Lopes Joana, Ranieri Veronica, Lambert Trevor, Pugh Chris, Barratt Helen, Fulop Naomi J, Rees Geraint, Best Denise
Oxford University Clinical Academic Graduate School, John Radcliffe Hospital (Main Hospital), Oxford, UK.
Academic Careers Office, School of Life and Medical Sciences, University College London, London, UK.
BMJ Open. 2017 Aug 28;7(8):e016823. doi: 10.1136/bmjopen-2017-016823.
To examine clinical doctoral students' demographic and training characteristics, career intentions, career preparedness and what influences them as they plan their future careers.
Online cross-sectional census surveys at two research-intensive medical schools in England in 2015-2016.
All medically qualified PhD students (N=523) enrolled at the University of Oxford and University College London were invited to participate. We report on data from 320 participants (54% male and 44% female), who were representative by gender of the invited population.
Career intentions.
Respondents were mainly in specialty training, including close to training completion (25%, n=80), and 18% (n=57) had completed training. Half (50%, n=159) intended to pursue a clinical academic career (CAC) and 62% (n=198) were at least moderately likely to seek a clinical lectureship (CL). However, 51% (n=163) had little or no knowledge about CL posts. Those wanting a CAC tended to have the most predoctoral medical research experience (χ (2, N=305)=22.19, p=0.0005). Key reasons cited for not pursuing a CAC were the small number of senior academic appointments available, the difficulty of obtaining research grants and work-life balance.
Findings suggest that urging predoctoral clinicians to gain varied research experience while ensuring availability of opportunities, and introducing more flexible recruitment criteria for CL appointments, would foster CACs. As CL posts are often only open to those still in training, the many postdoctoral clinicians who have completed training, or nearly done so, do not currently gain the opportunity the post offers to develop as independent researchers. Better opportunities should be accompanied by enhanced career support for clinical doctoral students (eg, to increase knowledge of CLs). Finally, ways to increase the number of senior clinical academic appointments should be explored since their lack seems to significantly influence career decisions.
研究临床博士生的人口统计学和培训特征、职业意向、职业准备情况以及在规划未来职业时影响他们的因素。
2015 - 2016年在英格兰两所研究密集型医学院进行的在线横断面普查。
邀请了牛津大学和伦敦大学学院所有具有医学资格的博士生（N = 523）参与。我们报告了320名参与者的数据（男性占54%，女性占44%），他们在性别上代表了受邀人群。
职业意向。
受访者主要处于专科培训阶段，包括接近培训完成阶段（25%，n = 80），18%（n = 57）已完成培训。一半（50%，n = 159）打算从事临床学术职业（CAC），62%（n = 198）至少有一定可能性寻求临床讲师职位（CL）。然而，51%（n = 163）对CL职位了解甚少或一无所知。想要从事CAC的人往往拥有最多的博士前医学研究经验（χ(2, N = 305) = 22.19，p = 0.0005）。不追求CAC的主要原因是高级学术职位数量少、获得研究资助困难以及工作与生活的平衡。
研究结果表明，敦促博士前临床医生在确保有机会的同时获得多样化的研究经验，并为CL职位引入更灵活的招聘标准，将有助于培养临床学术人员。由于CL职位通常只对仍在培训的人员开放，许多已完成培训或即将完成培训的博士后临床医生目前没有获得该职位提供的作为独立研究人员发展的机会。更好的机会应伴随着为临床博士生提供增强的职业支持（例如，增加对CL职位的了解）。最后，应探索增加高级临床学术职位数量的方法，因为其数量不足似乎对职业决策有重大影响。
