{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:33Z","timestamp":1753882833203,"version":"3.41.2"},"reference-count":13,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Open"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> To report doctors\u2019 early career preferences for emergency medicine, their eventual career destinations and factors influencing their career pathways. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Self-administered questionnaire surveys. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> United Kingdom. <\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p> All graduates from all UK medical schools in selected graduation years between 1993 and 2015. <\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p> Choices for preferred eventual specialty; eventual career destinations; certainty about choice of specialty; correspondence between early specialty choice for emergency medicine and eventually working in emergency medicine. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Emergency medicine was chosen by 5.6% of graduates of 2015 when surveyed in 2016, and 7.1% of graduates of 2012 surveyed in 2015. These figures represent a modest increase compared with other recent cohorts, but there is no evidence of a sustained long-term trend of an increase. More men than women specified emergency medicine \u2013 in 2016 6.6% vs. 5.0%, and in 2015 7.9% vs. 6.5%. Doctors choosing emergency medicine were less certain about their choice than doctors choosing other specialties. Of graduates of 2005 who chose emergency medicine in year 1, only 18% were working in emergency medicine in year 10. Looking backwards, from destinations to early choices, 46% of 2005 graduates working in emergency medicine in 2015 had specified emergency medicine as their choice of eventual specialty in year 1. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> There was no substantial increase across the cohorts in choices for emergency medicine. Policy should address how to encourage more doctors to choose the specialty, and to create a future UK health service environment in which those who choose emergency medicine early on do not later change their minds in large numbers. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2054270420961595","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T17:57:52Z","timestamp":1603475872000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early career choices for emergency medicine and later career destinations: national surveys of UK medical graduates"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9688-3036","authenticated-orcid":false,"given":"Trevor W","family":"Lambert","sequence":"first","affiliation":[{"name":"UK Medical Careers Research Group, Unit of Health-Care Epidemiology, University of Oxford, Oxford OX3 7LF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fay","family":"Smith","sequence":"additional","affiliation":[{"name":"UK Medical Careers Research Group, Unit of Health-Care Epidemiology, University of Oxford, Oxford OX3 7LF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Goldacre","sequence":"additional","affiliation":[{"name":"UK Medical Careers Research Group, Unit of Health-Care Epidemiology, University of Oxford, Oxford OX3 7LF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,23]]},"reference":[{"key":"bibr1-2054270420961595","unstructured":"International Federation for Emergency Medicine. About us, www.ifem.cc\/about-us\/ (accessed 7 February 2020)."},{"key":"bibr2-2054270420961595","unstructured":"The College of Emergency Medicine. Careers in Emergency Medicine Handbook, www.rcem.ac.uk\/RCEM\/About\/Careers_in_EM\/RCEM\/About_Us\/Careers_in_EM.aspx?hkey=69b7d2e7-7f7f-4a9a-a83f-d4d546c75f9e (accessed 7 February 2020)."},{"key":"bibr3-2054270420961595","unstructured":"Royal College of Emergency Medicine. RCEM Vision 2020: fixing emergency department staffing, systems and support to deliver excellent patient centred care, www.rcem.ac.uk\/docs\/Policy\/RCEM%20Vision%202020.pdf (accessed 7 February 2020)."},{"volume-title":"Training environments 2017: key findings from the national training surveys","year":"2017","author":"General Medical Council","key":"bibr4-2054270420961595"},{"volume-title":"Securing the future workforce for emergency departments in England","year":"2017","author":"Health Education England, NHS England, NHS Improvement, Royal College of Emergency Medicine","key":"bibr5-2054270420961595"},{"key":"bibr6-2054270420961595","unstructured":"Health Education England. Emergency medicine, www.healthcareers.nhs.uk\/explore-roles\/doctors\/roles-doctors\/emergency-medicine (accessed 7 February 2020)."},{"key":"bibr7-2054270420961595","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202460"},{"key":"bibr8-2054270420961595","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31828b364f"},{"key":"bibr9-2054270420961595","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c3199"},{"key":"bibr10-2054270420961595","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00793.x"},{"volume-title":"The attractiveness of a career in emergency medicine: a survey of UK trainees","year":"2014","author":"College of Emergency Medicine","key":"bibr11-2054270420961595"},{"volume-title":"Stretched to the limit: a survey of Emergency Medicine consultants in the UK","year":"2013","author":"The College of Emergency Medicine","key":"bibr12-2054270420961595"},{"key":"bibr13-2054270420961595","doi-asserted-by":"publisher","DOI":"10.1007\/s13341-012-0211-z"}],"container-title":["JRSM Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2054270420961595","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2054270420961595","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2054270420961595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T10:40:11Z","timestamp":1740825611000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2054270420961595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1177\/2054270420961595"],"URL":"https:\/\/doi.org\/10.1177\/2054270420961595","relation":{},"ISSN":["2054-2704","2054-2704"],"issn-type":[{"type":"print","value":"2054-2704"},{"type":"electronic","value":"2054-2704"}],"subject":[],"published":{"date-parts":[[2020,8]]},"article-number":"2054270420961595"}}