Doctors' reasons for rejecting initial choices of specialties as long-term careers.

OBJECTIVES: To report on rejected choices of specialty as long-term careers and reasons for rejection. DESIGN: Postal questionnaire survey. SETTING: United Kingdom. PARTICIPANTS: All graduates of 1996 and 1999 from UK medical schools during their first year after qualification. MAIN OUTCOME MEASURE...

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Main Authors: Lambert, T, Davidson, J, Evans, J, Goldacre, M
Format: Journal article
Language:English
Published: 2003
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author Lambert, T
Davidson, J
Evans, J
Goldacre, M
author_facet Lambert, T
Davidson, J
Evans, J
Goldacre, M
author_sort Lambert, T
collection OXFORD
description OBJECTIVES: To report on rejected choices of specialty as long-term careers and reasons for rejection. DESIGN: Postal questionnaire survey. SETTING: United Kingdom. PARTICIPANTS: All graduates of 1996 and 1999 from UK medical schools during their first year after qualification. MAIN OUTCOME MEASURES: Any career choice which had been seriously considered and rejected and the reason for its rejection. RESULTS: In all, 33.1% (1871) of respondents named a rejected choice and gave reasons for its rejection. Disproportionately high numbers rejected the surgical specialties, paediatrics and obstetrics and gynaecology (OandG), using the specialty distribution of positive choices as the comparator. Relatively few doctors rejected general practice (GP) after giving it serious consideration. Doctors rejecting the hospital medical and surgical specialties or paediatrics were most likely to specify reasons relating to quality of life. Three-quarters of the graduates of 1999 who rejected OandG did so because of poor career prospects. CONCLUSIONS: Quality of life issues, and concerns about working relationships, are sufficiently influential to persuade many doctors to abandon an initial choice of medical career. It is unlikely that much of the decline in entry to GP is attributable to rejection of GP by doctors who initially chose it. The decline must therefore represent an increase in the number of doctors who had never seriously considered it as a long-term career choice.
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spelling oxford-uuid:a6f7b8b0-738e-4349-8ac8-766fea8b44652022-03-27T02:51:11ZDoctors' reasons for rejecting initial choices of specialties as long-term careers.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a6f7b8b0-738e-4349-8ac8-766fea8b4465EnglishSymplectic Elements at Oxford2003Lambert, TDavidson, JEvans, JGoldacre, M OBJECTIVES: To report on rejected choices of specialty as long-term careers and reasons for rejection. DESIGN: Postal questionnaire survey. SETTING: United Kingdom. PARTICIPANTS: All graduates of 1996 and 1999 from UK medical schools during their first year after qualification. MAIN OUTCOME MEASURES: Any career choice which had been seriously considered and rejected and the reason for its rejection. RESULTS: In all, 33.1% (1871) of respondents named a rejected choice and gave reasons for its rejection. Disproportionately high numbers rejected the surgical specialties, paediatrics and obstetrics and gynaecology (OandG), using the specialty distribution of positive choices as the comparator. Relatively few doctors rejected general practice (GP) after giving it serious consideration. Doctors rejecting the hospital medical and surgical specialties or paediatrics were most likely to specify reasons relating to quality of life. Three-quarters of the graduates of 1999 who rejected OandG did so because of poor career prospects. CONCLUSIONS: Quality of life issues, and concerns about working relationships, are sufficiently influential to persuade many doctors to abandon an initial choice of medical career. It is unlikely that much of the decline in entry to GP is attributable to rejection of GP by doctors who initially chose it. The decline must therefore represent an increase in the number of doctors who had never seriously considered it as a long-term career choice.
spellingShingle Lambert, T
Davidson, J
Evans, J
Goldacre, M
Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title_full Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title_fullStr Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title_full_unstemmed Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title_short Doctors' reasons for rejecting initial choices of specialties as long-term careers.
title_sort doctors reasons for rejecting initial choices of specialties as long term careers
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AT evansj doctorsreasonsforrejectinginitialchoicesofspecialtiesaslongtermcareers
AT goldacrem doctorsreasonsforrejectinginitialchoicesofspecialtiesaslongtermcareers