Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983
Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983
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DOI：
10.1136/bmj.313.7048.19
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发表时间：
1996-07-06
影响因子：
--
通讯作者：
Parkhouse, J
中科院分区：
文献类型：
--
作者：
Lambert, TW;Goldacre, MJ;Parkhouse, J
1993年，在英国取得资格的医生的职业偏好报告，并将他们的选择与早期的合格者的选择进行比较。主要结果测量--在获得资格后第一年年底对未来长期职业的选择和对选择的确定性。2621人（71.7%）作出答复。在2621名受访者中，70.5%（1849人）表示他们的首选职业是医院实践，25.8%（677人）指定全科实践，1.0%（25人）指定公共卫生医学或社区卫生，1.4%（36人）指定医学以外的职业，1.3%（34人）没有选择。相比之下，1983年队列中44.7%（1416/3168）的医生明确表示他们的首选是全科医生。在1993年的合格者中，全科医生是17.5%的男子（227/1 297）和34.0%的妇女（450/1 324）的第一职业选择。只有7.4%的男子（96/1 297）表示，他们明确希望进入全科诊所。1993年，只有7.8%（103/1324）的妇女合格者表示愿意从事外科专业。在医院实践中，1993年与1983年相比，对医学专科和事故和急诊医学的选择增加，而病理学的选择减少。妇女不太确定比男性对他们未来的长期career. Conclusions选择，如果1993年的队列是典型的当代年轻医生，有一个很大的转变，从全科医学作为一个职业选择表示在年底的预注册年。全科医疗在妇女中比在男子中更受欢迎。很少有女性选择手术。选择不同主流医疗实践的医生比例的性别不平衡似乎将继续下去。
Objective-To report the career preferences of doctors who qualified in the United Kingdom in 1993 and to compare their choices with those of earlier cohorts of qualifiers.Design-Postal questionnaires with structured questions, including questions about choice of future long term career, were sent to doctors a year after qualification.Setting-United Kingdom.Subjects-All medical qualifiers of 1993, comparing their replies with those from earlier studies of the qualifiers of 1974, 1977, 1980, and 1983.Main outcome measures-Choice of future long term career and certainty of choice expressed at the end of the first year after qualification.Results-Questionnaires were sent to 3657 doctors. 2621 (71.7%) replied. Of the 2621 respondents, 70.5% (1849) stated that their first preference was for a career in hospital practice, 25.8% (677) specified general practice, 1.0% (25) specified public health medicine or community health, 1.4% (36) specified careers outside medicine, and 1.3% (34) did not state a choice. By contrast, 44.7% (1416/3168) of the doctors in the 1983 cohort had specified that their first preference was general practice. Among the 1993 qualifiers, general practice was the first career choice of 17.5% of men (227/1297) and 34.0% of women (450/1324). Only 7.4% of men (96/1297) stated that they definitely wanted to enter general practice. Only 7.8% (103/1324) of women qualifiers in 1993 expressed a career preference for surgical specialties. Within hospital practice, comparing 1993 with 1983, choices for the medical specialties and for accident and emergency medicine rose and those for pathology fell. Women were less definite than men about their choice of future long term career.Conclusions-If the 1993 cohort is typical of the current generation of young doctors, there has been a substantial shift away from general practice as a career choice expressed at the end of the preregistration year. General practice was much more popular among women than men. Few women opted for surgery. The sex imbalance in the percentage of doctors who choose different mainstreams of medical practice seems set to continue.