Institute of Education for Medical and Dental Sciences, School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK.
North Deanery, National Health Service (NHS) Education for Scotland, Aberdeen, UK.
Med Educ. 2017 Aug;51(8):839-851. doi: 10.1111/medu.13257. Epub 2017 Mar 14.
Many individual- and job-related factors are known to influence medical careers decision making. Previous research has extensively studied medical trainees' (residents') and students' views of the factors that are important. However, how trainees and students trade off these factors at times of important careers-related decision making is under-researched. Information about trade-offs is crucial to the development of effective policies to enhance the recruitment and retention of junior doctors.
Our aim was to investigate the strength of UK medical students' preferences for the characteristics of training posts in terms of monetary value.
We distributed a paper questionnaire that included a discrete choice experiment (DCE) to final-year medical students in six diverse medical schools across the UK. The main outcome measure was the monetary value of training post characteristics, based on willingness to forgo and willingness to accept extra income for a change in each job characteristic calculated from regression coefficients.
A total of 810 medical students answered the questionnaire. The presence of good working conditions was by far the most influential characteristic of a training position. Medical students consider that, as newly graduated doctors, they will require compensation of an additional 43.68% above average earnings to move from a post with excellent working conditions to one with poor working conditions. Female students value excellent working conditions more highly than male students, whereas older medical students value them less highly than younger students.
Students on the point of completing medical school and starting postgraduate training value good working conditions significantly more than they value desirable geographical location, unit reputation, familiarity with the unit or opportunities for partners or spouses. This intelligence can be used to address the crisis in workforce staffing that has developed in the UK and opens up fruitful areas for future research across contexts and in terms of examining stated preferences versus actual career-related behaviour.
许多个体和工作相关的因素被认为会影响医学职业决策。先前的研究已经广泛研究了医学受训者（住院医师）和学生对重要因素的看法。然而，在与职业相关的重要决策时，受训者和学生如何权衡这些因素的研究还很不足。有关权衡的信息对于制定有效的政策以增强初级医生的招聘和留用至关重要。
我们的目的是调查英国医学生对培训职位特征的偏好程度在金钱价值方面的强度。
我们向英国六所不同医学院的最后一年医学生分发了纸质问卷，其中包括离散选择实验（DCE）。主要观察指标是根据放弃意愿和愿意接受额外收入来换取每个工作特征变化的意愿，从回归系数计算得出培训职位特征的货币价值。
共有 810 名医学生回答了问卷。良好的工作条件显然是培训职位最具影响力的特征。医学生认为，作为刚毕业的医生，他们需要比平均收入高出 43.68%的额外补偿，才能从工作条件极好的岗位转到工作条件极差的岗位。女学生比男学生更看重出色的工作条件，而年长的医学生则不如年轻的学生看重工作条件。
即将完成医学院学业并开始研究生培训的学生非常重视良好的工作条件，而不是理想的地理位置、单位声誉、对单位的熟悉程度或为伴侣或配偶提供的机会。这种信息可以用于解决英国劳动力配置方面出现的危机，并为跨背景和检查陈述偏好与实际职业相关行为的未来研究开辟富有成果的领域。
