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Biomedical subjects

J Parkhouse

Publications and source records attributed to J Parkhouse.

At least 19 recordsLinked to original sources

Anaesthetics: career choices and experiences.

At the pre-registration stage, about 4% of doctors who qualified in 1974 and about 5% of 1977 qualifiers gave anaesthetics as a first choice of career. Over the few years after qualifying, both cohorts showed a net gain in career preferences for anaesthetics. The progress of those choosing anaesthetics is described, and also the career paths of those becoming senior registrars in the specialty. Postgraduate qualifications, non-anaesthetic and overseas experience are analysed. Discussion deals with breadth of experience, women doctors and manpower implications.

Anesthesiology

Emigration patterns among 1974 British medical graduates.

For 96.7% of identified qualifiers from British medical schools in 1974, career information was available concerning experience outside the United Kingdom. A total of 34.2% of respondents had been abroad at some time by 1987, the peak period being 6 years after qualifying when over 15% were abroad. Twelve per cent were still abroad 13 years after qualifying. Compared to English and Welsh medical schools, Scotish medical schools produced higher percentages of qualifiers who were abroad and who intended not to practise in the United Kingdom. The commonest reasons for going abroad were adventure, travel, vacation, better lifestyle and living conditions, and better career prospects. Further aspects of motivation for travel abroad and return to the United Kingdom are discussed.

Emigration and Immigration

Medicine as a career among 1974 and 1977 British medical qualifiers.

Information was obtained for about 95% of 1974 and 1977 qualifiers from British/UK medical schools. The percentages giving medicine as a career choice were much lower some years after qualifying than in the pre-registration year. A third of those working in medicine 13 years after qualifying were consultants, but 9 years after qualifying almost 90% of those who had initially given medicine as a first career choice had not become senior registrars or consultants in a medical discipline. Just over 6% of respondents had obtained medical experience abroad at some stage. Only 10 consultants in medical disciplines described having worked in general practice. Among 1974 qualifiers who had been medical registrars, 34% were medical consultants, 6% were consultants in non-medical specialties and 20% were general practitioners, when surveyed 13 years after qualifying. Details are given of individual medical specialties.

Career Choice

Doctors qualifying from United Kingdom medical schools during the calendar years 1977 and 1983.

At the conclusion of undergraduate medical education in the United Kingdom most students pass a university qualifying examination and obtain a degree in medicine and surgery. Some students pass an external non-university qualifying examination in medicine as an alternative to obtaining a degree, and some do both. The degree may be obtained in the same year as the non-university qualifying examination, or in a different year. Some students from a medical school intake qualify in a later year than expected, for various reasons. Data from university, Health Department and other sources may relate to the academic year, the calendar year, or a fixed date such as 30 September. It is not a simple exercise, therefore, to define the exact number of people who qualify to practise medicine, for the first time, in any given 'year'. In counting qualifiers from individual medical schools, the problems are further compounded by the movement of students between the preclinical and clinical stages of the course, particularly from Oxford and Cambridge to London teaching hospitals. This paper analyses the situation for the calendar years 1977 and 1983, showing a decline in the number of students obtaining double (i.e. both university and non-university) qualifications. The number of UK graduates not registering with the General Medical Council to practise, at least for a time, in the UK was small, and the population base compiled for Medical Career Research Group studies was reasonably accurate in each of the 2 years examined.

Humans

Postgraduate qualifications of British doctors.

Among British-qualified doctors of 1974 and 1977, about 80% held postgraduate qualifications of some kind. The commonest qualifications were DRCOG, MRCP and MRCOG. There were considerable differences between medical schools in the numbers of qualifiers taking various examinations. Apart from the MRC Psych, DRCOG and Family Planning Certificate, qualifications were more commonly held by men than women. Tables show the type of work being done 9-13 years after leaving medical school by holders of various postgraduate qualifications; e.g. 60% of MRCP holders were working in medicine or a medical specialty and 84% of FRCS holders in general surgery or a surgical specialty. Discussion deals with the plurality, specificity, variability, perceived necessity, sufficiency, international utility and career significance of British postgraduate qualifications.

Career Choice

Reasons for doctors' career choice and change of choice.

In a study of doctors who qualified from British medical schools in 1974 and 1977, which was carried out five to 11 years after graduation, frequent changes of career choice were found. Most of these changes occurred at a relatively early stage. There was a shift of choices towards general practice, and to a lesser extent other specialties, predominantly from medicine, surgery, and paediatrics. Great importance was attached to self evaluation of aptitude and ability as a factor in determining the choice of career and also to awareness of promotion prospects and difficulties. The absence of or failure of careers advice to influence choice of career was notable as was the little importance attached to financial circumstances. Domestic circumstances were an important determinant, particularly for general practice and for women doctors. Among those who qualified in 1980 and 1983, at the preregistration stage, domestic circumstances were less important than they were for slightly older doctors, but undergraduate experience had a greater influence. Contact with a particular teacher or department was not, however, a notable element in this.

Attitude of Health Personnel

Medical manpower two years on.

Medical manpower in Britain, with particular reference to the NHS, was analysed for 1976 and 1977. The output of British medical schools increased. The total of doctors in the NHS rose by 2% between 1975 and 1976 and by 2.4% between 1976 and 1977. The highest and lowest growth rates were in junior and senior hospital staff grades respectively, while the highest growth rate in career grades seemed to be in community medicine and health. The inflow of overseas doctors remained high, though few tended to remain permanently in Britain. Continuous evaluation of the medical manpower position is needed before long-term predictions can confidently be made.

Foreign Medical Graduates