Lambert Trevor W, Smith Fay, Goldacre Michael J
UK Medical Careers Research Group, Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK.
JRSM Open. 2014 Nov 4;5(11):2054270414554049. doi: 10.1177/2054270414554049. eCollection 2014 Nov.
We surveyed the UK medical qualifiers of 1993. We asked closed questions about their careers; and invited them to give us comments, if they wished, about any aspect of their work. Our aim in this paper is to report on the topics that this senior cohort of UK-trained doctors who work in UK medicine raised with us.
Questionnaire survey.
3479 contactable UK-trained medical graduates of 1993.
UK.
Comments made by doctors about their work, and their views about medical careers and training in the UK.
Postal and email questionnaires.
Response rate was 72% (2507); 2252 were working in UK medicine, 816 (36%) of whom provided comments. Positive comments outweighed negative in the areas of their own job satisfaction and satisfaction with their training. However, 23% of doctors who commented expressed dissatisfaction with aspects of junior doctors' training, the impact of working time regulations, and with the requirement for doctors to make earlier career decisions than in the past about their choice of specialty. Some doctors were concerned about government health service policy; others were dissatisfied with the availability of family-friendly/part-time work, and we are concerned about attitudes to gender and work-life balance.
Though satisfied with their own training and their current position, many senior doctors felt that changes to working hours and postgraduate training had reduced the level of experience gained by newer graduates. They were also concerned about government policy interventions.
我们对1993年获得英国医学资格的人员进行了调查。我们询问了有关他们职业的封闭式问题；并邀请他们（如果愿意的话）就工作的任何方面发表意见。本文的目的是报告这一批在英国从事医学工作的资深英国培训医生向我们提出的话题。
问卷调查。
3479名可联系到的1993年英国培训的医学毕业生。
英国。
医生对其工作的评论，以及他们对英国医学职业和培训的看法。
邮寄和电子邮件问卷。
回复率为72%（2507人）；2252人在英国从事医学工作，其中816人（36%）提供了评论。在对自身工作满意度和培训满意度方面，正面评论多于负面评论。然而，在发表评论的医生中，23%对初级医生培训的某些方面、工作时间规定的影响，以及医生比过去更早做出职业专业选择决定的要求表示不满。一些医生担心政府的医疗服务政策；另一些人对提供方便家庭/兼职工作的情况不满意，我们对性别态度和工作与生活平衡感到担忧。
尽管许多资深医生对自己的培训和目前的职位感到满意，但他们觉得工作时间和研究生培训的变化降低了新毕业生获得的经验水平。他们还担心政府的政策干预。
