Career changes among Saskatchewan physicians

Susan Shaw, MD; Gordon Goplen, BA, BSc, MD; Donald S. Houston, MD, PhD

Canadian Medical Association Journal 1996; 154: 1035-1038

At the time of writing, Dr. Shaw was senior external vice-president of the Student Medical Society; she is now a first-year resident in anesthesia at the University of Saskatchewan, Saskatoon, Sask. Dr. Goplen was senior-year class representative of the Student Medical Society and is now a first-year resident in orthopedics at the University of Saskatchewan. Dr. Houston is assistant professor of hematology at the University of Manitoba, Winnipeg, Man.
Paper reprints of the full text may be obtained from: Dr. Gordon Goplen, c/o Student Medical Society, Health Sciences Building, University of Saskatchewan, 107 Wiggins Rd., Saskatoon SK S7N 5E5
Editorial: Changes in career plans during medical training and practice: It's time to look ahead and act [abstract]

Abstract

Objective: To determine how often Saskatchewan physicians changed career paths during medical training and practice.

Design: Population survey (mailed questionnaire).

Setting: Saskatchewan.

Participants: All 1077 active members of the Saskatchewan Medical Association were sent a questionnaire; 493 (45.8%) responded. Outcome measures: Long-term career goal or plan in next-to-last year of undergraduate medical school, probable choice of career if forced to choose at that time, and number of physicians who changed their field of training or practice at any time since graduation.

Results: In all, 57.8% (237/410) of the respondents were currently practising in a field different from that planned in their next-to-last year of medical school, 63.1% (275/436) were not practising in the field they would have chosen if forced to at that time, and 42.9% (211/492) had changed their field of training or practice at some time since graduation. Older physicians, those who graduated outside of Canada and specialists were the most likely to have changed career paths; family physicians and those who graduated in Saskatchewan were the least likely to have changed.

Conclusion: The current system of postgraduate training in Canada does not permit career changes of the sort made by most of the practising Saskatchewan physicians in the survey sample. The implications of this new system are as yet unknown but require careful monitoring.

| CMAJ April 1, 1996 (vol 154, no 7) |