Promotion to hospital consultant in NHS Scotland

Purpose - The aim of this paper is to investigate the factors that influence promotions of medical staff from registrar to consultant in the Scottish NHS.Design methodology approach - The paper addresses the question of what determines the incidence of promotion, concentrating on the impact of exper...

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Bibliographic Details
Published in:International journal of manpower 2005-01, Vol.26 (7/8), p.660-672
Main Authors: Mavromaras, Kostas, Scott, Anthony
Format: Article
Language:English
Subjects:
Career advancement
Career development
Career development planning
Consultants
Employee promotions
Employment
Expenditures
Health services
Hospitals
Human capital
Incentives
Influence
Labor market
Medical personnel
National Health Service
Physicians
Productivity
Studies
Tournaments & championships
United Kingdom
Citations: Items that this one cites
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Summary:Purpose - The aim of this paper is to investigate the factors that influence promotions of medical staff from registrar to consultant in the Scottish NHS.Design methodology approach - The paper addresses the question of what determines the incidence of promotion, concentrating on the impact of experience, effort and the choice of specialty in promotion outcomes. A unique panel data set is used that contains individual level information on all NHS hospital doctors in Scotland from 1991 to 2000. Probabilities of promotion are decomposed by specialty into the part attributable to the mean characteristics of the doctors in each specialty and the effect of belonging to a specialty itself.Findings - The paper estimates a panel model of promotion and identifies specialty effects on promotion. Effort in the two years before promotion is shown to have an influence on promotion probabilities. Specialties are found to exhibit considerable differences in their rate of promotion over and above the differences explained by the characteristics of the doctors in them.Originality value - The paper examines the promotion of medical staff from registrar to consultant in the Scottish NHS during the 1990s. The paper concentrates on the impact of experience, effort and medical specialty on the probability of promotion.
ISSN:0143-7720
1758-6577
DOI:10.1108/01437720510628121