Drugan C S, Chestnutt I G, Boyles J R
Public Health Directorate, Bristol South & West PCT, Bristol.
Br Dent J. 2004 Jun 26;196(12):761-5; discussion 759. doi: 10.1038/sj.bdj.4811389.
To determine current demographic details of dental specialist registrars in the UK, to examine their current working patterns and ascertain their future career aspirations.
A cross-sectional survey, using a self-administered postal questionnaire of all 418 dental specialist registrars (SpRs) in the UK.
The response rate was 78%. Of the SpRs who responded 59% were male, the majority were aged under 36, 54% were married and over one third had dependants. Orthodontics had the greatest number of SpRs with 141, followed by maxillofacial surgery (70) and restorative dentistry (52). On completion of training, 80% of SpRs intended to work full time. Significantly more women intended to work part-time. Only a fifth of SpRs said they would consider an academic appointment compared with 54% for specialist practice. Three quarters intended to work partly in the public sector and partly in a private capacity. London was the most popular choice of location for a post in the future. Access to a wide range of clinical work, continuing professional development, autonomy and sociability were the most important factors when considering their future choice of career.
Changes in the demographic profile of dental specialists and increasing opportunities for providing care within primary care may lead to difficulties in recruitment to academic and hospital posts. Increasing provision of specialist services in the 'high street' might improve access but could lead to inequalities unless these services are commissioned according to the needs of the population.
确定英国牙科专科住院医师的当前人口统计学细节，研究他们当前的工作模式，并确定他们未来的职业抱负。
采用自填式邮政问卷对英国所有418名牙科专科住院医师（SpRs）进行横断面调查。
回复率为78%。回复的SpRs中，59%为男性，大多数年龄在36岁以下，54%已婚，超过三分之一有家属。正畸科的SpRs数量最多，有141人，其次是颌面外科（70人）和修复牙科（52人）。培训结束后，80%的SpRs打算全职工作。打算兼职工作的女性明显更多。只有五分之一的SpRs表示会考虑学术职位，而打算从事专科执业的比例为54%。四分之三的人打算部分时间在公共部门工作，部分时间以私人身份工作。伦敦是未来职位最受欢迎的选择地点。在考虑未来职业选择时，能够接触到广泛的临床工作、持续专业发展、自主性和社交性是最重要的因素。
牙科专科医生人口统计学特征的变化以及在初级保健中提供护理的机会增加，可能导致学术和医院职位招聘困难。在“商业街”增加专科服务的提供可能会改善可及性，但除非根据人群需求委托提供这些服务，否则可能会导致不平等。
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