Literature DB >> 12014533

Recruitment of UK-trained doctors into general practice: findings from national cohort studies.

Trevor W Lambert1, Julie Evans, Michael J Goldacre.   

Abstract

BACKGROUND: In recent years there have been difficulties with recruitment in the United Kingdom (UK) to principalships in general practice. AIM: To compare recruitment trends in cohorts defined by year of qualification and to report attitudes of young doctors about the attractiveness of a career in general practice. DESIGN OF STUDY: Cohort studies.
SETTING: UK medical qualifiers in the years 1974, 1977, 1983, 1988, 1993, and 1996.
METHOD: Postal questionnaire surveys conductedfrom 1975 to 1999.
RESULTS: Five years after qualification, 23.8% of 1993 qualifiers were in UK general practice, compared with 25.9% and 32.8% of 1988 and 1983 qualifiers respectively. Six per cent of responders in the 1993 cohort were general practitioner (GP) principals, compared with 10% of the 1988 cohort and 20% of the 1983 cohort. Ten years after qualification, 37.7% of 1988 qualifiers and 42.7% of 1983 qualifiers were in UK general practice. Older GPs had lower job satisfaction than their contemporaries in hospital practice, while younger GPs were more satisfied than younger hospital doctors with the time available for leisure. Although young doctors are less inclined to enter general practice nowadays, over haf of the 1996 qualifiers, when surveyed in 1999, actually regarded general practice as a more attractive career than hospital practice.
CONCLUSION: Patterns of entry into and commitment to UK general practice are changing. Fewer young doctors are choosing and entering general practice and early commitment to full-time principalships is falling. The 1996 cohort, however, took an encouragingly positive view of the attractiveness of careers in general practice.

Mesh:

Year:  2002        PMID: 12014533      PMCID: PMC1314291     

Source DB:  PubMed          Journal:  Br J Gen Pract        ISSN: 0960-1643            Impact factor:   5.386


  5 in total

1.  Retention of young general practitioners entering the NHS from 1991-1992.

Authors:  D H Taylor; J A Quayle; C Roberts
Journal:  Br J Gen Pract       Date:  1999-04       Impact factor: 5.386

2.  The work commitments of British general practitioners: a national survey.

Authors:  M Baker; A Flett; J Williams
Journal:  Br J Gen Pract       Date:  2000-09       Impact factor: 5.386

3.  Recruitment, retention, and time commitment change of general practitioners in England and Wales, 1990-4: a retrospective study.

Authors:  D H Taylor; B Leese
Journal:  BMJ       Date:  1997-06-21

4.  Career choices at the end of the pre-registration year of doctors who qualified in the united kingdom in 1996.

Authors:  M J Goldacre; J M Davidson; T W Lambert
Journal:  Med Educ       Date:  1999-12       Impact factor: 6.251

5.  Career preferences of doctors who qualified in the United Kingdom in 1993 compared with those of doctors qualifying in 1974, 1977, 1980, and 1983.

Authors:  T W Lambert; M J Goldacre; C Edwards; J Parkhouse
Journal:  BMJ       Date:  1996-07-06
  5 in total
  14 in total

1.  Attitudes towards general practice are changing.

Authors:  Trevor Lambert; Julie Evans; Michael Goldacre
Journal:  BMJ       Date:  2002-06-15

2.  UK senior doctors' career destinations, job satisfaction, and future intentions: questionnaire survey.

Authors:  Jean M Davidson; Trevor W Lambert; Michael J Goldacre; James Parkhouse
Journal:  BMJ       Date:  2002-09-28

3.  Are we downhearted?

Authors:  David Jewell
Journal:  Br J Gen Pract       Date:  2003-02       Impact factor: 5.386

4.  Narrative-based medicine: a passing fad or a giant leap for general practice?

Authors:  John Launer
Journal:  Br J Gen Pract       Date:  2003-02       Impact factor: 5.386

5.  GP job satisfaction in view of contract reform: a national survey.

Authors:  Diane Whalley; Chris Bojke; Hugh Gravelle; Bonnie Sibbald
Journal:  Br J Gen Pract       Date:  2006-02       Impact factor: 5.386

6.  How does it feel to work as a doctor in the NHS?

Authors:  Mike Pringle
Journal:  J R Soc Med       Date:  2010-01       Impact factor: 5.344

7.  Trends in doctors' early career choices for general practice in the UK: longitudinal questionnaire surveys.

Authors:  Trevor Lambert; Michael Goldacre
Journal:  Br J Gen Pract       Date:  2011-07       Impact factor: 5.386

8.  Attracting and retaining GPs: a stakeholder survey of priorities.

Authors:  Vincent Lorant; Charlotte Geerts; Christiane Duchesnes; Jo Goedhuys; Lynn Ryssaert; Roy Remmen; William D'hoore
Journal:  Br J Gen Pract       Date:  2011-07       Impact factor: 5.386

9.  Vocation and avocation: leisure activities correlate with professional engagement, but not burnout, in a cross-sectional survey of UK doctors.

Authors:  I C McManus; Hallgeir Jonvik; Peter Richards; Elisabeth Paice
Journal:  BMC Med       Date:  2011-08-30       Impact factor: 8.775

10.  Career destinations, views and future plans of the UK medical qualifiers of 1988.

Authors:  Kathryn Taylor; Trevor Lambert; Michael Goldacre
Journal:  J R Soc Med       Date:  2010-01       Impact factor: 5.344

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