scholarly journals Career choices for nephrology and factors influencing them: surveys of UK medical graduates

JRSM Open ◽  
2018 ◽  
Vol 9 (8) ◽  
pp. 205427041879302 ◽  
Author(s):  
Atena Barat ◽  
Michael J Goldacre ◽  
Trevor W Lambert
Keyword(s):  
Career Choices ◽  
Postgraduate Training ◽  
Early Career ◽  
Junior Doctors ◽  
Factors Affecting ◽  
Career Preference ◽  
Medical Graduates ◽  
Career Specialty ◽  
Career Preferences ◽  
Survey Questionnaires

Objectives To study early and eventual career choices for nephrology among UK medical graduates and investigate factors which influenced career preferences. Design Self-completed survey questionnaires mailed to medical graduates 1, 3, 5 and 10 years after graduation. Setting United Kingdom. Participants UK medical graduates in 15 year-of-qualification cohorts between 1974 and 2015. Main outcome measures Early career specialty choices, career specialty destinations at 10 years and ratings of factors affecting career choices. Results Around 0.4%–1.1% of these junior doctors expressed a career preference for nephrology, varying by year of qualification and years after qualification. Among all graduates of 1993–2002 combined, 0.4% expressed a career preference for nephrology 1 year after qualification rising to 1.0% in year 5. Among graduates of 2005–2008, the corresponding figures were 1.0% in year 1 falling to 0.7% in year 5. Only 18% of doctors who chose nephrology in year 1 eventually became nephrologists. Of doctors who were practising as nephrologists for 10 years and more after qualification, 74% of the women and 56% of the men had decided to pursue a career in nephrology by year 5 after qualification. ‘Enthusiasm/commitment’ had a great deal of influence on those who chose nephrology, for all cohorts and all years studied. Conclusions The most recent data suggest that the proportion of young doctors who sustain an interest in nephrology through the early postgraduate training years may be lower than among their predecessors. Efforts are needed to reverse the declining trend and increase interest in nephrology.

scholarly journals Junior doctors’ aspirations for careers in ophthalmology: 40 years of surveys of UK medical graduates

JRSM Open ◽  
2020 ◽  
Vol 11 (5) ◽  
pp. 205427041989215
Author(s):  
Trevor W Lambert ◽  
Atena Barat ◽  
Michael J Goldacre
Keyword(s):  
Systematic Change ◽  
Junior Doctors ◽  
Clinical Exposure ◽  
Career Preference ◽  
Medical Graduates ◽  
First Choice ◽  
Questionnaire Surveys ◽  
Using Data ◽  
One Year ◽  
Career Specialty

Objective Using data from 40 years of national surveys of UK medical graduates, we report on ophthalmology as a career choice. Design, setting, and participants Self-administered questionnaire surveys of all graduates from all UK medical schools in selected years of qualification between 1974 and 2015. Main outcome measures Career specialty preferences of doctors one, three, and five years after graduation; career specialty destinations 10 years after graduation. Results One year after graduation, ophthalmology was the first career preference of 1.6% of the qualifiers of 1974–83, 2.2% of 1993–2002, and 1.8% of 2005–15. The corresponding percentages three years after graduation were 1.5, 1.8, and 1.2%. Men were more likely than women to choose ophthalmology: among graduates of 2005–15, 2.4% of men and 1.4% of women did so at one year, as did 1.7% of men and 0.7% of women at five years. Seventy per cent of doctors practising as ophthalmologists 10 years after qualification had told us in their first post-qualification year that ophthalmology was their first choice of career. Conclusions There has been no systematic change in recent years in the proportion of recent medical graduates intending to have a career in ophthalmology when surveyed one year after graduation. However, the proportion at three and five years after graduation was lower than that at year 1. Suggestions for maintaining interest in the specialty include improved career advice, greater early clinical exposure to ophthalmology, and improved access to flexible training. Most practising ophthalmologists had made early decisions that this was their intended career.

scholarly journals Career choices for obstetrics and gynaecology: recent updates from 40 years of national surveys of UK medical graduates

JRSM Open ◽  
2019 ◽  
Vol 10 (10) ◽  
pp. 205427041986161 ◽  
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
Gender Gap ◽  
Career Choices ◽  
Career Pathways ◽  
Specialty Choice ◽  
Early Career ◽  
Medical Graduates ◽  
Obstetrics And Gynaecology ◽  
First Choice ◽  
Questionnaire Surveys ◽  
Career Specialty

