scholarly journals UK-trained junior doctors' intentions to work in UK medicine: questionnaire surveys, three years after graduation

2017 ◽  
Vol 110 (12) ◽  
pp. 493-500 ◽  
Author(s):  
Geraldine Surman ◽  
Michael J Goldacre ◽  
Trevor W Lambert
Keyword(s):  
Medical Practice ◽  
Response Rate ◽  
Junior Doctors ◽  
Foreseeable Future ◽  
Career Intentions ◽  
Medical Graduates ◽  
The United Kingdom ◽  
Questionnaire Surveys ◽  
The Uk

Objective To report on the career intentions, three years after qualification, of 12 national cohorts of UK-trained doctors who qualified between 1974 and 2012, and, specifically, to compare recent UK medical graduates’ intentions to work in medicine in the UK with earlier graduates. Design Questionnaire surveys of cohorts of UK medical graduates defined by year of graduation. Setting UK. Participants 30,272 UK medical graduates. Main outcome measures Stated level of intention to pursue a long-term career in medicine in the UK. Results The response rate was 62% (30,272/48,927). We examined responses to the question ‘ Apart from temporary visits abroad, do you intend to practise medicine in the United Kingdom for the foreseeable future?' Of doctors from UK homes, 90% had specified that they would ‘definitely or probably’ practise medicine in the UK in the surveys of 1977–1986, 81% in 1996–2011 and 64% in 2015. Those who said that they would probably or definitely not practise medicine in the UK comprised 5% in 1977–1986, 8% in 1996–2011 and 15% in 2015. Most who were not definite about a future career in UK medicine indicated that they would wish to practise medicine outside the UK rather than to leave medicine. Conclusions The wish to remain in UK medical practice in the 2015 survey was unprecedentedly low in this unique series of 40 years of surveys.

scholarly journals Career specialty choices of UK medical graduates of 2015 compared with earlier cohorts: questionnaire surveys

2018 ◽  
Vol 94 (1110) ◽  
pp. 191-197 ◽  
Author(s):  
Trevor William Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
General Practice ◽  
Response Rate ◽  
Junior Doctors ◽  
Medical Specialties ◽  
Medical Graduates ◽  
Questionnaire Surveys ◽  
One Year ◽  
Career Specialty ◽  
Over Time

ObjectiveTo report the career specialty choices of UK medical graduates of 2015 one year after graduation and to compare these with the choices made at the same postgraduate stage by previous cohorts.DesignNational survey using online and postal questionnaires.SettingUK.ParticipantsUK-trained medical graduates.Main outcome measuresGrouped and individual specialty choices.ResultsThe response rate was 41.3% (3040/7095). Among the graduates of 2015, general practice (27.8% of first choices) and hospital medical specialties (26.5%) were the most frequent first choices of long-term career. First choices for general practice declined among women from 36.1% for the 2005–2009 cohorts to 33.3% for the 2015 cohort, and among men from 22.4% for the 2005–2009 cohorts to 19.3% for the 2015 cohort. First choices for surgery declined among men (from 29.5% for the 2005–2009 cohorts to 21.7% for the 2015 cohort), but not among women (12.3% for the 2005–2009 cohorts and 12.5% for the 2015 cohort). There was an increase in the percentage of first choices for anaesthesia, psychiatry, radiology and careers outside medicine. Anaesthesia, oncology, paediatrics and radiology increased in popularity over time among men, but not among women.ConclusionsCareer choices for general practice remain low. Other current shortage specialties, apart from radiology and psychiatry, are not showing an increase in the number of doctors who choose them. Large gender differences remain in the choices for some specialties. Further work is needed into the determinants of junior doctors’ choices for shortage specialties and those with large gender imbalances.

scholarly journals Career choices for psychiatry: national surveys of graduates of 1974–2000 from UK medical schools

2005 ◽  
Vol 186 (2) ◽  
pp. 158-164 ◽  
Author(s):  
Michael J. Goldacre ◽  
Gill Turner ◽  
Seena Fazel ◽  
Trevor Lambert
Keyword(s):  
Career Choices ◽  
Medical Schools ◽  
Postal Questionnaire ◽  
Junior Doctors ◽  
The Subject ◽  
Questionnaire Surveys ◽  
The Uk ◽  
Personal Assessment ◽  
Conditions Of Work

