title: Shortage specialties: changes in career intentions from medical student to newly qualified doctor.
abstract: There is currently a shortage of doctors in Britain, especially in general practice, psychiatry and pathology. This study aimed to examine whether career intention, especially in the shortage specialties, changes between undergraduate level and graduation. The 234 participants were Senior House Officers and Pre-Registration House Officers, who had provided information about their career intentions in their fourth year of medical school. Participants completed a postal questionnaire about their current career intentions. 38.9% of medical students rising to 63.3% of doctors definitely intended to pursue a particular specialty. While the numbers of people who definitely wanted to pursue general practice and psychiatry increased, in line with nearly all other specialties, the overall attractiveness of these shortage specialties fell. Early career advice and support during medical school and immediately after graduation may help doctors to be confident in pursuing shortage specialties to which they were originally attracted.
authors.affiliation: Department of Mental Health Sciences, University College London-Camde, Islington Mental Health and Social Care Trust, London, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Mahoney
authors.forename: Cornelius
authors.initials: C
authors.lastname: Katona
authors.forename: Monica
authors.initials: M
authors.lastname: McParland
authors.forename: Lorraine
authors.initials: L
authors.lastname: Noble
authors.forename: Gill
authors.initials: G
authors.lastname: Livingston
mesh_terms: D000328:Adult; D002321:Career Choice; D004501:Education, Medical; D004503:Education, Medical, Graduate; D004504:Education, Medical, Undergraduate; D005260:Female; D006280:Health Workforce; D006801:Humans; D008297:Male; D010820:Physicians / Q000600:supply & distribution*; D013038:Specialization; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D006113:United Kingdom