Evidence map›Paper›PMID 31383694›Full record

ArticleBMJ open2019

Does initial postgraduate career intention and social demographics predict perceived career behaviour? A national cross-sectional survey of UK postgraduate doctors.

Gillian Marion Scanlan, Jennifer Cleland, Suzanne Anderson Stirling, Kim Walker, Peter Johnston

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 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

5 authors.

Gillian Marion ScanlanCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-3510-7938
Jennifer ClelandCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen, Aberdeen, UK.
Suzanne Anderson StirlingMedical Directorate, NHS Education for Scotland (West Region), Glasgow, UK.
Kim WalkerCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen, Aberdeen, UK.
Peter JohnstonCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen, Aberdeen, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStudies indicate that initial career intentions and personal characteristics (eg, gender) can influence medical career decision-making. However, little is known about how personal characteristics and intention interact with career decision-making. To address this gap, we examined the link between career intention at the start of the 2-year UK Foundation Programme (FP) and career intentions on its completion.

methodsData came from the 2017 UK National Career Destination Survey, a cross-sectional study completed by all second year foundation doctors. We included respondents' demographics (gender, graduate status on entry to medical school, career intention on starting the FP) and career intention as an outcome measure (eg, specialty (residency) training (UK), NHS non-training posts/further study, career break, working abroad). Multinomial regression was used to assess the independent relationship between background characteristics and career intention.

resultsThere were 6890 participants and 5570 usable responses. 55.9% of respondents were female and 43.1% were male, 77.1% were non-graduates and 22.9% were graduate entrants to medical school. Approximately two-thirds (62.3%, n=2170) of doctors who had an original intention to pursue specialty training after F2, still intended to do so on completion. Most of those who stated at the start of F2 that they did not want to pursue specialty indicated at the end of F2 they would be undertaking other employment opportunities outwith formal training. However, 37.7% of respondents who originally intended to pursue specialty training on FP completion did something different. Graduate entrants to medicine were more likely to immediately progress into specialty training compared with their peers who did medicine as a primary first degree.

conclusionOriginal intention is a strong predictor of career intentions at the end of the FP. However, a considerable proportion of doctors changed their mind during the FP. Further research is needed to understand this behaviour.

Indexed as

Career ChoiceCareer MobilityIntentionAdultAttitude of Health PersonnelCross-Sectional StudiesDecision MakingEducational StatusEducation, ContinuingEducation, Medical, GraduateFemaleHumansIndividualityMaleMedicinePhysiciansapplied psychologypostgraduate trainingquantitativesocial psychology

Identifiers

PMID31383694
PMCPMC6688694

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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.