Goldacre Michael J, Davidson Jean M, Lambert Trevor W
UK Medical Career Research Group, Unit of Health Care Epidemiology, Department of Public Health, University of Oxford, Old Road, Oxford, UK.
Med Educ. 2003 Sep;37(9):802-8. doi: 10.1046/j.1365-2923.2003.01611.x.
The first year of postgraduate work for newly qualified doctors in the UK, the pre-registration year, is spent working intensively in training posts under supervision. Our aim was to report the views of pre-registration doctors on these posts.
Questionnaire survey.
All medical graduates of 1999 and a 25% sample of graduates of 2000 from all UK medical schools.
Doctors' views on the pre-registration house officer (PRHO) year, recorded as ratings in answers to questions and statements about the year.
In reply to the question 'How much have you enjoyed the PRHO year overall?', rated on a scale from 0-10 (0 = no enjoyment; 10 = enjoyed it greatly), 44% of respondents (1341/3068) gave scores of 8-10; in all, 83.2% of respondents gave scores in the upper half of the scale (> or =6). However, there were criticisms of specific aspects of working conditions. Only a third agreed that their training during the year had been of a high standard. Posts in medicine were rated more highly than those in surgery for quality of training. Differences in views held by women and men junior doctors were few. However, where differences existed, women were slightly more positive about their work than men.
Most graduates enjoyed the pre-registration year but there is still considerable scope for improvement in working conditions and training. Men and women gave similar responses, which suggests that later divergence in their career pathways is not attributable to different views formed about work in their pre-registration year.
在英国,新取得资格的医生研究生学习的第一年即预注册年,是在监督下于培训岗位上密集工作的一年。我们的目的是报告预注册医生对这些岗位的看法。
问卷调查。
1999年所有医学毕业生以及来自英国所有医学院校的2000年毕业生的25%样本。
医生对预注册住院医师(PRHO)年的看法,记录为对有关该年份问题和陈述答案的评分。
在回答“总体而言,你对PRHO年有多喜欢?”这个问题时(评分范围为0至10分,0分表示毫无乐趣,10分表示非常享受),44%的受访者(1341/3068)给出了8至10分的评分;总体而言,83.2%的受访者给出的评分在上半部分(≥6分)。然而,工作条件的某些方面受到了批评。只有三分之一的人认为他们这一年的培训达到了高标准。内科岗位的培训质量评分高于外科岗位。男女初级医生的看法差异不大。然而,存在差异的地方,女性对工作的态度比男性略为积极。
大多数毕业生喜欢预注册年,但工作条件和培训仍有很大的改进空间。男性和女性的回答相似,这表明他们职业生涯后期的差异并非源于预注册年对工作形成的不同看法。