Country of training and ethnic origin of UK doctors: database and survey studies
Country of training and ethnic origin of UK doctors: database and survey studies
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DOI：
10.1136/bmj.38202.364271.be
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发表时间：
2004-09-11
影响因子：
--
通讯作者：
Lambert, TW
中科院分区：
文献类型：
--
作者：
Goldacre, MJ;Davidson, JM;Lambert, TW
目标 报告 NHS 不同专业顾问的培训国家和种族、按种族划分的英国医学院入学趋势以及不同种族的英国毕业生所做的专业选择。设计分析顾问和接受学习医学的学生的官方数据库；关于新晋医生职业选择的调查数据。设置和主题 英格兰和威尔士（顾问）、英国（学生和新晋医生）。结果 1992 年之前任命的顾问中，15% 曾在国外接受过培训；在1992-2001年任命的人员中，24%曾在国外接受过培训。与在老年医学、泌尿生殖医学、儿科、老年精神病学和学习障碍等领域的顾问中接受过培训的非白人医生的总体比例相比，在国外接受过培训的非白人医生的比例明显较高。在英国接受培训的非白人医生的专业方向与在英国接受培训的白人医生的专业方向相似。英国医学毕业生中非白人的比例已从 1974 年的约 2% 大幅增加，到 2005 年将接近 30%。目前，白人男性仅占所有英国医学生的四分之一多一点。英国白人和非白人毕业生对专业的选择相似。结论 NHS 的专科医疗实践严重依赖在国外接受过培训的医生，特别是在职位难以填补的专业领域。相比之下，在英国接受过培训的少数族裔医生在不太受欢迎的专业中所占比例并不高。英国医学院招生中少数族裔的比例很高；现在，白人男性的代表性严重不足，但白人女性则不然。
Objectives To report on the country of training and ethnicity of consultants in different specialties in the NHS, on trends in intake to UK medical schools by ethnicity, and on the specialty choices made by UK graduates in different ethnic groups.Design Analysis of official databases of consultants and of students accepted to study medicine; survey data about career choices made by newly qualified doctors.Setting and subjects England and Wales (consultants), United Kingdom (students and newly qualified doctors).Results Of consultants appointed before 1992, 15% had trained abroad; of those appointed in 1992-2001, 24% had trained abroad. The percentage of consultants who had trained abroad and were non-white was significantly high, compared with their overall percentage among consultants, in geriatric medicine, genitourinary medicine, paediatrics, old age psychiatry, and learning disability UK trained non-white doctors had specialty destinations similar to those of UK trained white doctors. The percentage of UK medical graduates who are non-white has increased substantially from about 2% in 1974 and will approach 30% by 2005. White men now comprise little more than a quarter of all UK medical students. White and non-white UK graduates make similar choices of specialty.Conclusions Specialist medical practice in the NHS has been heavily dependent on doctors who have trained abroad, particularly in specialties where posts have been hard to fill. By contrast, UK trained doctors from ethnic minorities are not over-represented in the less popular specialties. Ethnic minorities are well represented in UK medical school intakes; and white men, but not white women, are now substantially under-represented.