Medical Workforce Unit, Royal College of Physicians, London, UK.
Clin Med (Lond). 2013 Aug;13(4):330-5. doi: 10.7861/clinmedicine.13-4-330.
There are increasing concerns regarding the recruitment and retention within general medicine. National surveys were conducted among foundation year 2 doctors (FY2), year 1 and year 2 core medical trainees (CT1 and CT2) and medical registrars (StR/ST3+) exploring their enjoyment of medicine, overall satisfaction, career aspirations, influencing factors and perceptions of the medical registrar. The results highlight that many doctors at the FY2, CT1 and CT2 levels are being deterred from general medicine by the perceived unmanageable workload and poor work-life balance of the medical registrar. Medical registrars themselves are less satisfied in general internal medicine than they are in their main specialties. Therefore, priority needs to be placed on clarifying the roles, and improving the morale, of medical registrars. If current trends persist, these will have a significant impact on patient safety, patient care and workforce planning.
人们越来越关注普通医学领域的招聘和留用问题。在基础 2 年医生（FY2）、1 年和 2 年核心医学受训者（CT1 和 CT2）以及住院医师（StR/ST3+）中进行了全国性调查，探讨了他们对医学的喜爱程度、总体满意度、职业抱负、影响因素以及对住院医师的看法。结果表明，许多 FY2、CT1 和 CT2 级别的医生因为认为住院医师的工作量不可管理且工作与生活失衡，而对普通医学望而却步。住院医师本身对普通内科的满意度低于他们的主要专业。因此，需要优先明确住院医师的角色，并提高他们的士气。如果当前的趋势持续下去，这将对患者安全、患者护理和劳动力规划产生重大影响。
