Ethnic differences in success at application for consultant posts among United Kingdom physicians from 2011 to 2019: a retrospective cross-sectional observational study

Ethnic differences in success at application for consultant posts among United Kingdom physicians from 2011 to 2019: a retrospective cross-sectional observational study

Summary Objectives To identify associations between success following application for consultant physician posts and demographic factors. Design Logistic regression analysis of nationwide survey data. Setting United Kingdom (UK) physicians with a recent certificate of completion of training (CCT). P...

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Veröffentlicht in:Journal of the Royal Society of Medicine 2022-08, Vol.115 (8), p.300-312
Hauptverfasser: Harvey, PR, Phillips, C, Newbery, N, Nagamoottoo, D, Woolf, K, Trudgill, NJ
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container_end_page 312
container_issue 8
container_start_page 300
container_title Journal of the Royal Society of Medicine
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creator Harvey, PR
Phillips, C
Newbery, N
Nagamoottoo, D
Woolf, K
Trudgill, NJ
description Summary Objectives To identify associations between success following application for consultant physician posts and demographic factors. Design Logistic regression analysis of nationwide survey data. Setting United Kingdom (UK) physicians with a recent certificate of completion of training (CCT). Participants All UK trainee physicians who received a CCT between 2010 and 2019 were surveyed. Respondents were excluded if they had not applied for a consultant post or if application data were incomplete. Main outcome measures The primary outcome measure was success over the entire consultant application process, i.e. shortlisted and offered the post following the first application. Secondary outcomes were: shortlisted following first application and offered a consultant post at first interview. Results From 7037 CCT holders surveyed, 50.7% responded. While 1198 (59.7%) respondents were white, 760 (37.9%) were from minority ethnic groups and 50 (3.5%) were of unknown ethnicity. Primary medical qualification (PMQ) country was the UK in 75.3% (n = 1512). On multivariable logistic regression analysis the independent negative associations with success were: minority ethnicity (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.43–0.71); p 
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Design Logistic regression analysis of nationwide survey data. Setting United Kingdom (UK) physicians with a recent certificate of completion of training (CCT). Participants All UK trainee physicians who received a CCT between 2010 and 2019 were surveyed. Respondents were excluded if they had not applied for a consultant post or if application data were incomplete. Main outcome measures The primary outcome measure was success over the entire consultant application process, i.e. shortlisted and offered the post following the first application. Secondary outcomes were: shortlisted following first application and offered a consultant post at first interview. Results From 7037 CCT holders surveyed, 50.7% responded. While 1198 (59.7%) respondents were white, 760 (37.9%) were from minority ethnic groups and 50 (3.5%) were of unknown ethnicity. Primary medical qualification (PMQ) country was the UK in 75.3% (n = 1512). On multivariable logistic regression analysis the independent negative associations with success were: minority ethnicity (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.43–0.71); p &lt; 0.001) vs. white; PMQ from Europe (OR 0.47, 95% CI 0.28–0.79; p = 0.004) or Asia (OR 0.68, 95% CI 0.49–0.96; p = 0.027) vs. UK PMQ; year of CCT 2012 (OR 0.40, 95% CI 0.24–0.68; p = 0.001), 2013 (OR 0.39, 95% CI 0.23–0.65; p &lt; 0.001), and 2014 (OR 0.26, 95% CI 0.15–0.43; p &lt; 0.001) vs. 2019. Specialties associated with lower success rates included Cardiology, Endocrinology, Genitourinary medicine, Palliative care, Renal and Respiratory, compared to Acute medicine. Conclusions Minority ethnic group candidates for consultant physician posts had lower success rates compared to white candidates after correction for important variables including specialty, time from and country of PMQ. This finding requires further evaluation to identify the causes for this variation.