Career choices at the end of the pre-registration year of doctors who qualified in the United Kingdom in 1996
Career choices at the end of the pre-registration year of doctors who qualified in the United Kingdom in 1996
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DOI：
10.1046/j.1365-2923.1999.00560.x
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发表时间：
1999-12-01
影响因子：
6
通讯作者：
Lambert, TW
中科院分区：
文献类型：
--
作者：
Goldacre, MJ;Davidson, JM;Lambert, TW
目的了解1996年赴英国执业医师取得执业资格后一年的职业意向，目的：研究1996年在英国取得资格的医生对未来职业的选择情况，并与1993年同期取得资格的医生进行比较。方法：设计邮寄问卷，以英国为研究对象。主要观察指标：1996年在英国取得资格的医生在取得资格后一年对未来职业的选择情况。结果：所有专业的长期职业的详细选择。1996年只有20%的受访者选择全科医学，而1993年的受访者为25.8%。妇女选择全科医疗的比例从34.0%下降到25.2%，而男子则从17.5%下降到14.1%。外科专业的选择从1993年的16.9%上升到1996年的21.4%。女性选择外科专业的比例从7.8%上升到11.6%，而男性则从26.1%上升到32.2%。肯定或可能打算在英国长期工作的受访者比例为77.7%，而1993年的受访者比例为75.7%。大多数对在联合王国执业持怀疑态度的家庭受访者正在考虑在国外执业。只有1%的人明确表示第一选择是非医疗职业。然而，在所有的，9.4%的人说，有可能，他们可能会离开medicine.Conclusion的意向，进入新的合格的医生之间的全科医生，在1993年的资格赛，在1996年的资格赛继续大幅下降。可能的结果是，在英国接受培训的医生在全科医生中的招聘不足。外科专业选择的增加，特别是在女性中，可能预示着在卡尔曼改革之后，医院专家培训的兴趣重新燃起。令人担忧的是，近四分之一的受访者表示对在英国从事医疗事业有一些疑虑。
Objective To report the career intentions one year after qualification of doctors who qualified in the United Kingdom (UK) in 1996, and to compare their intentions with those of 1993 qualifiers at the same stage.Design Postal questionnaires.Settting United Kingdom.Subjects All doctors who qualified in the UK in 1996.Main outcome measures Choices of eventual career expressed one year after qualifying.Results We report on detailed choices of long-term careers for all specialties. Only 20% of 1996 respondents chose general practice compared with 25.8% of 1993 respondents. The percentage choosing general practice fell more sharply among women, from 34.0% to 25.2%, than among men, from 17.5% to 14.1%. Choices for surgical specialties rose from 16.9% of 1993 respondents to 21.4% of 1996 respondents. The percentage choosing the surgical specialties rose among women, from 7.8% to 11.6%, compared with a rise among men from 26.1% to 32.2%. The percentage of respondents who definitely or probably intended to pursue a long-term career in the UK was 77.7% compared with 75.7% of 1993 respondents. Most of the home-based respondents who had doubts about practising in the United Kingdom were considering practising abroad. Only 1% made an explicit first choice for a non-medical career. However, in all, 9.4% said that there was a possibility that they might leave medicine.Conclusion The substantial decline in intentions to enter general practice among newly qualified doctors, seen in the 1993 qualifiers, is continued in the 1996 qualifiers. A shortfall in recruitment of UK-trained doctors to general practice is the likely outcome. The rise in choices for the surgical specialties, particularly among women, may herald a renewed interest in hospital specialist training following the Calman changes. It is worrying that almost a quarter of respondents indicated some doubts about pursuing a medical career in the UK.