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Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey

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Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey. / Rodriguez Santana, Idaira; Chalkley, Martin.

In: BMJ Open, Vol. 7, No. 8, 11.08.2017, p. e015219.

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Rodriguez Santana, I & Chalkley, M 2017, 'Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey', BMJ Open, vol. 7, no. 8, pp. e015219. https://doi.org/10.1136/bmjopen-2016-015219

APA

Rodriguez Santana, I., & Chalkley, M. (2017). Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey. BMJ Open, 7(8), e015219. https://doi.org/10.1136/bmjopen-2016-015219

Vancouver

Rodriguez Santana I, Chalkley M. Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey. BMJ Open. 2017 Aug 11;7(8):e015219. https://doi.org/10.1136/bmjopen-2016-015219

Author

Rodriguez Santana, Idaira ; Chalkley, Martin. / Getting the right balance? A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey. In: BMJ Open. 2017 ; Vol. 7, No. 8. pp. e015219.

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@article{654b4f0a85b94c68bca966eb3c114d01,
title = "Getting the right balance?: A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey",
abstract = "OBJECTIVE: To analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for.DESIGN: Descriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty.SETTING: Doctors in training in the United Kingdom in 2013.PARTICIPANTS: 27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013.MAIN OUTCOME MEASURES: Mixed logit regression estimates and the corresponding odds ratios (calculated separately for all doctors in training and a subsample comprising those educated in the UK), relating gender, age, ethnicity, place of studies, socioeconomic background and parental education to the probability of training for a particular specialty.RESULTS: Being female and being white British increase the chances of being in general practice with respect to any other specialty, while coming from a better-off socioeconomic background and having parents with tertiary education have the opposite effect. Mixed results are found for age and place of studies. For example, the difference between men and women is greatest for surgical specialties for which a man is 12.121 times more likely to be training to a surgical specialty (relative to general practice) than a woman (p-value<0.01). Doctors who attended an independent school which is proxy for doctor's socioeconomic background are 1.789 and 1.413 times more likely to be training for surgical or medical specialties (relative to general practice) than those who attended a state school (p-value<0.01).CONCLUSIONS: There are systematic and substantial differences between specialties in respect of training doctors' gender, ethnicity, age and socioeconomic background. The persistent underrepresentation in some specialties of women, minority ethnic groups and of those coming from disadvantaged backgrounds will impact on the representativeness of the profession into the future. Further research is needed to understand how the processes of selection and the self-selection of applicants into specialties gives rise to these observed differences.",
keywords = "Journal Article",
author = "{Rodriguez Santana}, Idaira and Martin Chalkley",
note = "{\circledC} 2017, The Author(s).",
year = "2017",
month = "8",
day = "11",
doi = "10.1136/bmjopen-2016-015219",
language = "English",
volume = "7",
pages = "e015219",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "British Medical Journal Publishing Group",
number = "8",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Getting the right balance?

T2 - A mixed logit analysis of the relationship between UK training doctors' characteristics and their specialties using the 2013 National Training Survey

AU - Rodriguez Santana, Idaira

AU - Chalkley, Martin

N1 - © 2017, The Author(s).

PY - 2017/8/11

Y1 - 2017/8/11

N2 - OBJECTIVE: To analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for.DESIGN: Descriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty.SETTING: Doctors in training in the United Kingdom in 2013.PARTICIPANTS: 27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013.MAIN OUTCOME MEASURES: Mixed logit regression estimates and the corresponding odds ratios (calculated separately for all doctors in training and a subsample comprising those educated in the UK), relating gender, age, ethnicity, place of studies, socioeconomic background and parental education to the probability of training for a particular specialty.RESULTS: Being female and being white British increase the chances of being in general practice with respect to any other specialty, while coming from a better-off socioeconomic background and having parents with tertiary education have the opposite effect. Mixed results are found for age and place of studies. For example, the difference between men and women is greatest for surgical specialties for which a man is 12.121 times more likely to be training to a surgical specialty (relative to general practice) than a woman (p-value<0.01). Doctors who attended an independent school which is proxy for doctor's socioeconomic background are 1.789 and 1.413 times more likely to be training for surgical or medical specialties (relative to general practice) than those who attended a state school (p-value<0.01).CONCLUSIONS: There are systematic and substantial differences between specialties in respect of training doctors' gender, ethnicity, age and socioeconomic background. The persistent underrepresentation in some specialties of women, minority ethnic groups and of those coming from disadvantaged backgrounds will impact on the representativeness of the profession into the future. Further research is needed to understand how the processes of selection and the self-selection of applicants into specialties gives rise to these observed differences.

AB - OBJECTIVE: To analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for.DESIGN: Descriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty.SETTING: Doctors in training in the United Kingdom in 2013.PARTICIPANTS: 27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013.MAIN OUTCOME MEASURES: Mixed logit regression estimates and the corresponding odds ratios (calculated separately for all doctors in training and a subsample comprising those educated in the UK), relating gender, age, ethnicity, place of studies, socioeconomic background and parental education to the probability of training for a particular specialty.RESULTS: Being female and being white British increase the chances of being in general practice with respect to any other specialty, while coming from a better-off socioeconomic background and having parents with tertiary education have the opposite effect. Mixed results are found for age and place of studies. For example, the difference between men and women is greatest for surgical specialties for which a man is 12.121 times more likely to be training to a surgical specialty (relative to general practice) than a woman (p-value<0.01). Doctors who attended an independent school which is proxy for doctor's socioeconomic background are 1.789 and 1.413 times more likely to be training for surgical or medical specialties (relative to general practice) than those who attended a state school (p-value<0.01).CONCLUSIONS: There are systematic and substantial differences between specialties in respect of training doctors' gender, ethnicity, age and socioeconomic background. The persistent underrepresentation in some specialties of women, minority ethnic groups and of those coming from disadvantaged backgrounds will impact on the representativeness of the profession into the future. Further research is needed to understand how the processes of selection and the self-selection of applicants into specialties gives rise to these observed differences.

KW - Journal Article

U2 - 10.1136/bmjopen-2016-015219

DO - 10.1136/bmjopen-2016-015219

M3 - Article

VL - 7

SP - e015219

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 8

ER -