为可取性指数)进行了分析。我们测试了平均顾问收入是否与专业选择相关。2008年,英国有80,949人申请专业培训,其中31,434人是英国毕业生(39%)。在英国医学毕业生中,精神病学是10个专业组中第六大最受欢迎的专业(999名申请者),而国际毕业生则排名第四(5,953名申请者)。在英国毕业生中,外科(每个空缺有9.4名申请人)和放射科(8.0名)的申请人数最多,儿科(1.2名)和精神科(1.1名)的申请人数最少。在国际医学毕业生中,精神病学的申请人数排名第四(6.3)。英国毕业生的专业受欢迎程度与预期收入相关(p = 0.006)。根据每个地方的申请人数,英国和国际医学毕业生最受欢迎的专业有一定的一致性,但精神病学的受欢迎程度有所不同。随着在英国接受培训的新的国际医学毕业生数量的减少,大学部门和专业协会可能需要审查战略,以吸引更多的英国医学毕业生进入某些专业,特别是精神病学和儿科。
In the UK and many other countries, many specialties have had longstanding problems with recruitment and have increasingly relied on international medical graduates to fill junior and senior posts. We aimed to determine what specialties were the most popular and desirable among candidates for training posts, and whether this differed by country of undergraduate training. We conducted a database analysis of applications to Modernising Medical Careers for all training posts in England in 2008. Total number of applications (as an index of popularity) and applications per vacancy (as an index of desirability) were analysed for ten different specialties. We tested whether mean consultant incomes correlated with specialty choice. In, 2008, there were 80,949 applications for specialty training in England, of which 31,434 were UK graduates (39%). Among UK medical graduates, psychiatry was the sixth most popular specialty (999 applicants) out of 10 specialty groups, while it was fourth for international graduates (5,953 applicants). Among UK graduates, surgery (9.4 applicants per vacancy) and radiology (8.0) had the highest number of applicants per vacancy and paediatrics (1.2) and psychiatry (1.1) the lowest. Among international medical graduates, psychiatry had the fourth highest number of applicants per place (6.3). Specialty popularity for UK graduates was correlated with predicted income (p = 0.006). Based on the number of applicants per place, there was some consistency in the most popular specialties for both UK and international medical graduates, but there were differences in the popularity of psychiatry. With anticipated decreases in the number of new international medical graduates training in the UK, university departments and professional associations may need to review strategies to attract more UK medical graduates into certain specialties, particularly psychiatry and paediatrics.
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