CAREER PATHWAYS AND DESTINATIONS 18 YEARS ON AMONG DOCTORS WHO QUALIFIED IN THE UNITED-KINGDOM IN 1977 - POSTAL QUESTIONNAIRE SURVEY

Objective To determine the career destinations, by 1995, of doctors wh o qualified in the United Kingdom in 1977; the relation between their destinations and early career choice; and their intentions regarding r etirement age. Design Postal questionnaire. Setting United Kingdom. Su bjects All (n = 3135) medical qualifiers of 1977. Main outcome measure s Current employment; year by year trends in the percentage of doctors who worked in the NHS, in other medical posts in the United Kingdom, abroad, in non-medical posts, outside medicine, and in part time work; intentions regarding retirement age. Results After about 12 years the distribution of respondents by type of employment and, for women, the percentage of doctors in part time rather than full time medical work , had stabilised. Of all 2997 qualifiers from medical schools in Great Britain, 2399 (80.0% (95% confidence interval 79.5% to 80.6%)) were w orking in medicine in the NHS in Great Britain 18 years after qualifyi ng. Almost half the women (318/656) worked in the NHS part time. Of 17 14 doctors in the NHS, 1125 intended to work in the NHS until normal r etirement age, 392 did not, and 197 were undecided. Of the 1548 doctor s for whom we had sufficient information, career destinations at 18 ye ars matched the choices made at 1, 3, and 5 years in 58.9% (912), 78.2 % (1211), and 86.6% (1341) of cases respectively. Conclusions Planning for the medical workforce needs to be supported by information about doctors' career plans, destinations, and whole time equivalent years o f work Postgraduate training needs to take account of doctors' eventua l choice of specialty land the timing of this choice).