UK-trained junior doctors' intentions to work in UK medicine: questionnaire surveys, three years after graduation

UK-trained junior doctors' intentions to work in UK medicine: questionnaire surveys, three years after graduation
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DOI:
10.1177/0141076817738500
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发表时间:
2017-12-01
影响因子:
17.3
通讯作者:
Lambert, Trevor W.
Lambert, Trevor W.
中科院分区:
医学2区
文献类型:
--
作者:
Surman, Geraldine;Goldacre, Michael J.;Lambert, Trevor W.

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目的报告1974-2012年间在英国接受培训的12名医生在毕业三年后的职业意向,特别是比较近期毕业的英国医学毕业生和较早毕业的英国医学毕业生在英国的职业意向。设计问卷调查英国医学毕业生按毕业年份定义的队列。设置英国30,272名英国医学毕业生。主要结果指标表明了在英国长期从事医学工作的意向水平。结果回复率为62%(30,272/48,927)。我们研究了对这个问题的回答,除了临时出国访问外,你打算在可预见的未来在英国行医吗?在英国家庭医生中,90%的人在1977-1986年的调查中明确表示他们肯定或很可能会在英国行医,1996年-2011年的调查为81%,2015年的调查为。1977-1986年,表示可能或肯定不会在英国行医的人占5%,1996-2011年占8%,2015年占15%。大多数对未来在英国医学的职业不确定的人表示,他们希望在英国以外的地方行医,而不是离开医生。结论在这项独特的40年调查系列中,2015年的调查显示,希望留在英国医疗行业的意愿前所未有地低。
Objective To report on the career intentions, three years after qualification, of 12 national cohorts of UK-trained doctors who qualified between 1974 and 2012, and, specifically, to compare recent UK medical graduates' intentions to work in medicine in the UK with earlier graduates.Design Questionnaire surveys of cohorts of UK medical graduates defined by year of graduation.Setting UK.Participants 30,272 UK medical graduates.Main outcome measures Stated level of intention to pursue a long-term career in medicine in the UK.Results The response rate was 62% (30,272/48,927). We examined responses to the question Apart from temporary visits abroad, do you intend to practise medicine in the United Kingdom for the foreseeable future?' Of doctors from UK homes, 90% had specified that they would definitely or probably' practise medicine in the UK in the surveys of 1977-1986, 81% in 1996-2011 and 64% in 2015. Those who said that they would probably or definitely not practise medicine in the UK comprised 5% in 1977-1986, 8% in 1996-2011 and 15% in 2015. Most who were not definite about a future career in UK medicine indicated that they would wish to practise medicine outside the UK rather than to leave medicine.Conclusions The wish to remain in UK medical practice in the 2015 survey was unprecedentedly low in this unique series of 40 years of surveys.