Summary Objective To report doctors' early career choices for obstetrics and gynaecology, their eventual career destinations and factors influencing their career pathways. Design Multi-cohort multi-purpose national questionnaire surveys of medical graduates in selected graduation years between 1974 and 2015. Setting UK. Participants UK-trained medical graduates. Main outcome measures Career specialty choices; certainty about specialty choice; factors which influenced doctors' career choices; career specialty destinations 10 years after graduation. Results Obstetrics and Gynaecology was the first choice of career for 5.7% of post-2002 graduates in year 1, 4.3% in year 3 and 3.8% in year 5. A much higher percentage of women than men specified Obstetrics and Gynaecology as their first choice: in year 1, 7.7% of women and 2.3% of men did so. The gender gap has widened since the 1970s and 1980s. In recent years, of those who specified Obstetrics and Gynaecology as their first choice in year 1 after graduation, 48% were working in Obstetrics and Gynaecology in year 10 (63% of men, 45% of women). Looking backwards from career destinations, 85% of doctors working in Obstetrics and Gynaecology in year 10 had specified Obstetrics and Gynaecology as a first, second or third choice of preferred career in year 1. Conclusions Interest in Obstetrics and Gynaecology among UK graduates appears to be exceeding the demand for new specialists. Policy needs to address risks of over-production of trainees and ensure that some graduates interested in Obstetrics and Gynaecology consider alternative careers. The large gender imbalance should encourage consideration of the reasons for men choosing Obstetrics and Gynaecology in falling numbers.

scholarly journals The Significance of Experiencing Clinical Responsibilities for Specialty Career Choice

2019 ◽  
Vol 30 (1) ◽  
pp. 163-171 ◽  
Author(s):  
Sophie Querido ◽  
Marlies De Rond ◽  
Lode Wigersma ◽  
Sjoukje van den Broek ◽  
Olle ten Cate
Keyword(s):  
Medical Students ◽  
Clinical Experience ◽  
Career Choices ◽  
Medical Doctor ◽  
Preference Change ◽  
Career Preference ◽  
Clinical Responsibility ◽  
Therapeutic Decisions ◽  
Key Factor ◽  
Career Preferences

Abstract Aim Medical trainees make career choices in the final year of medical school or after graduation, if they do not continue with residency directly. Most Dutch medical students are trained in vertically integrated (VI) curricula, with early clinical experience and a gradual increase in clinical responsibilities. Students in such curricula have been reported to make career choices at an earlier stage than graduates from more traditionally designed curricula. Many Dutch graduates build further clinical experience after graduation as physicians-not-in-training (PNITs) before beginning residency. We explored how students make career choices and whether pre-residency clinical responsibilities influence this choice. Method A qualitative study with a phenomenology approach was used. The authors conducted a longitudinal interview study of medical students with two intervals over a 2-year period. The interview questions covered how trainees establish career preferences and which factors affect preference and choice over time. Results Experiencing clinical responsibility was a key factor for career preference during all interview rounds. Being a PNIT who makes diagnostic and therapeutic decisions, have their own patients and have significant patient care responsibilities creates opportunities to build an image of a future context of employment. Some participants mentioned that their experience of having full responsibility as a PNIT was pivotal in a career preference change. Conclusion Clinical responsibility as a student or a PNIT appears to be important for career preference and choice. The experience of responsibility as a medical doctor forces trainees to reflect on personal needs and to consider which career preference fits best.

scholarly journals Career choices, determinants, and need for medical career introduction among medical students

2017 ◽  
Vol 5 (5) ◽  
pp. 1998
Author(s):  
Rizma Adlia Syakurah ◽  
Yayi Suryo Prabandari ◽  
. Widyandana ◽  
Amitya Kumara
Keyword(s):  
Medical Students ◽  
Social Factors ◽  
Career Choices ◽  
Point Of View ◽  
Personal Interest ◽  
Cross Sectional ◽  
Career Preference ◽  
Medical Career ◽  
Main Determinants ◽  
Career Preferences

Background: Having a specific assessment on medical students’ career preferences, their determinants for choosing them, and finding whether a career intervention in introducing career choices is consider needed in students’ point of view is important to generate an effective and suitable intervention for medical students, and can give appropriate support to the students. This study aimed to discover medical students’ career choices and their reasons for choosing those careers to find out their preferences. This study will also try to find their need of medical career intervention.Methods: The study conducted in cross sectional approach, und self-administered questionnaires was used to obtain the data.Results: Among 269 students, specialist is still considered as the most chosen career preference (75%) on students first, second and third choices. Followed by general practitioner, and hospital management. There was 7,8% of undecided students, and more that 75% students don’t have second and/or third career alternatives. Determinants of career choices with most votes are personal interest, social factors and experiences, with 35% of the students claiming not to know their reason for choosing their career preferences. Almost all the students agreed on wanting some activities to expose themselves to career choices, and they choose their first year, followed by third year and clerkship year as their preferred time to do the activities.Conclusions: Specialist is still the most sought out medical career, with personal interest and social factors as their main determinants. Career choices are needed to be introduce to students so they can have more options to choose from, and start to explore their career early.

