The doctor's license is withdrawn by the GMC and they are no longer able to practise. Set out by the GMC and restrict a doctor's practice. Once the variables had been selected, we performed a variable reduction process, to reduce the number categories into meaningful categories. In , Wakeford 11 explored the situation in the UK. This would allow for a meaningful comparison of male and female doctors and their experience of disciplinary action in the UK. These variables were selected as a priori confounders based on findings from earlier research, 7 8 11 14 which demonstrated that these factors may influence the risk of receiving sanctions. Selection of variables The variables included in the study were selected before any statistical analysis.
Methods Study design, setting and source of data We conducted a cross-sectional study using UK-wide data. Doctors who are neither on the GP nor specialist register can be primarily divided into two groups: Does the sex of a doctor matter? The final model was assessed for the presence of effect modifiers following the findings from the Mantel-Haenszel analyses. The cost of this regulatory process, not only in terms of the financial cost of the actual complaints investigation procedure, but also in terms of the loss of the medical workforce during the process, can be significant. The study was constrained by the variables collected and made available by the General Medical Council GMC , so we were unable to examine the effect of other potential confounding factors. Receiving sanctions is a rare outcome and using a large data set is crucial when examining rare outcomes. The data and permission to use the data for research purposes were obtained from the GMC. There was evidence that the association varies with specialty, with female doctors who had specialised as general practitioners being the least likely to receive sanctions compared with their male colleagues OR: The doctor must comply with these conditions to maintain their registration. The doctor's license is withdrawn by the GMC and they are no longer able to practise. The database provided details of the doctor's sex; the year, country and institutions of the doctor's primary medical qualification PMQ and the doctor's current registration status, including whether they currently had any sanctions on their medical registration see below for details. The duration of a sanction on a doctor's registration varies and it is possible for doctors to have more than one sanction against their registration, and this typically represents the outcomes of different complaints for further information on sanctions, visit http: Confounding variables included years since primary medical qualification, world region of primary medical qualification and specialty. The initial logistic regression model included only the exposure sex and outcome sanctions variables to provide a crude measure of effect. The types of sanctions included: The number of female medical students has been increasing since the mids with female medical students outnumbering male medical students since the mids. Non-training posts are for doctors who are not fully qualified consultants or GPs. To categorise those doctors on the Specialist Register, two researchers EU and CW independently allocated each primary specialty to a specialty category. Published online Aug 7. This would allow for a meaningful comparison of male and female doctors and their experience of disciplinary action in the UK. For inclusion on the GP or specialist register, a doctor must be a fully qualified consultant or GP ie, the doctor must have successfully completed their Specialty Training. Conclusions Female doctors have reduced odds of receiving sanctions on their medical registration when compared with their male colleagues. The different categories of registration status included provisionally or fully registered; suspended; not registered—administrative reason, or deceased, or having relinquished registration; and not registered—erased after Fitness to Practise panel hearing. Set out by the GMC and restrict a doctor's practice.
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