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The role of medical schools in UK students’ career intentions: findings from the AIMS study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2024年5月31日

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  • Tomas Ferreira,
  • Alexander M. Collins,
  • Arthur Handscomb,
  • Dania Al-Hashimi,
  • Tomas Ferreira,
  • Alexander M. Collins,
  • Rita Horvath,
  • Oliver Feng,
  • Richard J. Samworth,
  • Mario K. Teo,
  • Crispin C. Wigfield,
  • Maeve K. Mulchrone,
  • Alisha Pervaiz,
  • Heather A. Lewis,
  • Anson Wong,
  • Buzz Gilks,
  • Charlotte Casteleyn,
  • Sara Kidher,
  • Erin Fitzsimons-West,
  • Tanzil Rujeedawa,
  • Meghna Sreekumar,
  • Eliza Wade,
  • Juel Choppy-Madeleine,
  • Yasemin Durmus,
  • Olivia King,
  • Yu Ning Ooi,
  • Malvi Shah,
  • Tan Jit Yih,
  • Samantha Burley,
  • Basma R. Khan,
  • Emma Slack,
  • Rishik S. Pilla,
  • Jenny Yang,
  • Vaishvi Dalal,
  • Brennan L. Gibson,
  • Emma Westwood,
  • Brandon S. H. Low,
  • Sara R. Sabur,
  • Wentin Chen,
  • Maryam A. Malik,
  • Safa Razzaq,
  • Amardeep Sidki,
  • Giulia Cianci,
  • Felicity Greenfield,
  • Sajad Hussain,
  • Alexandra Thomas,
  • Annie Harrison,
  • Hugo Bernie,
  • Luke Dcaccia,
  • Linnuel J. Pregil,
  • Olivia Rowe,
  • Ananya Jain,
  • Gregory K. Anyaegbunam,
  • Syed Z. Jafri,
  • Sudhanvita Arun,
  • Alfaiya Hashmi,
  • Ankith Pandian,
  • Joseph R. Nicholson,
  • Hannah Layton-Joyce,
  • Kouther Mohsin,
  • Matilda Gardener,
  • Eunice C. Y. Kwan,
  • Emily R. Finbow,
  • Sakshi Roy,
  • Zoe M. Constantinou,
  • Mackenzie Garlick,
  • Clare L. Carney,
  • Samantha Gold,
  • Bilal Qureshi,
  • Daniel Magee,
  • Grace Annetts,
  • Khyatee Shah,
  • Kholood T. Munir,
  • Timothy Neill,
  • Gurpreet K. Atwal,
  • Anesu Kusosa,
  • Anthony Vijayanathan,
  • Mia Mäntylä,
  • Momina Iqbal,
  • Sara Raja,
  • Tushar Rakhecha,
  • Muhammad H. Shah,
  • Pranjil Pokharel,
  • Ashna Anil,
  • Kate Stenning,
  • Katie Appleton,
  • Keerthana Uthayakumar,
  • Rajan Panacer,
  • Yasmin Owadally,
  • Dilaxiha Rajendran,
  • Harsh S. Modalavalasa,
  • Marta M. Komosa,
  • Morea Turjaka,
  • Sruthi Saravanan,
  • Amelia Dickson,
  • Jack M. Read,
  • Georgina Cooper,
  • Wing Chi Do,
  • Chiamaka Anthony-Okeke,
  • Daria M. Bageac,
  • David C. W. Loh,
  • Rida Khan,
  • Ruth Omenyo,
  • Aidan Baker,
  • Imogen Milner,
  • Kavyesh Vivek,
  • Manon Everard,
  • Wajiha Rahman,
  • Denis Chen,
  • Michael E. Bryan,
  • Shama Maliha,
  • Vera Onongaya,
  • Amber Dhoot,
  • Catherine L. Otoibhi,
  • Harry Donkin-Everton,
  • Mia K. Whelan,
  • Claudia S. F. Hobson,
  • Anthony Haynes,
  • Joshua Bayes-Green,
  • Mariam S. Malik,
  • Subanki Srisakthivel,
  • Sophie Kidd,
  • Alan Saji,
  • Govind Dhillon,
  • Muhammed Asif,
  • Riya Patel,
  • Jessica L. Marshall,
  • Nain T. Raja,
  • Tawfique Rizwan,
  • Aleksandra Dunin-Borkowska,
  • James Brawn,
  • Karthig Thillaivasan,
  • Zainah Sindhoo,
  • Ayeza Akhtar,
  • Emma Hitchcock,
  • Kelly Fletcher,
  • Lok Pong Cheng,
  • Medha Pillaai,
  • Sakshi Garg,
  • Wajahat Khan,
  • Ben Sweeney,
  • Ria Bhatt,
  • Madison Slight,
  • Adan M. I. Chew,
  • Cameron Thurlow,
  • Kriti Yadav,
  • Niranjan Rajesh,
  • Nathan-Dhruv Mistry,
  • Alyssa Weissman,
  • Juan F. E. Jaramillo,
  • William Thompson,
  • Gregor W. Abercromby,
  • Emily Gaskin,
  • Chloe Milton,
  • Matthew Kokkat,
  • Momina Hussain,
  • Nana A. Ohene-Darkoh,
  • Syeda T. Islam,
  • Anushruti Yadav,
  • Eve Richings,
  • Samuel Foxcroft,
  • Sukhdev Singh,
  • Vivek Sivadev,
  • Guilherme Movio,
  • Ellena Leigh,
  • Harriet Charlton,
  • James A. Cairn,
  • Julia Shaaban,
  • Leah Njenje,
  • Mark J. Bishop,
  • Humairaa Ismail,
  • Sarah L. Henderson,
  • Daniel C. Chalk,
  • Daniel J. Mckenna,
  • Fizah Hasan,
  • Kanishka Saxena,
  • Iona E. Gibson,
  • Saad Dosani

摘要

Objectives

To investigate differences in students’ career intentions between UK medical schools.

Design

Cross-sectional, mixed-methods online survey.

Setting

The primary study included all 44 UK medical schools, with this analysis comprising 42 medical schools.

Participants

Ten thousand four hundred eighty-six UK medical students.

Main outcome measures

Career intentions of medical students, focusing on differences between medical schools. Secondary outcomes included variation in medical students’ satisfaction with a prospective career in the NHS, by medical school.

Results

2.89% of students intended to leave medicine altogether, with Cambridge Medical School having the highest proportion of such respondents. 32.35% of respondents planned to emigrate for practice, with Ulster medical students being the most likely. Of those intending to emigrate, the University of Central Lancashire saw the highest proportion stating no intentions to return. Cardiff Medical School had the greatest percentage of students intending to assume non-training clinical posts after completing FY2. 35.23% of participating medical students intended to leave the NHS within 2 years of graduating, with Brighton and Sussex holding the highest proportion of these respondents. Only 17.26% were satisfied with the prospect of working in the NHS, with considerable variation nationally; Barts and the London medical students had the highest rates of dissatisfaction.

Conclusions

This study reveals variability in students’ career sentiment across UK medical schools, emphasising the need for attention to factors influencing these trends. A concerning proportion of students intend to exit the NHS within 2 years of graduating, with substantial variation between institutions. Students’ intentions may be shaped by various factors, including curriculum focus and recruitment practices. It is imperative to re-evaluate these aspects within medical schools, whilst considering the wider national context, to improve student perceptions towards an NHS career. Future research should target underlying causes for these disparities to facilitate improvements to career satisfaction and retention.