Why doctors consider leaving UK medicine: qualitative analysis of comments from questionnaire surveys three years after graduation.
Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine. Among those considering working in medicine outside the UK, the most commonly cited reasons were to gain wider experience, that things would be 'better' elsewhere and a negative view of the National Health Service and its culture, state and politics. Other reasons included better training or job opportunities, better pay and conditions, family reasons and higher expectations. Three years after graduation, doctors surveyed in 2015 were significantly more likely than doctors surveyed in 2011 to cite factors related to the National Health Service, to pay and conditions, to their expectations and to effects on work-life balance and patient care. Among those considering leaving medicine, the dominant reason for leaving medicine was a negative view of the National Health Service (mentioned by half of those in this group who commented). Three years after graduation, doctors surveyed in 2015 were more likely than doctors surveyed in 2011 to cite this reason, as well as excessive hours and workload, and financial reasons. Conclusions An increasingly negative view is held by many doctors of many aspects of the experience of being a junior doctor in the National Health Service, and the difficulty of delivering high-quality patient care within what many see as an under-funded system. Policy changes designed to encourage more doctors to remain should be motivated by a desire to address these concerns by introducing real improvements to resources, staffing and working conditions.
['Lambert|Trevor W|TW|', 'Smith|Fay|F|http://orcid.org/0000-0001-6479-0150', 'Goldacre|Michael J|MJ|']
D001291:Attitude of Health Personnel D002321:Career Choice D004641:Emigration and Immigration D005260:Female D006801:Humans D033182:Intention D007588:Job Satisfaction D008297:Male D008511:Medicine D009042:Motivation D005791:Patient Care D010820:Physicians D011365:Professional Practice Location D012456:Salaries and Fringe Benefits D013222:State Medicine D011795:Surveys and Questionnaires D006113:United Kingdom D000072358:Work-Life Balance D016526:Workload
Physicians attitude of health personnel career choice emigration medical staff travel