School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Bristol Medical School, University of Bristol, Bristol, UK.
BMC Med Educ. 2024 May 31;24(1):604. doi: 10.1186/s12909-024-05366-6.
To investigate differences in students' career intentions between UK medical schools.
Cross-sectional, mixed-methods online survey.
The primary study included all 44 UK medical schools, with this analysis comprising 42 medical schools.
Ten thousand four hundred eighty-six UK medical students.
Career intentions of medical students, focusing on differences between medical schools. Secondary outcomes included variation in medical students' satisfaction with a prospective career in the NHS, by medical school.
2.89% of students intended to leave medicine altogether, with Cambridge Medical School having the highest proportion of such respondents. 32.35% of respondents planned to emigrate for practice, with Ulster medical students being the most likely. Of those intending to emigrate, the University of Central Lancashire saw the highest proportion stating no intentions to return. Cardiff Medical School had the greatest percentage of students intending to assume non-training clinical posts after completing FY2. 35.23% of participating medical students intended to leave the NHS within 2 years of graduating, with Brighton and Sussex holding the highest proportion of these respondents. Only 17.26% were satisfied with the prospect of working in the NHS, with considerable variation nationally; Barts and the London medical students had the highest rates of dissatisfaction.
This study reveals variability in students' career sentiment across UK medical schools, emphasising the need for attention to factors influencing these trends. A concerning proportion of students intend to exit the NHS within 2 years of graduating, with substantial variation between institutions. Students' intentions may be shaped by various factors, including curriculum focus and recruitment practices. It is imperative to re-evaluate these aspects within medical schools, whilst considering the wider national context, to improve student perceptions towards an NHS career. Future research should target underlying causes for these disparities to facilitate improvements to career satisfaction and retention.
调查英国医学院学生职业意向的差异。
横断面、混合方法在线调查。
主要研究包括所有 44 所英国医学院，本分析包括 42 所医学院。
10486 名英国医学生。
医学生的职业意向，重点关注医学院之间的差异。次要结果包括医学生对在国民保健服务体系（NHS）从事未来职业的满意度的差异，按医学院划分。
2.89%的学生完全打算离开医学领域，剑桥医学院的此类答复比例最高。32.35%的受访者计划移民行医，其中阿尔斯特医学院的学生最有可能。打算移民的人中，中央兰开夏大学的学生比例最高，他们表示没有回国的打算。卡迪夫医学院有最多的学生打算在完成 FY2 后担任非培训临床职位。35.23%的参与医学生打算在毕业后 2 年内离开 NHS，布莱顿和苏塞克斯的这一比例最高。只有 17.26%的学生对在 NHS 工作的前景感到满意，全国范围内差异很大；Barts and the London 医学院的学生最不满意。
本研究揭示了英国医学院学生职业情绪的变化，强调需要关注影响这些趋势的因素。相当一部分学生打算在毕业后 2 年内离开 NHS，各机构之间存在很大差异。学生的意向可能受到各种因素的影响，包括课程重点和招聘实践。必须在医学院内重新评估这些方面，同时考虑更广泛的国家背景，以提高学生对 NHS 职业的看法。未来的研究应针对这些差异的根本原因，以促进职业满意度和保留率的提高。
