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Where have all the doctors gone? Career choices of Wits medical graduates
Abstract
Design. A crosscsectional analysis of the register of what was then· the South African Medical and • Dental Council (SAMDC) and a telephone interview survey of a sample of medical graduates, collecting retrospective career histories.
Results. Thirty-six per cent of the sample was working predominantly in the public sector, while 47% of all years worked by graduates were in the public sector. Women graduates spent 68% oftheir years working in the public sector, compared with 36% for men. The majority (55%) of graduates in the sample who were working in the public sector cited academic and training aspects as the main reason for this choice. Conversely, nearly half (47%) gave income as the main reasonfor moving to the private sector. Forty per cent of graduates had.specialised .(46%.of men,.22% of women), while 76% were working in the large urban areas.
Conclusions . The findings highlight methodological problems with standard cross-sectional analysis of distribution of personnel. They also challenge several assumptions about the likelihood of Wits graduates working as generalists (60%), the voluntary contribution of graduates to the public sector, and in particular the value of women doctors to public service and primary care.