Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine

James Michael Fisher · Mark J. Garside · V Gibson · Sally Briggs · Adam Lee Gordon

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Diversity and Career in Medicine Innovations in Medical Education Healthcare Systems and Challenges

Abstract

Background: there is concern that there are insufficient numbers of geriatricians to meet the needs of the ageing population. A 2005 survey described factors that influenced why UK geriatricians had chosen to specialise in the field-in the decade since, UK postgraduate training has undergone a fundamental restructure. Objective: to explore whether the reasons for choosing a career in geriatric medicine in the UK had changed over time, with the goal of using this knowledge to inform recruitment and training initiatives. Design: an online survey was sent to all UK higher medical trainees in geriatric medicine. Methods: survey questions that produced categorical data were analysed with simple descriptive statistics. For the survey questions that produced free-text responses, an inductive, iterative approach to analysis, in keeping with the principles of framework analysis, was employed. Results: two hundred and sixty-nine responses were received out of 641 eligible respondents. Compared with the previous survey, a substantially larger number of respondents regarded geriatric medicine to be their first-choice specialty and a smaller number regretted their career decision. A greater number chose geriatric medicine early in their medical careers. Commitments to the general medical rota and the burden of service provision were considered important downsides to the specialty. Conclusions: there are reasons to be optimistic about recruitment to geriatric medicine. Future attempts to drive up recruitment might legitimately focus on the role of the medical registrar and perceptions that geriatricians shoulder a disproportionate burden of service commitments and obligations to the acute medical take.

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2003Qualitative research practice: a guide for social science students and researchers 2012Elder care as “frustrating” and “boring”: Understanding the persistence of negative attitudes toward older patients among physicians-in-training 2015Medical students' and doctors' attitudes towards older patients and their care in hospital settings: a conceptualisation 2011Geriatrics is rewarding but lacks earning potential and prestige: responses from the national medical student survey of attitudes to and perceptions of geriatric medicine 2013Would you be a geriatrician? Student career preferences and attitudes to a career in geriatric medicine 2013Career choices of junior doctors: is the physician an endangered species?2006Why do doctors choose a career in geriatric medicine?2014Geriatric medicine workforce planning: a giant geriatric problem or has the tide turned?

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