Centre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen College of Life Sciences and Medicine, Aberdeen, UK
Lancashire Clinical Trials Unit, University of Aberdeen, Preston, UK.
BMJ Open. 2019 Nov 24;9(11):e032021. doi: 10.1136/bmjopen-2019-032021.
Knowledge about the career decisions of doctors in relation to specialty (residency) training is essential in terms of UK workforce planning. However, little is known about which doctors elect to progress directly from Foundation Year 2 (F2) into core/specialty/general practice training and those who instead opt for an alternative next career step.
To identify if there were any individual differences between these two groups of doctors.
This was a longitudinal, cohort study of 'home' students who graduated from UK medical schools between 2010 and 2015 and completed the Foundation Programme (FP) between 2012 and 2017.We used the UK Medical Education Database (UKMED) to access linked data from different sources, including medical school performance, specialty training applications and career preferences. Multivariable regression analyses were used to predict the odds of taking time out of training based on various sociodemographic factors.
18 380/38 905 (47.2%) of F2 doctors applied for, and accepted, a training post offer immediately after completing F2. The most common pattern for doctors taking time out of the training pathway after FP was to have a 1-year (7155: 38.8%) or a 2-year break (2605: 14.0%) from training. The odds of not proceeding directly into core or specialty training were higher for those who were male, white, entered medical school as (high) school leavers and whose parents were educated to degree level. Doctors from areas of low participation in higher education were significantly (0.001) more likely to proceed directly into core or specialty training.
The results show that UK doctors from higher socioeconomic groups are less likely to choose to progress directly from the FP into specialty training. The data suggest that widening access and encouraging more socioeconomic diversity in our medical students may be helpful in terms of attracting F2s into core/specialty training posts.
了解医生与专科（住院医师）培训相关的职业决策对于英国劳动力规划至关重要。然而，人们对哪些医生选择直接从基础年 2 级（F2）进入核心/专科/全科培训，以及哪些医生选择其他下一个职业步骤知之甚少。
确定这两组医生之间是否存在个体差异。
这是一项对 2010 年至 2015 年期间从英国医学院毕业并在 2012 年至 2017 年期间完成基础课程（FP）的“本地”学生进行的纵向队列研究。我们使用英国医学教育数据库（UKMED）从不同来源获取关联数据，包括医学院表现、专科培训申请和职业偏好。多变量回归分析用于根据各种社会人口因素预测因各种原因中断培训的可能性。
18380/38905（47.2%）名 F2 医生在完成 F2 后立即申请并接受了培训职位。完成 FP 后，医生离开培训途径的最常见模式是接受为期 1 年（7155 名：38.8%）或 2 年（2605 名：14.0%）的培训中断。那些男性、白人、作为（高中）毕业生进入医学院且父母受过大学教育的人，不直接进入核心或专科培训的可能性更高。来自高等教育参与度低的地区的医生更有可能（0.001）直接进入核心或专科培训。
结果表明，来自社会经济地位较高群体的英国医生不太可能选择直接从 FP 进入专科培训。数据表明，在我们的医学生中扩大机会并鼓励更多的社会经济多样性可能有助于吸引 F2 进入核心/专科培训职位。
