1993年在英国取得资格的医生与1974年、1977年、1980年及1983年取得资格的医生职业偏好比较。

Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983.

作者信息

Lambert T W, Goldacre M J, Edwards C, Parkhouse J

机构信息

Department of Public Health and Primary Care, University of Oxford.

出版信息

BMJ. 1996 Jul 6;313(7048):19-24. doi: 10.1136/bmj.313.7048.19.

DOI:10.1136/bmj.313.7048.19

PMID:8664763

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2351449/

Abstract

OBJECTIVE

To report the career preferences of doctors who qualified in the United Kingdom in 1993 and to compare their choices with those of earlier cohorts of qualifiers.

DESIGN

Postal questionnaires with structured questions, including questions about choice of future long term career, were sent to doctors a year after qualification.

SETTING

United Kingdom.

SUBJECTS

All medical qualifiers of 1993, comparing their replies with those from earlier studies of the qualifiers of 1974, 1977, 1980, and 1983.

MAIN OUTCOME MEASURES

Choice of future long term career and certainty of choice expressed at the end of the first year after qualification.

RESULTS

Questionnaires were sent to 3657 doctors. 2621 (71.7%) replied. Of the 2621 respondents, 70.5% (1849) stated that their first preference was for a career in hospital practice, 25.8% (677) specified general practice, 1.0% (25) specified public health medicine or community health, 1.4% (36) specified careers outside medicine, and 1.3% (34) did not state a choice. By contrast, 44.7% (1416/3168) of the doctors in the 1983 cohort had specified that their first preference was general practice. Among the 1993 qualifiers, general practice was the first career choice of 17.5% of men (227/1297) and 34.0% of women (450/1324). Only 7.4% of men (96/1297) stated that they definitely wanted to enter general practice. Only 7.8% (103/1324) of women qualifiers in 1993 expressed a career preference for surgical specialties. Within hospital practice, comparing 1993 with 1983, choices for the medical specialties and for accident and emergency medicine rose and those for pathology fell. Women were less definite than men about their choice of future long term career.

CONCLUSIONS

If the 1993 cohort is typical of the current generation of young doctors, there has been a substantial shift away from general practice as a career choice expressed at the end of the preregistration year. General practice was much more popular among women than men. Few women opted for surgery. The sex imbalance in the percentage of doctors who choose different mainstreams of medical practice seems set to continue.

摘要

目的

报告1993年在英国取得资格的医生的职业偏好，并将他们的选择与早期取得资格的同期群体进行比较。

设计

在医生取得资格一年后，通过邮寄包含结构化问题的问卷进行调查，这些问题包括关于未来长期职业选择的问题。

地点

英国。

研究对象

所有1993年取得医学资格的人员，并将他们的回答与之前对1974年、1977年、1980年和1983年取得资格人员的研究结果进行比较。

主要观察指标

取得资格后第一年末表达的未来长期职业选择及选择的确定性。

结果

向3657名医生发放了问卷。2621人（71.7%）回复。在2621名受访者中，70.5%（1849人）表示他们的首选是医院工作，25.8%（677人）选择全科医疗，1.0%（25人）选择公共卫生医学或社区卫生，1.4%（36人）选择医学以外的职业，1.3%（34人）未表明选择。相比之下，1983年那批医生中有44.7%（1416/3168）表示他们的首选是全科医疗。在1993年取得资格的人员中，全科医疗是17.5%的男性（227/1297）和34.0%的女性（450/1324）的第一职业选择。只有7.4%的男性（96/1297）表示他们肯定想从事全科医疗工作。1993年取得资格的女性中只有7.8%（103/1324）表示倾向于外科专科职业。在医院工作领域内，将1993年与1983年进行比较，医学专科以及急诊医学的选择增加，而病理学的选择减少。女性在未来长期职业选择上不如男性确定。