Briggs Sally, Atkins Recia, Playfer Jeremy, Corrado Oliver J
Department of Medicine for Older People, Stockport NHS Foundation Trust, Poplar Grove, Stockport.
Clin Med (Lond). 2006 Sep-Oct;6(5):469-72. doi: 10.7861/clinmedicine.6-5-469.
Reforms to postgraduate training in the U.K. may affect recruitment to geriatric medicine. In 2005, a questionnaire survey was undertaken to determine the factors favouring geriatric medicine as a career choice and whether these might be used to influence recruitment. In all, 1036 responses to the questionnaire were received (response rate 56.4%); 4% of the respondents decided to specialise in geriatric medicine as students, 3.8% of consultants and 8.6% of registrars decided as pre-registration house officers while 39% of consultants and 7% of registrars chose geriatric medicine while a middle grade in another specialty. The strongest influences on choice were clinical aspects of the specialty (34.1%) and inspirational seniors (26.2%). However, 9.2% of consultants and 10.1% of registrars subsequently regretted their career decision. Geriatric medicine seems to be a career choice for doctors of increasing maturity and including more posts in foundation programmes may not improve recruitment as anticipated. Although a small number of doctors regretted choosing geriatric medicine as a career, this was rarely to do with core aspects of the specialty.
英国研究生培训改革可能会影响老年医学专业的人员招募。2005年，我们开展了一项问卷调查，以确定有利于将老年医学作为职业选择的因素，以及这些因素是否可用于影响招募工作。总共收到了1036份问卷回复（回复率为56.4%）；4%的受访者在学生时期就决定专攻老年医学，3.8%的顾问医生以及8.6%的住院医师在担任预注册住院医师时做出了这一决定，而39%的顾问医生和7%的住院医师是在担任其他专科中级职称时选择了老年医学。对职业选择影响最大的因素是该专业的临床方面（34.1%）和有启发性的上级医生（26.2%）。然而，9.2%的顾问医生和10.1%的住院医师后来对自己的职业决定感到后悔。老年医学似乎是成熟度越来越高的医生的职业选择，在基础培训项目中增加更多职位可能无法如预期那样改善招募情况。虽然有少数医生后悔选择老年医学作为职业，但这很少与该专业的核心方面有关。
