UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

The specialty choices of graduates from Brighton and Sussex medical School: a longitudinal cohort study

Woolf, KVM; Elton, C; Newport, MJ; (2015) The specialty choices of graduates from Brighton and Sussex medical School: a longitudinal cohort study. BMC Medical Education , 15 (46) 10.1186/s12909-015-0328-z. Green open access

[img]
Preview
PDF
WoolfEltonNewport-2015-CareerChoice.pdf

Download (731kB)

Abstract

Background Since 2007 junior doctors in the UK have had to make major career decisions at a point when previously many had not yet chosen a specialty. This study examined when doctors in this new system make specialty choices, which factors influence choices, and whether doctors who choose a specialty they were interested in at medical school are more confident in their choice than those doctors whose interests change post-graduation. Methods Two cohorts of students in their penultimate year at one medical school (n = 227/239) were asked which specialty interested them as a career. Two years later, 210/227 were sent a questionnaire measuring actual specialty chosen, confidence, influence of perceptions of the specialty and experiences on choice, satisfaction with medicine, personality, self-efficacy, and demographics. Medical school and post-graduation choices in the same category were deemed ‘stable’. Predictors of stability, and of not having chosen a specialty, were calculated using bootstrapped logistic regression. Differences between specialties on questionnaire factors were analysed. Results 50% responded (n = 105/277; 44% of the 239 Year 4 students). 65% specialty choices were ‘stable’. Factors univariately associated with stability were specialty chosen, having enjoyed the specialty at medical school or since starting work, having first considered the specialty earlier. A regression found doctors who chose psychiatry were more likely to have changed choice than those who chose general practice. Confidence in the choice was not associated with stability. Those who chose general practice valued lifestyle factors. A psychiatry choice was associated with needing a job and using one’s intellect to help others. The decision to choose surgical training tended to be made early. Not having applied for specialty training was associated with being lower on agreeableness and conscientiousness. Conclusion Medical school experiences are important in specialty choice but experiences post-graduation remain significant, particularly in some specialties (psychiatry in our sample). Career guidance is important at medical school and should be continued post-graduation, with senior clinicians supported in advising juniors. Careers advice in the first year post-graduation may be particularly important, especially for specialties which have difficulty recruiting or are poorly represented at medical school.

Type: Article
Title: The specialty choices of graduates from Brighton and Sussex medical School: a longitudinal cohort study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12909-015-0328-z
Publisher version: http://dx.doi.org/10.1186/s12909-015-0328-z
Language: English
Additional information: © 2015 Woolf et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: http://discovery.ucl.ac.uk/id/eprint/1375601
Downloads since deposit
175Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item