How do workplaces, working practices and colleagues affect UK doctors' career decisions? A qualitative study of junior doctors' career decision making in the UK

BMJ Open
Sharon SpoonerKath Checkland

Abstract

This study draws on an in-depth investigation of factors that influenced the career decisions of junior doctors. Junior doctors in the UK can choose to enter specialty training (ST) programmes within 2 years of becoming doctors. Their specialty choices contribute to shaping the balance of the future medical workforce, with views on general practice (GP) careers of particular interest because of current recruitment difficulties. This paper examines how experiences of medical work and perceptions about specialty training shape junior doctors' career decisions. Twenty doctors in the second year of a Foundation Training Programme in England were recruited. Purposive sampling was used to achieve a diverse sample from respondents to an online survey. Narrative interviewing techniques encouraged doctors to reflect on how experiences during medical school and in medical workplaces had influenced their preferences and perceptions of different specialties. They also spoke about personal aspirations, work priorities and their wider future.Junior doctors' decisions were informed by knowledge about the requirements of ST programmes and direct observation of the pressures under which ST doctors worked. When they encountered negative attitude...Continue Reading

Citations

Apr 28, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sharon SpoonerJohn L Campbell
Jul 19, 2018·The New England Journal of Medicine·David A AschSanjay V Desai
Jan 13, 2019·Postgraduate Medical Journal·Penny J LewisMary P Tully
Jul 25, 2019·The European Journal of General Practice·Gunver LillevangNiels Kristian Kjær
Feb 13, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Cara KangRebecca Farrington
Dec 19, 2019·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Michael HarrisElaine Wainwright
Sep 15, 2019·British Dental Journal·Sami StagnellSam Shah
May 22, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sharon SpoonerKath Checkland
Sep 4, 2020·Medical Teacher·Poompong SripaRadhakrishnan Muthukumar
Oct 26, 2018·Medical Education·Jennifer Cleland, Steven J Durning
Jul 20, 2018·The New England Journal of Medicine·Andre Kumar, Jeffrey Chi
Oct 14, 2020·The Clinical Teacher·Binyamin Damola AdioAlin-Ioan Suseanu
Nov 22, 2020·International Journal of Environmental Research and Public Health·Belinda O'SullivanPriya Martin
Jan 16, 2021·Human Resources for Health·Yingxi ZhaoMike English
May 5, 2021·Medical Education·Helen R Church, Steven J Agius
Jul 25, 2021·Archives of public health = Archives belges de santé publique·Gosha WojcikKalliopi Kydonaki
Oct 8, 2021·BMC Health Services Research·Megan SmithSharon Buckley
Apr 1, 2021·Neurosurgical Focus·Julie WoodfieldEllie Edlmann

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