ArticleBMJ open2017
Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
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- Socioeconomic Disparities in Research Participation: Bias in Plastic Surgery Residency Match.Plastic and reconstructive surgery. Global open · 2024Article
- Exploring gender differences in uptake of GP partnership roles: a qualitative mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Article
- Differential attainment, socioeconomic factors and surgical training.Annals of the Royal College of Surgeons of England · 2022Article
- International medical graduates: how can UK psychiatry do better?BJPsych bulletin · 2021Article
- Predictors of ophthalmology career success (POCS) study.BMJ open ophthalmology · 2021Article
- Factors influencing medical students' choice of specialization: A gender based systematic review.EClinicalMedicine · 2020Article
- Article
- Relationship between sociodemographic factors and specialty destination of UK trainee doctors: a national cohort study.BMJ open · 2019Article
- Effect of sex on specialty training application outcomes: a longitudinal administrative data study of UK medical graduates.BMJ open · 2019Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for.
designDescriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty.
settingDoctors in training in the United Kingdom in 2013.
participants27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013.
main outcome measuresMixed logit regression estimates and the corresponding odds ratios (calculated separately for all doctors in training and a subsample comprising those educated in the UK), relating gender, age, ethnicity, place of studies, socioeconomic background and parental education to the probability of training for a particular specialty.
resultsBeing female and being white British increase the chances of being in general practice with respect to any other specialty, while coming from a better-off socioeconomic background and having parents with tertiary education have the opposite effect. Mixed results are found for age and place of studies. For example, the difference between men and women is greatest for surgical specialties for which a man is 12.121 times more likely to be training to a surgical specialty (relative to general practice) than a woman (p-value<0.01). Doctors who attended an independent school which is proxy for doctor's socioeconomic background are 1.789 and 1.413 times more likely to be training for surgical or medical specialties (relative to general practice) than those who attended a state school (p-value<0.01).
conclusionsThere are systematic and substantial differences between specialties in respect of training doctors' gender, ethnicity, age and socioeconomic background. The persistent underrepresentation in some specialties of women, minority ethnic groups and of those coming from disadvantaged backgrounds will impact on the representativeness of the profession into the future. Further research is needed to understand how the processes of selection and the self-selection of applicants into specialties gives rise to these observed differences.
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