Johnson N, Hasler J, Hayden J, Mathie T, Dobbie W
Department of Public Health and Primary Care, University of Oxford, Radcliffe Infirmary.
Br J Gen Pract. 1998 Nov;48(436):1755-8.
While much has been published about the career outcomes of doctors who completed general practice vocational training prior to 1990, no evidence is currently available about those who have qualified since that time.
To obtain information about the career paths of doctors who had completed general practice vocational training since 1990, and to compare the results with previously published data.
Postal questionnaire survey of all doctors completing vocational training during the period 1990-1995 in three regions of the United Kingdom. The study examined current work status, career path since completion of training, desire for and experience of part-time training, degree of difficulty in choosing and following a career, and the degree to which certain factors impeded career choice.
The overall response rate was 64.8%, although there was a significant difference between the response rates for men and women. While virtually all responders were employed, with the majority working in general practice, women were significantly less likely than men to be working as principals in general practice, for all cohorts. These results were very similar to those cohorts described in earlier studies. The career paths of doctors only became stable after about four years. Of those working in general practice, about 20% found it difficult to choose their career, and about 10% found it difficult to follow their career. Out-of-hours work was the major factor impeding career choice.
Although they are taking longer to reach, the final career destinations of doctors completing vocational training since 1990 are no different from those of earlier cohorts.
虽然已经发表了许多关于1990年之前完成全科医学职业培训的医生职业结局的文章,但目前尚无关于自那时起取得资格的医生的相关证据。
获取有关1990年以来完成全科医学职业培训的医生职业道路的信息,并将结果与先前发表的数据进行比较。
对英国三个地区1990 - 1995年期间完成职业培训的所有医生进行邮寄问卷调查。该研究调查了当前工作状况、培训完成后的职业道路、兼职培训的意愿和经历、选择和从事职业的难度程度,以及某些因素阻碍职业选择的程度。
总体回复率为64.8%,尽管男性和女性的回复率存在显著差异。虽然几乎所有回复者都有工作,大多数人从事全科医学工作,但在所有队列中,女性担任全科医学负责人的可能性明显低于男性。这些结果与早期研究中描述的队列非常相似。医生的职业道路大约在四年后才稳定下来。在从事全科医学工作的人中,约20%的人发现选择职业困难,约10%的人发现从事职业困难。非工作时间的工作是阻碍职业选择的主要因素。
尽管1990年以来完成职业培训的医生达到最终职业目的地所需的时间更长,但与早期队列并无不同。