</description><identifier>ISSN: 0141-0768</identifier><identifier>EISSN: 1758-1095</identifier><identifier>DOI: 10.1177/01410768221085691</identifier><identifier>PMID: 35357252</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>Journal of the Royal Society of Medicine, 2022-08, Vol.115 (8), p.300-312</ispartof><rights>The Royal Society of Medicine</rights><rights>The Royal Society of Medicine 2022 The Royal Society of Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-957e7b3826dc1d751b2ef5b8ac7e6dfbd0aca710890d4955258842ddb70d283b3</citedby><cites>FETCH-LOGICAL-c438t-957e7b3826dc1d751b2ef5b8ac7e6dfbd0aca710890d4955258842ddb70d283b3</cites><orcidid>0000-0002-1192-9910</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/01410768221085691$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/01410768221085691$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,780,784,885,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35357252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harvey, PR</creatorcontrib><creatorcontrib>Phillips, C</creatorcontrib><creatorcontrib>Newbery, N</creatorcontrib><creatorcontrib>Nagamoottoo, D</creatorcontrib><creatorcontrib>Woolf, K</creatorcontrib><creatorcontrib>Trudgill, NJ</creatorcontrib><title>Ethnic differences in success at application for consultant posts among United Kingdom physicians from 2011 to 2019: a retrospective cross-sectional observational study</title><title>Journal of the Royal Society of Medicine</title><addtitle>J R Soc Med</addtitle><description>Summary Objectives To identify associations between success following application for consultant physician posts and demographic factors. Design Logistic regression analysis of nationwide survey data. Setting United Kingdom (UK) physicians with a recent certificate of completion of training (CCT). Participants All UK trainee physicians who received a CCT between 2010 and 2019 were surveyed. Respondents were excluded if they had not applied for a consultant post or if application data were incomplete. Main outcome measures The primary outcome measure was success over the entire consultant application process, i.e. shortlisted and offered the post following the first application. Secondary outcomes were: shortlisted following first application and offered a consultant post at first interview. Results From 7037 CCT holders surveyed, 50.7% responded. While 1198 (59.7%) respondents were white, 760 (37.9%) were from minority ethnic groups and 50 (3.5%) were of unknown ethnicity. Primary medical qualification (PMQ) country was the UK in 75.3% (n = 1512). On multivariable logistic regression analysis the independent negative associations with success were: minority ethnicity (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.43–0.71); p &lt; 0.001) vs. white; PMQ from Europe (OR 0.47, 95% CI 0.28–0.79; p = 0.004) or Asia (OR 0.68, 95% CI 0.49–0.96; p = 0.027) vs. UK PMQ; year of CCT 2012 (OR 0.40, 95% CI 0.24–0.68; p = 0.001), 2013 (OR 0.39, 95% CI 0.23–0.65; p &lt; 0.001), and 2014 (OR 0.26, 95% CI 0.15–0.43; p &lt; 0.001) vs. 2019. Specialties associated with lower success rates included Cardiology, Endocrinology, Genitourinary medicine, Palliative care, Renal and Respiratory, compared to Acute medicine. Conclusions Minority ethnic group candidates for consultant physician posts had lower success rates compared to white candidates after correction for important variables including specialty, time from and country of PMQ. 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Design Logistic regression analysis of nationwide survey data. Setting United Kingdom (UK) physicians with a recent certificate of completion of training (CCT). Participants All UK trainee physicians who received a CCT between 2010 and 2019 were surveyed. Respondents were excluded if they had not applied for a consultant post or if application data were incomplete. Main outcome measures The primary outcome measure was success over the entire consultant application process, i.e. shortlisted and offered the post following the first application. Secondary outcomes were: shortlisted following first application and offered a consultant post at first interview. Results From 7037 CCT holders surveyed, 50.7% responded. While 1198 (59.7%) respondents were white, 760 (37.9%) were from minority ethnic groups and 50 (3.5%) were of unknown ethnicity. Primary medical qualification (PMQ) country was the UK in 75.3% (n = 1512). On multivariable logistic regression analysis the independent negative associations with success were: minority ethnicity (odds ratio [OR] 0.55, 95% confidence interval [CI] 0.43–0.71); p &lt; 0.001) vs. white; PMQ from Europe (OR 0.47, 95% CI 0.28–0.79; p = 0.004) or Asia (OR 0.68, 95% CI 0.49–0.96; p = 0.027) vs. UK PMQ; year of CCT 2012 (OR 0.40, 95% CI 0.24–0.68; p = 0.001), 2013 (OR 0.39, 95% CI 0.23–0.65; p &lt; 0.001), and 2014 (OR 0.26, 95% CI 0.15–0.43; p &lt; 0.001) vs. 2019. Specialties associated with lower success rates included Cardiology, Endocrinology, Genitourinary medicine, Palliative care, Renal and Respiratory, compared to Acute medicine. Conclusions Minority ethnic group candidates for consultant physician posts had lower success rates compared to white candidates after correction for important variables including specialty, time from and country of PMQ. This finding requires further evaluation to identify the causes for this variation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>35357252</pmid><doi>10.1177/01410768221085691</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-1192-9910</orcidid><oa>free_for_read</oa></addata></record>
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title Ethnic differences in success at application for consultant posts among United Kingdom physicians from 2011 to 2019: a retrospective cross-sectional observational study
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