OBJECTIVE:To report the trends in career choices for obstetrics and gynaecology among UK medical graduates. DESIGN:Postal questionnaire surveys of qualifiers from all UK medical schools in nine qualification years since 1974. SETTING:United Kingdom. POPULATION:All graduates from UK medical schools in 1974, 1977, 1980, 1983, 1993, 1996, 1999, 2000 and 2002. METHODS:Postal questionnaire surveys. MAIN OUTCOME MEASURES:Career choices for obstetrics and gynaecology and factors influencing career choices for obstetrics and gynaecology. RESULTS:Seventy-four percent (24,623/33,417) and 73% (20,709/28,468) of doctors responded at 1 and 3 years after qualification. Choices for obstetrics and gynaecology fell sharply during the 1990s from 4.2% of 1996 qualifiers to 2.2% of 1999 qualifiers, and rose slightly to 2.8% of 2002 qualifiers. Only 0.8% of male graduates of 2002 chose obstetrics and gynaecology compared with 4.1% of women. Forty-six percent of those who chose obstetrics and gynaecology 1 year after qualification were working in it 10 years after qualifying. Experience of the subject as a student, and the influence of a particular teacher or department, affected long-term career choices more for obstetrics and gynaecology than for other careers. CONCLUSIONS:The unwillingness of young doctors to enter obstetrics and gynaecology may be attributable to concerns about workforce planning and career progression problems, rather than any lack of enthusiasm for the specialty. The number of men choosing obstetrics and gynaecology is now very small; the reasons and the future role of men in the specialty need to be debated.

译文

目的:报告英国医学毕业生在妇产科职业选择的趋势。
设计:自1974年以来的九个资格年内,对来自英国所有医学院校的合格者进行邮政问卷调查。
地点:英国。
人口:1974年,1977年,1980年,1983年,1993年,1996年,1999年,2000年和2002年来自英国医学院的所有毕业生。
方法:邮政问卷调查。
主要观察指标:妇产科职业选择和影响妇产科职业选择的因素。
结果:在合格后1年和3年,有74%(24,623 / 33,417)和73%(20,709 / 28,468)的医生有反应。妇产科的选择在1990年代急剧下降,从1996年合格者的4.2%降至1999年合格者的2.2%,略升至2002年合格者的2.8%。 2002年,只有0.8%的男性毕业生选择了妇产科,而女性的这一比例为4.1%。合格后1年选择产科和妇科的人中有46%在合格后10年从事该领域的工作。该学科作为学生的经历以及特定老师或系的影响,对妇产科的长期职业选择的影响比对其他职业的影响更大。
结论:年轻医生不愿进入妇产科可能是由于对劳动力规划和职业发展问题的担忧,而不是由于对该专业没有热情。现在选择产科和妇科的男人人数很少。男性在专业领域的原因和未来角色有待商debate。

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