Department of Dermatology, Birmingham Skin Centre, City Hospital, Birmingham, UK.
The Welsh Institute of Dermatology, University Hospital of Wales, Cardiff, UK.
Clin Exp Dermatol. 2021 Jun;46(4):687-693. doi: 10.1111/ced.14524. Epub 2021 Jan 17.
Junior doctors are required to make career decisions at an early stage in their postgraduate training. Trainees also feel inadequately prepared for the transition to consultant roles.
To explore the key factors influencing the choice of dermatology as a postgraduate medical career and to identify the training needs required for transition from trainee to consultant.
An online questionnaire was designed to identify (i) why trainees chose a postgraduate medical career in dermatology, and (ii) the training required for transition from trainee to consultant.
In total, 46 responses were received from trainees in their first to final years (ST3-6), of whom 89% had undertaken an undergraduate dermatology placement, with a median duration of 2 weeks. Dermatology was considered as a career during medical school by 61% of trainees, and 41% confirmed their decision to pursue a career in dermatology during foundation training. The most influential factors involved in speciality selection were first, enjoyment of the work, second, postgraduate experience and equal third, the variety of the speciality and the regularity of working hours (P < 0.05). Mentoring was pivotal to career decision-making. Significant numbers of trainees expressed a need for training in medical leadership, such as running an outpatient clinic and supervising clinical multidisciplinary teams. Although larger numbers of trainees had training in management of dermatology services, such as service improvement (52%) and local governance/National Health Service structures (43%), significant numbers of trainees had no training in writing job plans (89%) or business plans (85%). Training was significantly deficient for personal management and self-awareness.
Our study highlights important considerations in career decision-making for trainees. Training in medical leadership, management and self-awareness could be enhanced to ensure that trainees feel adequately equipped for consultant roles.
初级医生在研究生培训的早期阶段就需要做出职业决策。学员也觉得自己没有为过渡到顾问角色做好充分的准备。
探讨影响选择皮肤科作为研究生医学职业的关键因素，并确定从学员过渡到顾问所需的培训需求。
设计了一份在线问卷，以确定（i）学员选择皮肤科研究生医学职业的原因，以及（ii）从学员过渡到顾问所需的培训。
共收到来自 ST3-6 年级的 46 名学员的回复，其中 89%的学员接受过本科皮肤科实习，平均时长为 2 周。61%的学员在医学院期间就考虑过从事皮肤科工作，41%的学员在基础培训期间确认了从事皮肤科工作的决定。影响专业选择的最重要因素是：第一，对工作的享受；第二，研究生经历；平等的第三，专业的多样性和工作时间的规律性（P<0.05）。指导对职业决策至关重要。相当多的学员表示需要培训医学领导力，如管理门诊和监督临床多学科团队。尽管有更多的学员接受了皮肤科服务管理方面的培训，如服务改进（52%）和地方治理/国民保健服务结构（43%），但相当多的学员没有接受过写工作计划（89%）或业务计划（85%）的培训。培训在个人管理和自我意识方面明显不足。
我们的研究强调了学员职业决策中的重要考虑因素。可以加强医学领导力、管理和自我意识方面的培训，以确保学员为顾问角色做好充分准备。
