Maisonneuve Jenny J, Pulford Claire, Lambert Trevor W, Goldacre Michael J
Nuffield Department of Population Health, Oxford University, Rosemary Rue Building, Old Road Campus, Oxford OX3 7LF, UK.
Department of Trauma and Geratology, Oxford University Hospitals, Oxford OX3 9DU, UK.
Age Ageing. 2014 Jul;43(4):535-41. doi: 10.1093/ageing/aft211. Epub 2014 Jan 14.
numbers of elderly people are increasing worldwide. This increases the importance of the specialty of geriatric medicine. Recruitment to the specialty may not be keeping pace with need.
to report trends in junior doctors' career choices for geriatric medicine, factors that influence career choice, and associations between early career choices and later specialty destinations.
questionnaire surveys of all medical qualifiers from all UK medical schools in selected year-of-qualification cohorts (1974-2009). Survey response rates 1, 3 and 5 years after graduation were, respectively, 65.9% (33,972/51,535), 65.5% (29,400/44,879) and 66.1% (22,600/34,197).
geriatric medicine was the career choice of 0.9% of medical graduates (0.4% of men, 1.3% of women) 1 year after qualification; and of 1.5% (1.2% of men, 1.9% of women) after 5 years. There was a modest increase in recent cohorts. Important influences on career choice included enthusiasm for and commitment to the specialty, experience of working in geriatric medicine and self-appraisal of own skills. Early career choices were not highly predictive of later destinations. Of practising geriatricians in our surveys, 9% (20/212) had told us that they wanted to be geriatricians in their first year after graduation, as had 36% when in their third year and 74% in their fifth year.
a higher percentage of women than men choose geriatric medicine; in recent years its popularity has increased slightly. Early career choice is not highly predictive of an eventual career in the specialty. Flexibility is needed about when doctors can enter training in geriatric medicine.
全球老年人数量不断增加。这凸显了老年医学专科的重要性。该专科的人才招募可能无法满足需求。
报告初级医生选择老年医学作为职业的趋势、影响职业选择的因素，以及早期职业选择与后期专科方向之间的关联。
对英国所有医学院校在特定资格年份队列（1974 - 2009年）毕业的所有医学合格者进行问卷调查。毕业后1年、3年和5年的调查回复率分别为65.9%（33,972/51,535）、65.5%（29,400/44,879）和66.1%（22,600/34,197）。
资格认证后1年，0.9%的医学毕业生选择老年医学作为职业（男性为0.4%，女性为1.3%）；5年后这一比例为1.5%（男性为1.2%，女性为1.9%）。近年来的队列有适度增加。对职业选择的重要影响因素包括对该专科的热情和投入、在老年医学领域的工作经历以及对自身技能的自我评估。早期职业选择并不能很好地预测后期的职业方向。在我们的调查中，执业老年医学专家中，9%（20/212）在毕业后第一年表示想成为老年医学专家，在第三年时这一比例为36%，第五年时为74%。
选择老年医学的女性比例高于男性；近年来其受欢迎程度略有上升。早期职业选择并不能很好地预测最终从事该专科的职业。医生进入老年医学培训的时间需要有灵活性。
