Evidence map›Paper›PMID 23099446›Full record

ArticleThe British journal of psychiatry : the journal of mental science2013

Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009.

Michael J Goldacre, Seena Fazel, Fay Smith, Trevor Lambert

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
16.2field-weighted citation impact, top 1% of its field
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

33 citing papers in PubMed, 92 citations in OpenAlex.

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  4. Attitudes of final-year medical students towards psychiatry as a specialisation at a university in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  5. Explicating the implicit: An Australian medical student's reflection on the Perspectives of Psychiatry Program for International Learners (PoPPIL).Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2025
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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

4 authors at 2 institutions in 1 country.

Michael J GoldacreUK Medical Careers Research Group, Department of Public Health, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK. michael.goldacre@dph.ox.ac.uk
Seena Fazel
Fay Smith
Trevor Lambert
University of Oxford · GBWarneford Hospital · GB

Funding

Wellcome Trust 095806
6 · The paper itself

Abstract

backgroundRecruitment of adequate numbers of doctors to psychiatry is difficult.

aimsTo report on career choice for psychiatry, comparing intending psychiatrists with doctors who chose other clinical careers.

methodQuestionnaire studies of all newly qualified doctors from all UK medical schools in 12 qualification years between 1974 and 2009 (33 974 respondent doctors).

resultsOne, three and five years after graduation, 4-5% of doctors specified psychiatry as their first choice of future career. This was largely unchanged across the 35 years. Comparing intending psychiatrists with doctors who chose other careers, factors with a greater influence on psychiatrists' choice included their experience of the subject at medical school, self-appraisal of their own skills, and inclinations before medical school. In a substudy of doctors who initially considered but then did not pursue specialty choices, 72% of those who did not pursue psychiatry gave 'job content' as their reason compared with 33% of doctors who considered but did not pursue other specialties. Historically, more women than men have chosen psychiatry, but the gap has closed over the past decade.

conclusionsJunior doctors' views about psychiatry as a possible career range from high levels of enthusiasm to antipathy, and are more polarised than views about other specialties. Shortening of working hours and improvements to working practices in other hospital-based specialties in the UK may have reduced the relative attractiveness of psychiatry to women doctors. The extent to which views of newly qualified doctors about psychiatry can be modified by medical school education, and by greater exposure to psychiatry during student and early postgraduate years, needs investigation.

Indexed as

Attitude of Health PersonnelCareer ChoiceCohort StudiesCurriculumEducation, MedicalFemaleHumansMalePersonnel SelectionPhysiciansPsychiatrySchools, MedicalSex FactorsSpecializationSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID23099446
PMCPMC3585421
OpenAlexW2133092888

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.