CAREER CHANGES AMONG SASKATCHEWAN PHYSICIANS

Objective: To determine how often Saskatchewan physicians changed care er paths during medical training and practice. Design: Population surv ey (mailed questionnaire). Setting: Saskatchewan. Participants: All 10 77 active members of the Saskatchewan Medical Association were sent a questionnaire; 493 (45.8%) responded. Outcome measures: Long-term care er goal or plan in next-to-last year of undergraduate medical school, probable choice of career if forced to choose at that time, and number of physicians who changed their field of training or practice at any time since graduation. Results: In all, 57.8% (237/410) of the respond ents were currently practising in a field different from that planned in their next-to-last year of medical school, 63.1% (275/436) were not practising in the field they would have chosen if forced to at that t ime, and 42.9% (211/492) had changed their field of training or practi ce at some time since graduation. Older physicians, those who graduate d outside of Canada and specialists were the most likely to have chang ed career paths; family physicians and those who graduated in Saskatch ewan were the least likely to have changed. Conclusion: The current sy stem of postgraduate training in Canada does not permit career changes of the sort made by most of the practising Saskatchewan physicians in the survey sample. The implications of this new system are as yet unk nown but require careful monitoring.