Atkins J, Warren R, Hilton P
Royal College of Obstetrics and Gynaecology, UK.
Br J Obstet Gynaecol. 1996 Dec;103(12):1243-6. doi: 10.1111/j.1471-0528.1996.tb09636.x.
To determine the numbers of doctors leaving the specialty after obtaining the Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG), and the factors influencing their decisions to seek alternative career paths.
Retrospective postal questionnaire based survey.
One hundred and sixty-eight doctors who had passed the MRCOG examination between 1985 and 1988 but were not known to have achieved Consultant or Senior Registrar status in the British Isles by 1993.
The response rate was 80%. The crude leaving rate was 31%, although 7.5% had never intended to seek consultant appointment in the specialty in the UK. The majority left shortly after obtaining the Part 2 MRCOG examination, 75% within the first two years thereafter. The perception of the lifestyle of a consultant and poor job prospects were commonly seen as the critical factors causing trainees of both sexes to leave the specialty, although hours of work was the single most commonly cited factor among female trainees.
A consistently high rate of loss from the specialty of obstetrics and gynaecology has been demonstrated in surveys covering the period 1978 to 1988. Approximately one-quarter of this loss reflects trainees who had never intended to pursue consultant appointment in the specialty in the British Isles, half reflects factors which may improve with the implementation of the recommendations contained in the New Deal and the 'Calman' report, and one-quarter reflects loss for inevitable reasons. Loss of trainees for these reasons is therefore a crucial element in manpower calculations.
确定获得皇家妇产科医学院院士资格（MRCOG）后离开该专业的医生人数，以及影响他们选择其他职业道路的因素。
基于邮寄问卷的回顾性调查。
1985年至1988年间通过MRCOG考试，但截至1993年在英伦三岛尚未取得顾问医生或高级注册医生职位的168名医生。
回复率为80%。粗略的离职率为31%，尽管7.5%的人从未打算在英国从事该专业的顾问医生工作。大多数人在获得MRCOG第二部分考试资格后不久就离开了，75%的人在之后的两年内离开。对顾问医生生活方式的看法以及糟糕的工作前景通常被视为导致男女实习医生离开该专业的关键因素，尽管工作时长是女性实习医生最常提到的单一因素。
在1978年至1988年期间的调查中，妇产科专业一直呈现出较高的人员流失率。大约四分之一的流失反映了那些从未打算在英伦三岛从事该专业顾问医生工作的实习医生，一半反映了随着《新政》和《卡尔曼报告》中建议的实施可能会改善的因素，四分之一反映了不可避免的流失。因此，由于这些原因导致的实习医生流失是人力计算中的一个关键因素。
