Evidence map›Paper›PMID 18387909›Full record

ArticleJournal of the Royal Society of Medicine2008

Future career plans of a cohort of senior doctors working in the National Health Service.

Kathryn Taylor, Trevor Lambert, Michael Goldacre

Abstract read
In one paragraph

Article in Journal of the Royal Society of Medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn TaylorUK Medical Careers Research Group, Department of Public Health, Oxford University Old Road Campus, Headington, Oxford OX3 7LF, UK.
Trevor Lambert
Michael Goldacre

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report on the future career plans of senior doctors working in the NHS.

designPostal questionnaires.

settingAll doctors who qualified in 1977 from all UK medical schools.

main outcome measuresFuture plans and whether participants had any unmet needs for advice on how to put their future plans into effect.

results25% definitely intended to continue with their current employment on the same basis until they retired; 75% hoped for change. A reduction in working hours was the most commonly desired change; but a substantial percentage also wanted changes in job content. 50% of respondents intended definitely (17%) or probably (33%) to work in the NHS to their normal retirement age; and 37% definitely (20%) or probably (17%) intended to retire early. 48% had made plans, in addition to the standard pension, to facilitate early retirement. The main factors given for considering early retirement were family reasons and wanting more time for leisure, a desire to maintain good health, excessive pressure of work, and disillusionment with NHS changes. A reduction in workload would be the greatest inducement to stay. 31% of respondents reported that they had unmet needs for advice about their future plans. Of these, about half were needs for advice about planning for retirement.

conclusionsMany senior NHS doctors would like to reduce their working hours. Less than a quarter definitely intend to work in the NHS to normal retirement age. Even for senior doctors, advice on career development is needed.

Indexed as

Career ChoiceIntentionCohort StudiesFemaleHumansJob SatisfactionMaleMiddle AgedPhysiciansState MedicineSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID18387909
PMCPMC2312387

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.