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Determining whether senior and specialist registrars choose or reject a career in general adult psychiatry

A survey of factors

Kings Park Community Hospital, Gloucester Road, Boscombe, Bournemouth, Dorset BH7 6JE;

Tom Schlich, Consultant Psychiatrist^*

Royal South Hants Hospital, Brintons Terrace, Southampton SO14 0YG

^* Correspondence

Aims and method Following concerns over recruitment into general adult psychiatry, this study was undertaken to determine which factors influence senior trainees in psychiatry with regard to whether or not they choose a career in general adult psychiatry. The method used was by postal survey of all senior and specialist registrars in the UK.

Results Of those responding, 32.6% had chosen a career in general adult psychiatry, while 38.9% had actively rejected such a career. Twenty-six per cent of respondents had chosen another speciality without actively rejecting general adult psychiatry. For those actively rejecting general adult psychiatry, the top three factors cited were poor resources (57.6%), high workload (43.2%) and poor working conditions (30.7%).

Clinical implications Through an awareness of why senior trainees reject general adult psychiatry as a possible career, resources can be targeted more specifically in the future at the factors responsible, and thereby improve recruitment into this speciality.

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				R. Wilson, C. L. Corby, M. Atkins, and G. Marston Trainee views on active problems and issues in UK psychiatry: Collegiate Trainees' Committee survey of three UK training regions Psychiatr. Bull., September 1, 2000; 24(9): 336 - 338. [Abstract] [Full Text]