Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009.
Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009.
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DOI：
10.1192/bjp.bp.112.111153
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发表时间：
2013-03
期刊：
影响因子：
--
通讯作者：
Lambert T
中科院分区：
文献类型：
--
作者：
Goldacre MJ;Fazel S;Smith F;Lambert T
招募到足够数量的精神病学医生是困难的。目的报告精神病学的职业选择情况，比较意向精神科医生与选择其他临床职业的医生。方法对1974 - 2009年12个资格年英国所有医学院所有新合格医生进行问卷调查（33 974名被调查者）。结果毕业后1年、3年和5年，有4-5%的医生将精神病学作为他们未来职业的首选。这在过去的35年里基本没有变化。将有意向的精神科医生与选择其他职业的医生进行比较，对精神科医生的选择影响较大的因素包括他们在医学院对该学科的经验、对自己技能的自我评估以及在医学院之前的倾向。在一项针对最初考虑但后来没有选择专业的医生的子研究中，72%没有选择精神病学的医生将“工作内容”作为他们选择专业的原因，而在考虑但没有选择其他专业的医生中，这一比例为33%。从历史上看，选择精神病学的女性多于男性，但在过去十年中，这一差距已经缩小。结论初级医生对精神病学职业的看法从高度热情到反感不等，与对其他专业的看法相比更为两极分化。英国其他医院专科工作时间的缩短和工作实践的改进可能降低了精神病学对女医生的相对吸引力。医学院教育以及在学生和研究生早期阶段更多地接触精神病学，在多大程度上可以改变新合格医生对精神病学的看法，这需要调查。
Background Recruitment of adequate numbers of doctors to psychiatry is difficult. Aims To report on career choice for psychiatry, comparing intending psychiatrists with doctors who chose other clinical careers. Method Questionnaire studies of all newly qualified doctors from all UK medical schools in 12 qualification years between 1974 and 2009 (33 974 respondent doctors). Results One, three and five years after graduation, 4–5% of doctors specified psychiatry as their first choice of future career. This was largely unchanged across the 35 years. Comparing intending psychiatrists with doctors who chose other careers, factors with a greater influence on psychiatrists’ choice included their experience of the subject at medical school, self-appraisal of their own skills, and inclinations before medical school. In a substudy of doctors who initially considered but then did not pursue specialty choices, 72% of those who did not pursue psychiatry gave ‘job content’ as their reason compared with 33% of doctors who considered but did not pursue other specialties. Historically, more women than men have chosen psychiatry, but the gap has closed over the past decade. Conclusions Junior doctors’ views about psychiatry as a possible career range from high levels of enthusiasm to antipathy, and are more polarised than views about other specialties. Shortening of working hours and improvements to working practices in other hospital-based specialties in the UK may have reduced the relative attractiveness of psychiatry to women doctors. The extent to which views of newly qualified doctors about psychiatry can be modified by medical school education, and by greater exposure to psychiatry during student and early postgraduate years, needs investigation.
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影响因子：
6
作者：
Goldacre, MJ;Davidson, JM;Lambert, TW
通讯作者：
Lambert, TW
影响因子：
2.5
作者：
Sierles, FS;Yager, J;Weissman, SH
通讯作者：
Weissman, SH
影响因子：
3.6
作者：
Fazel S;Ebmeier KP
通讯作者：
Ebmeier KP
影响因子：
--
作者：
Lambert, TW;Goldacre, MJ;Parkhouse, J
通讯作者：
Parkhouse, J
DOI：
10.1192/pb.bp.108.024638
发表时间：
2009-10-01
期刊：
PSYCHIATRIC BULLETIN
影响因子：
--
作者：
Brown, Nick;Vassilas, Christopher A.;Oakley, Clare
通讯作者：
Oakley, Clare