BackgroundConcerns continue about recruitment levels of junior doctors into psychiatry in the UK.AimsTo report career choices for and career progression in psychiatry.MethodPostal questionnaire surveys of qualifiers from all UK medical schools in eight qualification years since 1974.ResultsTotals of 75% (21 845 out of 28 980) and 74% (17 741 out of 24 044) of doctors responded atone and three years after qualification. One and three years after qualification, 4–5% of doctors chose psychiatry This has changed very little between 1974 and 2000. Most doctors who chose psychiatry one and three years after qualification were working in psychiatry at year 10. Hours and conditions of work, the doctor's personal assessment of their aptitudes and skills and their experience of the subject as a student influenced long-term career choices for psychiatry.ConclusionsGreater exposure to psychiatry for clinical students and in junior hospital jobs might improve recruitment.

scholarly journals Language Legislation and Policy in the uk and Ireland: Different Aspects of Territoriality in a ‘Celtic’ Context

2016 ◽  
Vol 23 (4) ◽  
pp. 454-484 ◽  
Author(s):  
Robert Dunbar
Keyword(s):  
United Kingdom ◽  
Language Policy ◽  
Indigenous Languages ◽  
Scottish Gaelic ◽  
The United Kingdom ◽  
Language Legislation ◽  
The Uk

In spite of the long-term dominance in Britain and Ireland of English, other indigenous languages continue to be spoken, and in relatively recent years several of those languages have benefited not only from a more coherent and supportive language policy but also from significant language legislation. One of the interesting features of these other indigenous languages is that, although strongly associated with rural ‘heartlands’ in the particular jurisdictions with which they are associated, they are also spoken in other parts of those jurisdictions, and, indeed, in other parts of the United Kingdom and Ireland. In this article, the ways in which the concept of territoriality has impacted upon legislation and on broader policy for two of these languages, Irish and Scottish Gaelic, will be considered.

Transmission dynamics and mechanisms of endemicity of scrapie in the UK sheep population

2008 ◽  
Vol 137 (6) ◽  
pp. 762-774 ◽  
Author(s):  
J. E. TRUSCOTT ◽  
N. M. FERGUSON
Keyword(s):  
Structural Diversity ◽  
Epidemiological Data ◽  
Transmissible Spongiform Encephalopathies ◽  
Spongiform Encephalopathies ◽  
Sheep Population ◽  
Mean Values ◽  
The United Kingdom ◽  
The Family ◽  
The Uk

SUMMARYScrapie is a fatal neurological disease of sheep which is endemic in the United Kingdom. It is one of the family of transmissible spongiform encephalopathies (TSEs) that includes BSE. In this paper, we developed a micro-simulation model for scrapie in the UK sheep population, incorporating the genetic and structural diversity of the population and infectious contact between flocks through trading. The simulation was fitted to epidemiological data from a range of sources. We found a detection/reporting probability of 16% (95% CI 12–17) for animals dying of scrapie. Prevalence of infected animals in the population was about 0·15%. Infected individuals were found in 9% of flocks overall, rising to 60% in Shetland and 75% in Swaledale flocks. Mean values of R0 for flocks varied with breed from 2·43 (Shetland) to 0·21 (Suffolk). We also examined the possible long-term persistence of scrapie in the UK flock in the absence of any intervention.

scholarly journals Content analysis for <i>Agricultural Records</i> of the United Kingdom, AD 200 to 1977: a study of frequency in human records concerning climate phenomenon

2011 ◽  
Vol 7 (4) ◽  
pp. 2555-2577
Author(s):  
D. H. Holt
Keyword(s):  
Content Analysis ◽  
Ice Age ◽  
Climate Data ◽  
The United Kingdom ◽  
Weather Phenomenon ◽  
Continuous Record ◽  
Frequency Occurrence ◽  
The Uk ◽  
Climate Events

