Taylor Kathryn, Lambert Trevor, Goldacre Michael
UK Medical Careers Research Group, Department of Public Health, Oxford University Old Road Campus, Headington, Oxford OX3 7LF, UK.
J R Soc Med. 2008 Apr;101(4):182-90. doi: 10.1258/jrsm.2007.070276.
To report on the future career plans of senior doctors working in the NHS.
Postal questionnaires.
All doctors who qualified in 1977 from all UK medical schools.
Future plans and whether participants had any unmet needs for advice on how to put their future plans into effect.
25% definitely intended to continue with their current employment on the same basis until they retired; 75% hoped for change. A reduction in working hours was the most commonly desired change; but a substantial percentage also wanted changes in job content. 50% of respondents intended definitely (17%) or probably (33%) to work in the NHS to their normal retirement age; and 37% definitely (20%) or probably (17%) intended to retire early. 48% had made plans, in addition to the standard pension, to facilitate early retirement. The main factors given for considering early retirement were family reasons and wanting more time for leisure, a desire to maintain good health, excessive pressure of work, and disillusionment with NHS changes. A reduction in workload would be the greatest inducement to stay. 31% of respondents reported that they had unmet needs for advice about their future plans. Of these, about half were needs for advice about planning for retirement.
Many senior NHS doctors would like to reduce their working hours. Less than a quarter definitely intend to work in the NHS to normal retirement age. Even for senior doctors, advice on career development is needed.
报告在英国国家医疗服务体系（NHS）工作的资深医生的未来职业规划。
邮寄问卷调查。
1977年从英国所有医学院校毕业并取得资格的所有医生。
未来规划以及参与者在如何实施未来规划方面是否有未满足的建议需求。
25%的人明确打算在相同基础上继续当前工作直至退休；75%的人希望有所改变。减少工作时长是最普遍期望的改变；但也有相当比例的人希望工作内容有所变化。50%的受访者明确（17%）或可能（33%）打算在NHS工作至正常退休年龄；37%的人明确（20%）或可能（17%）打算提前退休。48%的人除了标准养老金外还制定了促进提前退休的计划。考虑提前退休的主要因素是家庭原因、希望有更多休闲时间、渴望保持健康、工作压力过大以及对NHS变革感到失望。工作量减少将是留任的最大诱因。31%的受访者表示他们在未来规划方面有未满足的建议需求。其中，约一半是关于退休规划的建议需求。
许多NHS资深医生希望减少工作时长。不到四分之一的人明确打算在NHS工作至正常退休年龄。即使是资深医生，也需要职业发展方面的建议。
