Evidence map›Paper›PMID 30181891›Full record

ArticleJRSM open2018

Career choices for nephrology and factors influencing them: surveys of UK medical graduates.

Atena Barat, Michael J Goldacre, Trevor W Lambert

Abstract read
In one paragraph

Article in JRSM open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Residents' Perception of the Nephrology Specialty.Kidney international reports · 2020
    Article
  7. Factors affecting senior medical students' career choice.International journal of medical education · 2018
    Article
  8. Article
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.

Atena BaratUK Medical Careers Research Group, Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.ORCID 0000-0002-7300-805X
Michael J GoldacreUK Medical Careers Research Group, Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
Trevor W LambertUK Medical Careers Research Group, Unit of Health-Care Epidemiology, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.ORCID 0000-0001-9688-3036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study early and eventual career choices for nephrology among UK medical graduates and investigate factors which influenced career preferences.

designSelf-completed survey questionnaires mailed to medical graduates 1, 3, 5 and 10 years after graduation.

settingUnited Kingdom.

participantsUK medical graduates in 15 year-of-qualification cohorts between 1974 and 2015.

main outcome measuresEarly career specialty choices, career specialty destinations at 10 years and ratings of factors affecting career choices.

resultsAround 0.4%-1.1% of these junior doctors expressed a career preference for nephrology, varying by year of qualification and years after qualification. Among all graduates of 1993-2002 combined, 0.4% expressed a career preference for nephrology 1 year after qualification rising to 1.0% in year 5. Among graduates of 2005-2008, the corresponding figures were 1.0% in year 1 falling to 0.7% in year 5. Only 18% of doctors who chose nephrology in year 1 eventually became nephrologists. Of doctors who were practising as nephrologists for 10 years and more after qualification, 74% of the women and 56% of the men had decided to pursue a career in nephrology by year 5 after qualification. 'Enthusiasm/commitment' had a great deal of influence on those who chose nephrology, for all cohorts and all years studied.

conclusionsThe most recent data suggest that the proportion of young doctors who sustain an interest in nephrology through the early postgraduate training years may be lower than among their predecessors. Efforts are needed to reverse the declining trend and increase interest in nephrology.

Indexed as

career choicedoctorsmedical educationnephrologyspecialisationworkforce

Identifiers

PMID30181891
PMCPMC6111404

What OpenQuestion holds

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Registered trials

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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.