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

Abstract:
Objective To 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. Design National survey using online and postal questionnaires. Setting UK. Participants UK-trained medical graduates. Main outcome measures Grouped and individual specialty choices. Results The 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. Conclusions Career 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.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/postgradmedj-2017-135309

Authors


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Institution:
University of Oxford
Division:
MSD
Department:
Nuffield Department of Population Health
Sub department:
Population Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
Nuffield Department of Population Health; Population Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
Nuffield Department of Population Health; Population Health
Role:
Author


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Grant:
Policy Research Programme 016/0118


Publisher:
BMJ Publishing Group
Journal:
Postgraduate Medical Journal More from this journal
Volume:
94
Issue:
1110
Pages:
191-197
Publication date:
2018-02-13
Acceptance date:
2018-01-28
DOI:
EISSN:
1469-0756
ISSN:
0032-5473


Language:
English
Pubs id:
pubs:824722
UUID:
uuid:7c42a813-e247-43b5-ab1c-6d5f66bf1a8a
Local pid:
pubs:824722
Source identifiers:
824722
Deposit date:
2018-02-15

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