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HLA-DR4 and career prospects in rheumatology: is there a link?
Objective:
To determine whether HLA type is associated with career progress in rheumatology.
Design:
Comparison of HLA type after HLA analysis of samples of venous blood.
Setting:
Department of Rheumatology Research, University of Birmingham.
Subjects:
All (37) staff in the department.
Results:
All the senior academics and most staff with a PhD expressed HLA-DR4. The prevalence of expression in each of these groups was significantly greater than that found in the controls. None of the junior doctors or secretaries expressed DR4.
Conclusion:
The junior doctors in the department have poor career prospects as HLA-DR4 seems to be associated with academic achievement.