On the early career choices of medical graduates

BMJ ◽  
1997 ◽  
Vol 314 (7085) ◽  
pp. 2-2
Author(s):  
J. Ford
Keyword(s):  
Career Choices ◽  
Early Career ◽  
Medical Graduates

scholarly journals Career specialty choices of UK medical graduates of 2015 compared with earlier cohorts: questionnaire surveys

2018 ◽  
Vol 94 (1110) ◽  
pp. 191-197 ◽  
Author(s):  
Trevor William Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
General Practice ◽  
Response Rate ◽  
Junior Doctors ◽  
Medical Specialties ◽  
Medical Graduates ◽  
Questionnaire Surveys ◽  
One Year ◽  
Career Specialty ◽  
Over Time

ObjectiveTo report the career specialty choices of UK medical graduates of 2015 one year after graduation and to compare these with the choices made at the same postgraduate stage by previous cohorts.DesignNational survey using online and postal questionnaires.SettingUK.ParticipantsUK-trained medical graduates.Main outcome measuresGrouped and individual specialty choices.ResultsThe response rate was 41.3% (3040/7095). Among the graduates of 2015, general practice (27.8% of first choices) and hospital medical specialties (26.5%) were the most frequent first choices of long-term career. First choices for general practice declined among women from 36.1% for the 2005–2009 cohorts to 33.3% for the 2015 cohort, and among men from 22.4% for the 2005–2009 cohorts to 19.3% for the 2015 cohort. First choices for surgery declined among men (from 29.5% for the 2005–2009 cohorts to 21.7% for the 2015 cohort), but not among women (12.3% for the 2005–2009 cohorts and 12.5% for the 2015 cohort). There was an increase in the percentage of first choices for anaesthesia, psychiatry, radiology and careers outside medicine. Anaesthesia, oncology, paediatrics and radiology increased in popularity over time among men, but not among women.ConclusionsCareer choices for general practice remain low. Other current shortage specialties, apart from radiology and psychiatry, are not showing an increase in the number of doctors who choose them. Large gender differences remain in the choices for some specialties. Further work is needed into the determinants of junior doctors’ choices for shortage specialties and those with large gender imbalances.

scholarly journals Early career choices for emergency medicine and later career destinations: national surveys of UK medical graduates

JRSM Open ◽  
2020 ◽  
Vol 11 (8) ◽  
pp. 205427042096159
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
Emergency Medicine ◽  
Career Pathways ◽  
Specialty Choice ◽  
Early Career ◽  
Medical Graduates ◽  
Large Numbers ◽  
Questionnaire Surveys ◽  
Career Preferences ◽  
Self Administered Questionnaire

Objective To report doctors’ early career preferences for emergency medicine, their eventual career destinations and factors influencing their career pathways. Design Self-administered questionnaire surveys. Setting United Kingdom. Participants All graduates from all UK medical schools in selected graduation years between 1993 and 2015. Main outcome measures Choices for preferred eventual specialty; eventual career destinations; certainty about choice of specialty; correspondence between early specialty choice for emergency medicine and eventually working in emergency medicine. Results Emergency medicine was chosen by 5.6% of graduates of 2015 when surveyed in 2016, and 7.1% of graduates of 2012 surveyed in 2015. These figures represent a modest increase compared with other recent cohorts, but there is no evidence of a sustained long-term trend of an increase. More men than women specified emergency medicine – in 2016 6.6% vs. 5.0%, and in 2015 7.9% vs. 6.5%. Doctors choosing emergency medicine were less certain about their choice than doctors choosing other specialties. Of graduates of 2005 who chose emergency medicine in year 1, only 18% were working in emergency medicine in year 10. Looking backwards, from destinations to early choices, 46% of 2005 graduates working in emergency medicine in 2015 had specified emergency medicine as their choice of eventual specialty in year 1. Conclusions There was no substantial increase across the cohorts in choices for emergency medicine. Policy should address how to encourage more doctors to choose the specialty, and to create a future UK health service environment in which those who choose emergency medicine early on do not later change their minds in large numbers.

scholarly journals UK-Trained Doctors' Early Career Choices and Career Progression in Individual Surgical Specialties

2013 ◽  
Vol 95 (5) ◽  
pp. 1-6 ◽  
Author(s):  
MJ Goldacre ◽  
T Lambert ◽  
G Surman
Keyword(s):  
Career Choices ◽  
Career Progression ◽  
Early Career ◽  
First Year ◽  
Specialty Training ◽  
Nationwide Study ◽  
Career Specialty

The planning of specialty training should be informed by knowledge of when doctors make decisions about their choice of career specialty. Our UK nationwide study of career choices showed that about 90% of practising surgeons had indicated their wish to become surgeons when asked during their first year after qualification. Career choices for the surgical specialties as a whole were compared with career choices for non-surgical specialties. We now report on early career choices of and career progression in individual specialties in surgery.

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