This report sets out key findings from PISA as they relate to teenage career development. The report shows that across OECD countries, students are now expressing very high levels of career uncertainty and confusion. Job expectations have changed little since 2000 and bear little relationship to actual patterns of labour market demand, including in working areas of high strategic importance. The education plans of students moreover are more strongly shaped by social background than by academic performance. Many students understandably exhibit considerable anxiety about their career preparation. Wider longitudinal research shows that participation in many career development activities is positively associated with better employment outcomes. However, PISA shows that too few students in most countries are engaging in activities which are most strongly related with better transitions. In particular, young people are not getting enough guidance in crucial fields which connect them with employers and people in work. [Additional support for this work was received from the Education and Employers Charity.]