Abstract. A content analysis has been completed on a text from the UK that has gathered agricultural and climate data from the years AD 220 to 1977 from 100s of sources. The content analysis coded all references to climate and agriculture to ascertain which climate events were recorded and which were not. This study addressed the question: is there bias in human records of climate? This evaluated the continuous record (AD 1654–1977), discontinous record (AD 220–1653), the whole record (AD 220–1977), the Little Climate Optimum (AD 850–1250) and the Little Ice Age (AD 1450–1880). This study shows that there is no significant variation in any of these periods in frequency occurrence of "good" or "bad" climate suggesting humans are not recording long-term changes in climate, but they are recording weather phenomenon as it occurs.

scholarly journals A Comparative Survey Of Capital Investment Decision Practices In The United States And The United Kingdom

2011 ◽  
Vol 1 (11) ◽  
Author(s):  
Thomas Klammer ◽  
Neil Wilner ◽  
Jan Smolarski
Keyword(s):  
United States ◽  
Risk Management ◽  
United Kingdom ◽  
The United States ◽  
Capital Expenditures ◽  
The United Kingdom ◽  
Management Techniques ◽  
Comparative Survey ◽  
The Uk

Capital expenditures can be crucial to firms long-term success, especially in a complex global environment. As companies increasingly compete in the global market place, it is important to study project evaluation processes from an international perspective. Capital investments involve substantial monetary commitments and risks that affect long-term firm profitability and influence capital allocation decisions in the future. Survey research in the area of capital expenditure analysis has been extensively done in both the United States [US] and the United Kingdom [UK]. This research is the first comparative survey of practices in both countries that we are aware of. A direct comparison of the use of project evaluation, management science, and risk management techniques in the two countries is made. The survey instrument used is an adaptation of the Klammer [1970] instrument that has been used repeatedly in surveys of American firms. This is the first time that it has been applied to British firms. The use of a common instrument allows for more meaningful comparisons. The samples consisted of 127 American and 59 British firms with sales of at least $100 million and capital expenditures of at least $10 million. Preliminary results indicate a continued extensive use of discounted cash flow techniques by US firms. Techniques such as payback or urgency continue to be used, but to a lesser degree than discounting. Firms in the UK also make extensive use of discounting but do so to a lesser degree than their American counterparts. Payback is widely used in the UK. Risk management techniques are widely used in both countries, with sensitivity analysis being the most popular technique in both countries. Extensive use of technical and administrative procedures, such as detailed budgets, standardized forms and post-audits, are evidenced in both countries. The paper offers reasons that have to do with organizational structure and form, as well as market differences, to explain our results.

scholarly journals Heterogeneous Mental Health Development During the COVID-19 Pandemic in the United Kingdom

2021 ◽  
Author(s):  
Lea Ellwardt ◽  
Patrick Praeg
Keyword(s):  
United Kingdom ◽  
Psychological Distress ◽  
Latent Class ◽  
Mitigation Measures ◽  
Social Lives ◽  
The United Kingdom ◽  
Policy Measures ◽  
Nationally Representative ◽  
The Uk

Aim. The COVID-19 pandemic and the mitigation measures by governments have upended the economic and social lives of many, leading to widespread psychological distress. However, how distress developed during the pandemic and who was most affected is poorly understood. We explore heterogeneity in trajectories of psychological distress during the first six months of the pandemic in the United Kingdom and relate this heterogeneity to socio-demographic and health factors. Subjects and Methods. We analyze six waves of longitudinal, nationally representative survey data from the UK Household Longitudinal Study (N = 15,218), covering the first lockdown in 2020. First, latent class mixture modelling (LCCM) is used to identify trajectories of psychological distress. Second, associations of the trajectories with covariates are tested with multinomial logistic regressions. Results. We find four different trajectories of distress: continuously low, continuously moderate, temporarily elevated, and continuously elevated distress. One-fifth of the population experienced severely elevated risks of distress. Long-term exposure was highest among younger people, women, those who lost income, and those with previous health conditions or COVID-19 symptoms. Conclusion. Given the threat of persistent stress on health, policy measures should be sensitized to the unintended yet far-reaching consequences of non-pharmaceutical interventions.

