Abstract

BackgroundSince it was anticipated that the need for doctors would increase due to demographic changes, the number of positions for medical specialty training programs has increased from the year 2000 onwards. However, the number of permanent positions for young cardiologists did not follow that trend leading to concerns about future employment. Therefore, the aim of the current study was to assess short-term career perspectives of young cardiologists in the Netherlands.MethodsAll cardiologists who ended their training between 1 January 2011 and 31 December 2014 were invited to fill in a questionnaire about their first employment status and were followed yearly until the participant had a permanent position. The timespan between the end of training and the moment of permanent employment was assessed. Furthermore, the association between professional profile and short-term career perspectives was investigated.ResultsThe observed unemployment was 1.6% and lasted less than a year in all cases. Of the participants, 77% started their career with a temporary contract; within four years this was 7%. Of young cardiologists, 46% started their career as a fellow and 24% as an attending physician. A total of 29% of male cardiologists started their career with a permanent contract as compared with 12% of females (p = 0.01). Within two years this difference was no longer observed.ConclusionsUnemployment is low among young cardiologists. Most cardiologists start their career with a temporary contract. The time to a permanent contract is slightly longer for female cardiologists as compared with males.

Highlights

  • The Dutch government regulates the number of cardiologists and other medical specialists by controlling the number of positions in medical specialty training

  • 46% started their career as a fellow and 24% as an attending physician

  • Unemployment is low among young cardiologists

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Summary

Introduction

The Dutch government regulates the number of cardiologists and other medical specialists by controlling the number of positions in medical specialty training. Partly due to cutbacks in care, cooperative agreements among hospitals and hospital mergers, the number of permanent positions for most medical specialties have not followed that trend so far. This resulted in concerns about unemployment among young medical specialists. The Dutch Federation of Young Medical Specialists issued a survey to investigate the career perspectives of young medical specialists. They reported unemployment rates varying from 5 to 15% depending on the type of medical specialty [2].

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