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Table 3 Association between consultants’ characteristics, revalidation status and hazard of exit

From: Does regulation increase the rate at which doctors leave practice? Analysis of routine hospital data in the English NHS following the introduction of medical revalidation

Variable

N (%)

HR

95% CI

Specialty

 Medical

10,567 (54.7)

(base category)

 Other

1332 (6.9)

1.76

(1.38 to 2.23)

 Surgical

7435 (38.5)

1.76

(1.34 to 2.31)

Volume of activity in 2008

 53–99

1424 (7.4)

(base category)

 100–199

1829 (9.5)

0.81

(0.67 to 0.98)

 200–299

1542 (8.0)

0.84

(0.67 to 1.06)

 300–399

1576 (8.2)

0.71

(0.57 to 0.89)

 400–499

1510 (7.8)

0.94

(0.74 to 1.18)

 ≥ 500

11,453 (59.2)

0.63

(0.53 to 0.74)

Volume × specialty

 Other × 100–199

305 (1.6)

1.30

(0.92 to 1.83)

 Other × 200–299

117 (0.6)

0.80

(0.53 to 1.20)

 Other × 300–399

68 (0.4)

0.66

(0.34 to 1.27)

 Other × 400–499

43 (0.2)

0.74

(0.37 to 1.48)

 Other × ≥ 500

303 (1.6)

0.42

(0.28 to 0.61)

 Surgical × 100–199

427 (2.2)

0.85

(0.61 to 1.19)

 Surgical × 200–299

619 (3.2)

0.71

(0.50 to 0.99)

 Surgical × 300–399

759 (3.9)

0.68

(0.48 to 0.96)

 Surgical × 400–499

814 (4.2)

0.42

(0.30 to 0.60)

 Surgical × ≥ 500

4615 (23.9)

0.54

(0.41 to 0.72)

Country of primary medical qualification

 UK trained

13,487 (69.8)

(base category)

 Foreign trained

5847 (30.2)

1.29

(1.16 to 1.43)

Consultant age (in 2008)

 ≤ 40

3336 (17.3)

(base category)

 41–45

5032 (26.0)

1.17

(0.98 to 1.40)

 46–50

4250 (22.0)

1.28

(1.05 to 1.56)

 51–55

3259 (16.9)

1.76

(1.42 to 2.19)

 56–60

2172 (11.2)

2.67

(2.09 to 3.42)

 61–65

1117 (5.8)

3.42

(2.58 to 4.54)

 > 65

168 (0.9)

3.04

(2.11 to 4.39)

Consultant gender

 Male

15,386 (79.6)

(base category)

 Female

3948 (20.4)

0.90

(0.70 to 1.14)

Revalidation status

 Pre-policy—not subject to revalidation

 

(base category)

 Post-policy—awaiting revalidation

 

2.33

(2.12 to 2.57)

 Post-policy—deferred/non-engagement

 

3.51

(2.71 to 4.55)

 Post-policy—revalidated

 

1.85

(1.65 to 2.06)