title: [Stability of long-term professional objectives of young physicians during postgraduate training. Results of a multicenter cohort study].
abstract: BACKGROUND
  We investigated persistences and changes of career preferences of medical residents in Germany after two years of postgraduate training with regard to future working place and position. The results are compared with those forwarded at graduation from medical school in a gender comparative perspective.
  
  
  METHODS
  The study is based on a standardized postal survey among the participants in the "KarMed" study, originally based on 1012 graduates of the medical faculties of Erlangen, Giessen, Hamburg, Heidelberg, Cologne, Leipzig and Magdeburg in 2009. 2107 persons were contacted. The return rate at baseline was 48 %, and the two surveys after the baseline reached return rates of 87 % and 89 % respectively. In all samples 2/3 were women as in actual medical undergraduate education. Descriptive statistics and regression analysis were performed.
  
  
  RESULTS
  After 2 years of residency, residents after 2 years of postgraduate training still preferred the hospital over private practice as their final workplace after postgraduate training. The attractiveness of leading positions in the hospital declined among men, whereas it was already low for women at graduation. A large proportion of those physicians preferring the ambulatory sector, especially women, wishes to work as employee instead of private practice. At the personal level, almost 60 % forwarded the same preferences as those at graduation. Gender, parenthood and region of study (East vs. West Germany) did not influence stability or change of preferences.
  
  
  CONCLUSIONS
  The results demonstrate the persistence of professional preferences regarding future sector and position of medical work during postgraduate training. These preferences do neither match with principles of gender equality nor with future workforce needs (e. g. in primary care).
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: S
authors.initials: S
authors.lastname: Birck
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: B
authors.initials: B
authors.lastname: Gedrose
authors.affiliation: Institut für Sozialmedizin und Gesundheitsökonomie, Universität Magdeburg.
authors.forename: B-P
authors.initials: BP
authors.lastname: Robra
authors.affiliation: Medizinische Klinik, Universität Erlangen.
authors.forename: A
authors.initials: A
authors.lastname: Schmidt
authors.affiliation: Medizinische Klinik, Universität Heidelberg.
authors.forename: J-H
authors.initials: JH
authors.lastname: Schultz
authors.affiliation: Studiendekanat der Medizinischen Fakultät, Universität Köln.
authors.forename: C
authors.initials: C
authors.lastname: Stosch
authors.affiliation: Studiendekanat der Medizinischen Fakultät, Universität Gießen.
authors.forename: R
authors.initials: R
authors.lastname: Wagner
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: N
authors.initials: N
authors.lastname: Janßen
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: M
authors.initials: M
authors.lastname: Scherer
authors.affiliation: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: H
authors.initials: H
authors.lastname: van den Bussche
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D015331:Cohort Studies; D003284:Contract Services; D003625:Data Collection; D004503:Education, Medical, Graduate; D005260:Female; D006040:Goals; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology; D015337:Multicenter Studies as Topic; D010290:Parents / Q000523:psychology; D008486:Physician Executives / Q000523:psychology; D010822:Physicians, Women / Q000523:psychology; D011331:Private Practice; D011795:Surveys and Questionnaires