英国医生在早期选择全科医学职业的趋势：纵向问卷调查。
Trends in doctors' early career choices for general practice in the UK: longitudinal questionnaire surveys.
机构信息
UK Medical Careers Research Group, Department of Public Health, University of Oxford, Oxford, UK.
出版信息
Br J Gen Pract. 2011 Jul;61(588):e397-403. doi: 10.3399/bjgp11X583173.
BACKGROUND
The percentage of newly qualified doctors in the UK who want a career in general practice declined substantially in the 1990s. The English Department of Health expects that half of all doctors will become GPs.
AIM
To report on choices for general practice made by doctors who qualified in 2000, 2002, 2005, 2008, and 2009.
DESIGN AND SETTING
A structured, closed questionnaire about future career intentions, sent to all UK medical graduates.
METHOD
Questionnaires sent 1 year after qualification (all cohorts) and 3 years after (all except 2008 and 2009).
RESULTS
Percentages of doctors who expressed an unreserved first choice for general practice in the first year after qualification, in the successive five cohorts, were 22.2%, 20.2%, 23.2%, 21.3%, and 20.4%. Percentages who expressed any choice for general practice - whether first, second or third - were 46.5%, 43.4%, 52.6%, 49.5%, and 49.9%. Three years after qualification, an unreserved first choice was expressed, in successive cohorts, by 27.9%, 26.1%, and 35.1%. Doctors from newly established English medical schools showed the highest levels of choice for general practice.
CONCLUSION
The percentage of doctors, in their first post-qualification year, whose first choice of eventual career was general practice has not changed much in recent years. By year 3 after qualification, this preference has increased in recent years. At years 1 and 3, the overall first choice for general practice is considerably lower than the required 50%, but varies substantially by medical school. In depth studies of why this is so are needed.
背景
在 20 世纪 90 年代，英国新获得资格的医生中希望从事普通科医学的人数大幅下降。英国卫生部预计，将有一半的医生成为全科医生。
目的
报告 2000 年、2002 年、2005 年、2008 年和 2009 年获得资格的医生对普通科医学的选择。
设计与设置
一份关于未来职业意向的结构化、封闭式问卷，发给所有英国医学毕业生。
方法
在获得资格后的第一年（所有队列）和第三年（除 2008 年和 2009 年以外的所有队列）发送问卷。
结果
在获得资格后的第一年，表达对普通科医学的无保留第一选择的医生比例，在连续五个队列中，分别为 22.2%、20.2%、23.2%、21.3%和 20.4%。表达任何普通科医学选择的医生比例，无论是第一、第二还是第三，分别为 46.5%、43.4%、52.6%、49.5%和 49.9%。在获得资格后的第三年，连续的队列中分别有 27.9%、26.1%和 35.1%表达了无保留的第一选择。来自新成立的英国医学院的医生表现出对普通科医学的最高选择水平。
结论
在最近几年，刚获得资格后的第一年，将普通科医学作为最终职业选择的医生比例变化不大。在获得资格后的第三年，这种偏好近年来有所增加。在第一年和第三年，对普通科医学的总体第一选择明显低于 50%的要求，但因医学院校而有很大差异。需要深入研究为什么会这样。
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