The Importance of Convention Status: A Case Study of the UK

2001 ◽  
Vol 6 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Alice Bloch
Keyword(s):  
Asylum Seekers ◽  
Economic Rights ◽  
The United Kingdom ◽  
The Social ◽  
The Status ◽  
The Uk ◽  
Refugees And Asylum Seekers ◽  
Social And Economic Rights

Convention status accords refugees social and economic rights and security of residence in European countries of asylum. However, the trend in Europe has been to prevent asylum seekers reaching its borders, to reduce the rights of asylum seekers in countries of asylum and to use temporary protection as a means of circumventing the responsibility of long-term resettlement. This paper will provide a case study of the United Kingdom. It will examine the social and economic rights afforded to different statuses in the areas of social security, housing, employment and family reunion. It will explore the interaction of social and economic rights and security of residence on the experiences of those seeking protection. Drawing on responses to the crisis in Kosovo and on data from a survey of 180 refugees and asylum seekers in London it will show the importance of Convention status and the rights and security the status brings.

The French sheep industry from farm to table

1990 ◽  
Vol 14 ◽  
pp. 39-43
Author(s):  
J. Barber
Keyword(s):  
Point Of View ◽  
Market Potential ◽  
High Price ◽  
Flock Size ◽  
The United Kingdom ◽  
High Street ◽  
Sheep Production ◽  
The Uk ◽  
Economic Constraints

AbstractLamb is perceived in an excellent manner in France, conjuring up the image of ‘feast day meat’, which is ‘natural’, mixed with a ‘regional flavour’. Historically lamb in France has been regarded as a meat for special occasions and has carried a high price tag. This price tag is less expensive than it used to be, especially with supermarkets and hypermarkets taking between 50 and 60% of the retail market. Lamb meat is now available to all at a (relatively) low price; a meat which is still regarded as ‘special’.Lamb consumption is increasing in France; in 1988 by an estimated 4%. This is largely due to price, good marketing and very good presentation — in the supermarkets, by top quality high-street butchers and in older traditional country markets. Consumption of lamb has increased by approximately 85 000 t in the last 15 years. French production has been decreasing by about 4% per year over recent years, and France imported 63 500 t in 1984 of which 36 000 came from the United Kingdom (UK). In 1987, 108 200 t were imported, of which 60 000 t came from the UK.There is a greater market potential for lamb in France than her producers can provide. One reason for this is that there are 190 000 producers with 8.15 million ewes; an average flock size of 42. This compares with the UK which has less than half the number of producers, with double the numbers of breeding sheep, and an average flock size nearly five times the size of French flocks.From the long-term point of view, not only is a large number of the flocks too small to be viable in competition with UK producers in the European Community but a high proportion of flock owners tend to be elderly. Sheep production is taking place in areas which are difficult to farm and on small units which are difficult to expand, either because of land law restriction or through economic constraints.

11. The United Kingdom: Towards a Parting of the Ways

2020 ◽  
pp. 257-279
Author(s):  
Anand Menon ◽  
Luigi Scazzieri
Keyword(s):  
European Union ◽  
Public Opinion ◽  
Institutional Development ◽  
The European Union ◽  
Integration Process ◽  
The United Kingdom ◽  
History Of ◽  
Long Term Trends ◽  
The Uk

This chapter examines the history of the United Kingdom’s relationship with the European integration process. The chapter dissects the long-term trends in public opinion and the more contingent, short-term factors that led to the referendum vote to leave the European Union. The UK was a late joiner and therefore unable to shape the early institutional development of the EEC. British political parties and public opinion were always ambiguous about membership and increasingly Eurosceptic from the early 1990s. Yet the UK had a significant impact on the EU’s development, in the development of the single market programme and eastward enlargement. If Brexit goes through, Britain will nevertheless maintain relations with the EU in all policy areas from agriculture to energy and foreign policy. Europeanization will remain a useful theoretical tool to analyse EU–UK relations even if the UK leaves the Union.

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