Medical graduates' early career choices of specialty and their eventual specialty destinations: UK prospective cohort studies
Open Access
- 5 July 2010
- Vol. 341 (jul06 1), c3199
- https://doi.org/10.1136/bmj.c3199
Abstract
Objective To report on doctors' early choices of specialty at selected intervals after qualification, and eventual career destinations. Design Questionnaire surveys. Setting United Kingdom. Participants Total of 15 759 doctors who qualified in 1974, 1977, 1983, 1993, and 1996, and their career destinations 10 years after graduation. Results 15 759 doctors were surveyed one and three years after graduation and 12 108 five years after graduation. Career preferences at years 1, 3, and 5, and destinations at 10 years, were known for, respectively, 64% (n=10 154), 62% (n=9702), and 61% (n=7429) of the survey population. In the 1993 and 1996 cohorts, career destinations matched with year 1 choices for 54% (1890/3508) of doctors in year 1, 70% (2494/3579) in year 3, and 83% (2916/3524) in year 5. Corresponding results for the earlier cohorts (1974-83) were similar: 53% (3310/6264), 74% (4233/5752), and 82% (2976/3646). The match rates varied by specialty; for example, the rates were consistently high for surgery. Career destinations matched with year 1 choices for 74% (722/982) of doctors who specified a definite (rather than probable or uncertain) specialty choice in their first postgraduate year. About half of those who chose a hospital specialty but did not eventually work in it were working in general practice by year 10. Conclusions Ten years after qualification about a quarter of doctors were working in a specialty that was different from the one chosen in their third year after graduation. This stayed reasonably constant across graduation cohorts despite the changes in training programmes over time. Subject to the availability of training posts, postgraduate training should permit those who have made early, definite choices to progress quickly into their chosen specialty, while recognising the need for flexibility for those who choose later.Keywords
This publication has 6 references indexed in Scilit:
- Career progression and destinations, comparing men and women in the NHS: postal questionnaire surveysBMJ, 2009
- Reasons why some UK medical graduates who initially choose psychiatry do not pursue it as a long-term careerPsychological Medicine, 2006
- Doctors' reasons for rejecting initial choices of specialties as long-term careers.Medical Education, 2003
- Women in hospital medicine in the United Kingdom: glass ceiling, preference, prejudice or cohort effect?Journal of Epidemiology and Community Health, 2000
- Reforming higher specialist training in the United Kingdom ? a step along the continuum of medical educationMedical Education, 1999
- Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983BMJ, 1996