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

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. PARTI...

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Detalles Bibliográficos
Autores principales: Barat, Atena, Goldacre, Michael J, Lambert, Trevor W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111404/
https://www.ncbi.nlm.nih.gov/pubmed/30181891
http://dx.doi.org/10.1177/2054270418793024
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author Barat, Atena
Goldacre, Michael J
Lambert, Trevor W
author_facet Barat, Atena
Goldacre, Michael J
Lambert, Trevor W
author_sort Barat, Atena
collection PubMed
description 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.
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spelling pubmed-61114042018-09-04 Career choices for nephrology and factors influencing them: surveys of UK medical graduates Barat, Atena Goldacre, Michael J Lambert, Trevor W JRSM Open Research 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. SAGE Publications 2018-08-06 /pmc/articles/PMC6111404/ /pubmed/30181891 http://dx.doi.org/10.1177/2054270418793024 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research
Barat, Atena
Goldacre, Michael J
Lambert, Trevor W
Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title_full Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title_fullStr Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title_full_unstemmed Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title_short Career choices for nephrology and factors influencing them: surveys of UK medical graduates
title_sort career choices for nephrology and factors influencing them: surveys of uk medical graduates
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111404/
https://www.ncbi.nlm.nih.gov/pubmed/30181891
http://dx.doi.org/10.1177/2054270418793024
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