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BMJ 2006;332 (21 January), doi:10.1136/bmj.332.7534.0-a
The promotion of hospital doctors to consultant level is associated with their sex, country of graduation, previous working hours, and honorary contracts. In a multivariate regression study, Mavromaras and Scott (p 148) analysed NHS administrative data from Scottish hospitals from 1991 to 2000 and found that graduates from outside Scotland, women, and part timers were less likely to be promoted and that an honorary contract and working in non-metropolitan NHS boards helped. They say that as the proportion of women in hospital medicine increases, promotion criteria need to be examined in order to meet government targets of a consultant led NHS.
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