目的:调查英国医学院学生职业意向的差异。
方法:横截面,混合方法在线调查。
方法:主要研究包括所有44所英国医学院,这项分析包括42所医学院。
方法:一万四百八十六名英国医学生。
方法:医学生的职业意向,关注医学院之间的差异。次要结果包括医学生对NHS未来职业满意度的差异,医学院。
结果:2.89%的学生打算完全离开医学,剑桥医学院的受访者比例最高。32.35%的受访者计划移民实习,阿尔斯特医学院的学生是最有可能的。在那些打算移民的人中,中央兰开夏大学表示无意返回的比例最高。加的夫医学院在完成FY2后打算担任非培训临床职位的学生比例最高。35.23%的参与医学生打算在毕业后2年内离开NHS,布莱顿和苏塞克斯在这些受访者中所占比例最高。只有17.26%的人对在NHS工作的前景感到满意,在全国范围内差异很大;Barts和伦敦医科学生的不满率最高。
结论:这项研究揭示了英国医学院学生职业情绪的差异,强调需要注意影响这些趋势的因素。有相当比例的学生打算在毕业后的2年内退出NHS,机构之间有很大的差异。学生的意图可能受到各种因素的影响,包括课程重点和招聘实践。必须在医学院内重新评估这些方面,同时考虑到更广泛的国情,提高学生对NHS职业的看法。未来的研究应针对这些差异的根本原因,以促进职业满意度和保留率的提高。
OBJECTIVE: To investigate differences in students\' career intentions between UK medical schools.
METHODS: Cross-sectional, mixed-methods online survey.
METHODS: The primary study included all 44 UK medical schools, with this analysis comprising 42 medical schools.
METHODS: Ten thousand four hundred eighty-six UK medical students.
METHODS: Career intentions of medical students, focusing on differences between medical schools. Secondary outcomes included variation in medical students\' satisfaction with a prospective career in the NHS, by medical school.
RESULTS: 2.89% of students intended to leave medicine altogether, with Cambridge Medical School having the highest proportion of such respondents. 32.35% of respondents planned to emigrate for practice, with Ulster medical students being the most likely. Of those intending to emigrate, the University of Central Lancashire saw the highest proportion stating no intentions to return. Cardiff Medical School had the greatest percentage of students intending to assume non-training clinical posts after completing FY2. 35.23% of participating medical students intended to leave the NHS within 2 years of graduating, with Brighton and Sussex holding the highest proportion of these respondents. Only 17.26% were satisfied with the prospect of working in the NHS, with considerable variation nationally; Barts and the London medical students had the highest rates of dissatisfaction.
CONCLUSIONS: This study reveals variability in students\' career sentiment across UK medical schools, emphasising the need for attention to factors influencing these trends. A concerning proportion of students intend to exit the NHS within 2 years of graduating, with substantial variation between institutions. Students\' intentions may be shaped by various factors, including curriculum focus and recruitment practices. It is imperative to re-evaluate these aspects within medical schools, whilst considering the wider national context, to improve student perceptions towards an NHS career. Future research should target underlying causes for these disparities to facilitate improvements to career satisfaction and retention.