Turner G, Lambert T W, Goldacre M J, Turner Steve
UK Medical Careers Research Group, Department of Public Health, Oxford University, Old Road Campus, Oxford, UK.
Child Care Health Dev. 2007 May;33(3):340-6. doi: 10.1111/j.1365-2214.2006.00664.x.
Knowledge of UK doctors' career intentions and pathways is essential for understanding future workforce requirements. The aim of this study was to report career choices for and career progression in paediatrics in the UK.
Postal questionnaire surveys of qualifiers from all UK medical schools in nine qualification years since 1974.
In total, 74% (24 621/33 412) and 73% (20 720/28 459) of doctors responded at 1 and 3 years after graduation. Choices for paediatrics 1 year after qualifying fell from 7.8% of 1974 graduates to 5.0% of 1983 graduates, increased to 7.2% of 1993 graduates, and since the level has remained fairly constant. Approximately twice the percentage of women graduates than men graduates indicated a long-term career choice for paediatrics. A total of 44% of those who chose paediatrics 1 year after graduation were working in it 10 years after qualifying. Experience of the subject as a student, and enthusiasm/commitment: what I really want to do, affected long-term career choices more for paediatrics than for other medical careers.
The proportion of junior doctors wishing to become paediatricians has not changed much during the last 30 years. The planned increase in the number of medical school graduates is necessary to increase the number of UK-trained consultant paediatricians. Medical students who experience enthusiastic and stimulating training in paediatrics may be more likely to become paediatricians.
了解英国医生的职业意向和发展路径对于理解未来劳动力需求至关重要。本研究的目的是报告英国儿科的职业选择和职业发展情况。
对自1974年以来九个毕业年份所有英国医学院校的毕业生进行邮寄问卷调查。
毕业1年和3年时，分别有74%（24621/33412）和73%（20720/28459）的医生回复。毕业后1年选择儿科的比例从1974年毕业生的7.8%降至1983年毕业生的5.0%，随后升至1993年毕业生的7.2%，此后一直保持相当稳定的水平。选择儿科作为长期职业的女性毕业生比例约为男性毕业生的两倍。毕业后1年选择儿科的人中，共有44%在取得资格10年后仍从事该领域工作。学生时代对该学科的体验以及热情/投入程度（即我真正想做的事情），对儿科长期职业选择的影响比对其他医学职业的影响更大。
在过去30年中，希望成为儿科医生的初级医生比例变化不大。为增加英国培养的儿科顾问医生数量，医学院校毕业生数量的计划增加是必要的。在儿科接受热情且激励人心培训的医学生可能更有可能成为儿科医生。
