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首页> 外文期刊>Postgraduate Medical Journal >Views of UK doctors in training on the timing of choosing a clinical specialty: quantitative and qualitative analysis of surveys 3 years after graduation
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Views of UK doctors in training on the timing of choosing a clinical specialty: quantitative and qualitative analysis of surveys 3 years after graduation

机译：在选择临床专业时机的培训中的意见：毕业后3年调查的定量和定性分析

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摘要

Background Workforce studies show a declining proportion of UK junior doctors proceeding directly to specialist training, with many taking career breaks. Doctors may be choosing to delay this important career decision. Aim To assess doctors' views on the timing of choosing a clinical specialty. Methods Surveys of two cohorts of UK-trained doctors 3 years after qualification, in 2011 and 2015. Results Presented with the statement 'I had to choose my career specialty too soon after qualification', 61% agreed (27% strongly) and 22% disagreed (3% strongly disagreed). Doctors least certain about their choice of specialty were most likely to agree (81%), compared with those who were more confident (72%) or were definite regarding their choice of long-term specialty (54%). Doctors not in higher specialist training were more likely to agree with this statement than those who were (72% vs 59%). Graduate medical school entrants (ie, those who had completed prior degrees) were less likely to agree than non-graduates (56% vs 62%). Qualitative analysis of free text comments identified three themes as reasons why doctors felt rushed into choosing their future career: insufficient exposure to a wide range of specialties; a desire for a greater breadth of experience of medicine in general; and inadequate career advice. Conclusions Most UK-trained doctors feel rushed into choosing their long-term career specialty. Doctors find this difficult because they lack sufficient medical experience and adequate career advice to make sound choices. Workforce trainers and planners should enable greater flexibility in training pathways and should further improve existing career guidance.
机译：背景技术劳动力研究表明，英国初级医生直接向专业培训进行了下降的比例，许多职业生涯休息。医生可能会选择推迟这一重要的职业决定。旨在评估医生对选择临床专业的时间的看法。方法在资格后3年后，2011年和2015年的两位训练有素的医生队的调查。在陈述的情况下，“我不得不在资格认证后尽快选择我的职业专业”，同意61％（强劲27％）和22％不同意（3％强烈不同意）。除了更自信（72％）或明确有关他们选择的长期专业的人（54％）的人相比，医生最有可能同意（81％）的特色不高于专业培训的医生更有可能与这一陈述同意（72％vs 59％）。研究生医学学校参赛者（即完成现有度数的人）比非毕业生（56％与62％）同意。对自由文本评论的定性分析确定了三个主题作为医生们衷心地选择他们未来的职业的原因：不足以暴露于各种各样的专业;渴望一般宽阔的医学经验;职业建议不足。结论大多数英国培训的医生都感到急于选择他们的长期职业专业。医生发现这很困难，因为他们缺乏足够的医学经验和充分的职业建议来做出健全的选择。劳动力培训师和规划人员应在培训途径方面具有更大的灵活性，并进一步提高现有的职业指导。

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  • 来源
    《Postgraduate Medical Journal》 |2018年第1117期|共6页
  • 作者

    Lachish Shelly; Goldacre Michael J.; Lambert Trevor William;

  • 作者单位

    Univ Oxford Nuffield Dept Populat Hlth Unit Hlth Care Epidemiol UK Med Careers Res Grp Oxford;

    Univ Oxford Nuffield Dept Populat Hlth Unit Hlth Care Epidemiol UK Med Careers Res Grp Oxford;

    Univ Oxford Nuffield Dept Populat Hlth Unit Hlth Care Epidemiol UK Med Careers Res Grp Oxford;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
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