From the Royal College of Physicians Edinburgh, 9 Queen Street, Edinburgh EH2 1JQ, UK.
QJM. 2018 May 1;111(5):313-318. doi: 10.1093/qjmed/hcy032.
Across the UK, there are vacant physician posts at every level. This increases workload and stress for those who remain, in turn making substantive jobs less attractive.
To understand the influences on career choice and retention in training of current trainee physicians.
An online survey, with a combination of closed and free text questions, was developed to assess factors that affected career choices. This was sent to all core and higher specialty trainees in Scotland and Associate or Collegiate members of the Royal College of Physicians Edinburgh not training in Scotland.
A total of 846 trainees responded, 231 of whom were trainee physicians; 161 (70%) of trainee physicians stated that experience prior to their current role had a very positive impact on career choice, particularly positive role modelling and informal career advice. Core trainees were less likely to report enjoying their job than higher specialty trainees with 31 (50%) found to enjoy their job 'always' or 'most of the time' in comparison to 114 (79%). About 181 (78%) of trainees selected through national recruitment of which 77 (42%) were moderately satisfied and 32 (8%) completely satisfied with the process. Uncertainty of job location and inability to demonstrate professional ability were the main complaints.
Career choices are influenced by role models and informal careers advice. Efforts must be made to improve the experience trainees, particularly those in core training. Current physicians, both trainees and consultants, have an important role in recruiting the next generation of trainee physicians-this must be supported.
在英国各地，各级别的医生岗位都有空缺。这增加了留下来的人的工作量和压力，使实质性的工作吸引力降低。
了解当前受训医生在培训中的职业选择和留任的影响因素。
开发了一项在线调查，其中结合了封闭式和自由文本问题，以评估影响职业选择的因素。该调查发给了苏格兰的所有核心和高级专科培训生以及不在苏格兰培训的爱丁堡皇家内科医学院的副学士或学士会员。
共有 846 名受训者作出回应，其中 231 名为受训医生；161 名（70%）受训医生表示，在当前角色之前的经验对职业选择有非常积极的影响，特别是积极的榜样作用和非正式的职业建议。核心培训生比高级专科培训生更不可能享受工作，只有 31 名（50%）表示总是或大部分时间享受工作，而 114 名（79%）则表示。大约 181 名（78%）通过国家招聘选拔的受训者中，有 77 名（42%）对招聘过程感到满意，32 名（8%）则完全满意。工作地点的不确定性和无法展示专业能力是主要的抱怨。
职业选择受到榜样和非正式职业建议的影响。必须努力改善受训者的经验，特别是那些在核心培训中的经验。目前的医生，包括受训医生和顾问，在招募下一代受训医生方面发挥着重要作用，必须支持这一点。
