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Table 6 Multinomial logistic regression analysis of doctors choice of specialty (n = 184). Comparison group is n = 95 doctors choosing Medicine (Adjusted for age and sex unless stated otherwise)

From: Factors influencing specialty choice and the effect of recall bias on findings from Irish medical graduates: a cross-sectional, longitudinal study

  ADJUSTED
General Practice (n = 28) Surgery (n = 61)
RRR(95% CI) p value RRR(95% CI) p value
Ageb 1.27 [1.10–1.46] 0.001 0.93 [0.81–1.08] 0.374
Sexa Female (v. Male) 1.17 [0.46–3.03] 0.738 0.44 [0.22–0.86] 0.017
Study pathway
 GEM entry (v. DEM) 1.35 [0.39–4.66] 0.640 3.13 [1.00–9.86] 0.051
Migration intention
 Go abroad (LBR & LP) v. Remain 0.61 [0.23–1.61] 0.319 0.54 [0.26–1.13] 0.102
Factors influencing career choice
 Own aptitude/skills 0.55 [0.24–1.24] 0.149 1.42 [0.75–2.70] 0.278
 Work-life balance 3.41 [0.97–12.00] 0.056 0.60 [0.34–1.06] 0.076
 What I really want to do 0.53 [0.23–1.23] 0.140 0.97 [0.51–1.84] 0.926
 Intellectual satisfaction 0.35 [0.17–0.71] 0.004 0.88 [0.52–1.50] 0.637
 Acceptable hours/working conditions 4.61 [1.03–20.60] 0.045 0.55 [0.31–0.96] 0.035
 Career prospects 0.37 [0.17–0.78] 0.009 1.08 [0.63–1.84] 0.782
 Self-appraisal of own skills/aptitude 0.61 [0.27–1.37] 0.230 1.82 [0.99–3.34] 0.055
 Career fitting my domestic circumstances 3.19 [1.27–8.02] 0.014 0.76 [0.46–1.23] 0.258
 Experience of job so far 0.40 [0.18–0.87] 0.021 0.93 [0.54–1.62] 0.808
 Career and promotion prospects 0.23 [0.10–0.56] 0.001 0.98 [0.53–5.42] 0.961
 Availability of career posts 0.75 [0.38–1.48] 0.411 0.98 [0.59–1.62] 0.943
 Amount of patient contact 1.39 [0.67–2.89] 0.370 0.56 [0.33–0.95] 0.033
 Availability postgraduate training places 0.74 [0.38–1.45] 0.385 1.47 [0.88–2.48] 0.144
 Future financial prospects 0.89 [0.42–1.87] 0.760 1.68 [0.98–2.88] 0.059
 Location and transport 0.71 [0.42–1.20] 0.197 1.31 [0.87–1.98] 0.196
 Potential earnings 1.14 [0.60–2.17] 0.688 1.29 [0.83–2.01] 0.263
 A particular teacher/department 0.18 [0.08–0.38] 0.000 0.80 [0.50–1.29] 0.364
 Experience of subject as a student 0.93 [0.52–1.65] 0.795 0.96 [0.62–1.49] 0.857
 Advice from others 0.39 [0.19–0.82] 0.013 0.68 [0.40–1.17] 0.163
 Spouse/Partner’s career 1.34 [0.83–2.19] 0.233 1.34 [0.94–1.91] 0.111
 Continuity of patient care 3.20 [1.59–6.41] 0.001 0.63 [0.39–1.02] 0.061
 Current financial debt 0.99 [0.57–1.72] 0.964 1.22 [0.81–1.85] 0.346
 Inclinations before medical school 1.13 [0.64–2.00] 0.673 1.11 [0.72–1.72] 0.640
  1. Bold values denote significance at the p < 0.05 level
  2. KEY: GP General Practice, LBR Leave But Return, LP Leave Permanently, RRR Relative Risk Ratio, CI Confidence Interval
  3. aAdjusted for age bAdjusted for sex
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BMC Medical Education

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