The fairness, effectiveness and acceptability of selection for specialty training in the UK

2013 ◽  
Vol 74 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Hywel Thomas ◽  
Ian Davison ◽  
Harry Gee ◽  
Janet Grant ◽  
Celia Taylor
Keyword(s):  
Specialty Training ◽  
Selection For ◽  
The Uk

scholarly journals A Survey on National Selection for Specialty Training

2012 ◽  
Vol 94 (1) ◽  
pp. 1-6
Author(s):  
A Cunningham ◽  
CE Rennie ◽  
NS Tolley
Keyword(s):  
Advisory Committee ◽  
Specialty Training ◽  
Single Centre ◽  
Ent Surgery ◽  
Selection Interviews ◽  
Selection For ◽  
National Selection ◽  
The Uk ◽  
Nose And Throat

In April 2010 the first national selection interviews for otolaryngology specialty training year three (ST3) recruitment were held in Leeds. Like many other medical and surgical specialties in the UK and abroad, ear, nose and throat (ENT) surgery has now moved to a nationally coordinated system of application and shortlisting, and a single-centre interview. This change has been brought about by the governing bodies, the specialist advisory committee and the UK Association of Programme Directors in ENT following a pilot in 2009.

scholarly journals Day case laparoscopic cholecystectomy: Identifying patients for a ‘COVID-Cold’ isolated day-case unit during the pandemic

2021 ◽  
pp. 175045892097741
Author(s):  
Zoe Hinchcliffe ◽  
Imran Mohamed ◽  
Anil Lala
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
General Hospital ◽  
Univariate Analysis ◽  
District General Hospital ◽  
Day Case ◽  
Patient Factors ◽  
Surgical Services ◽  
North Wales ◽  
Selection For ◽  
The Uk

Background The UK practice of laparoscopic cholecystectomy has reduced during the COVID-19 pandemic due to cancellation of non-urgent operations. Isolated day-case units have been recommended as ‘COVID-cold’ operating sites to resume surgical procedures. This study aims to identify patients suitable for day case laparoscopic cholecystectomy (DCLC) at isolated units by investigating patient factors and unexpected admission. Method Retrospective analysis of 327 patients undergoing DCLC between January and December 2018 at Ysbyty Gwynedd (District General Hospital; YG) and Llandudno General Hospital (isolated unit; LLGH), North Wales, UK. Results The results showed that 100% of DCLCs in LLGH were successful; 71.4% of elective DCLCs were successful at YG. Increasing age ( p = 0.004), BMI ( p = 0.01), ASA Score ( p = 0.006), previous ERCP ( p = 0.05), imaging suggesting cholecystitis ( p = 0.003) and thick-walled gallbladder ( p = 0.04) were significantly associated with failed DCLC on univariate analysis. Factors retaining significance (OR, 95% CI) after multiple regression include BMI (1.82, 1.05–3.16; p = 0.034), imaging suggesting cholecystitis (4.42, 1.72–11.38; p = 0.002) and previous ERCP (5.25, 1.53–18.00; p = 0.008). Postoperative complications are comparable in BMI <35kg/m2 and 35–39.9kg/m2. Conclusions Current patient selection for isolated day unit is effective in ensuring safe discharge and could be further developed with greater consideration for patients with BMI 35–39.9kg/m2. As surgical services return, this helps identify patients suitable for laparoscopic cholecystectomy at isolated COVID-free day units.

scholarly journals Are there differences between those doctors who apply for a training post in Foundation Year 2 and those who take time out of the training pathway? A UK multicohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032021 ◽  
Author(s):  
Jennifer Cleland ◽  
Gordon Prescott ◽  
Kim Walker ◽  
Peter Johnston ◽  
Ben Kumwenda
Keyword(s):  
Medical School ◽  
Workforce Planning ◽  
Sociodemographic Factors ◽  
Specialty Training ◽  
Time Out ◽  
Foundation Programme ◽  
Training Post ◽  
Multivariable Regression ◽  
The Uk ◽  
Participation In Higher Education

IntroductionKnowledge about the career decisions of doctors in relation to specialty (residency) training is essential in terms of UK workforce planning. However, little is known about which doctors elect to progress directly from Foundation Year 2 (F2) into core/specialty/general practice training and those who instead opt for an alternative next career step.ObjectiveTo identify if there were any individual differences between these two groups of doctors.DesignThis was a longitudinal, cohort study of ‘home’ students who graduated from UK medical schools between 2010 and 2015 and completed the Foundation Programme (FP) between 2012 and 2017.We used the UK Medical Education Database (UKMED) to access linked data from different sources, including medical school performance, specialty training applications and career preferences. Multivariable regression analyses were used to predict the odds of taking time out of training based on various sociodemographic factors.Results18 380/38 905 (47.2%) of F2 doctors applied for, and accepted, a training post offer immediately after completing F2. The most common pattern for doctors taking time out of the training pathway after FP was to have a 1-year (7155: 38.8%) or a 2-year break (2605: 14.0%) from training. The odds of not proceeding directly into core or specialty training were higher for those who were male, white, entered medical school as (high) school leavers and whose parents were educated to degree level. Doctors from areas of low participation in higher education were significantly (0.001) more likely to proceed directly into core or specialty training.ConclusionThe results show that UK doctors from higher socioeconomic groups are less likely to choose to progress directly from the FP into specialty training. The data suggest that widening access and encouraging more socioeconomic diversity in our medical students may be helpful in terms of attracting F2s into core/specialty training posts.

scholarly journals Modernising Medical Careers: a urological workforce perspective

2008 ◽  
Vol 90 (1) ◽  
pp. 22-26
Author(s):  
GO Hellawell ◽  
SS Kommu ◽  
F Mumtaz
Keyword(s):  
Junior Doctors ◽  
Specialty Training ◽  
Medical Careers ◽  
Foundation Programme ◽  
The Future ◽  
Training Programmes ◽  
The Uk ◽  
And Training

The training of junior doctors in the UK is undergoing an evolution to ensure that those concerned are adequately trained and specialised for current and future consultant practice. The implementation of this training evolution is currently widespread at the foundation level (SHO-equivalent) and will expand to specialty training programmes as foundation programme trainees complete their training in 2007. Urology has led the change to the specialty training, with three-year trainees having entered the specialty in 2005. The emergence of urology as the lead specialty for change originated in part from a meeting in 1998 that addressed the future of urology and training, the summary of which was published later that year.

scholarly journals Neurosurgery specialty training in the UK: What you need to know to be shortlisted for an interview

2020 ◽  
Vol 57 ◽  
pp. 287-290
Author(s):  
Giorgos Solomou ◽  
Suzanne Murphy ◽  
Soham Bandyopadhyay ◽  
Hugo Layard Horsfall ◽  
Midhun Mohan ◽  
...  
Keyword(s):  
Specialty Training ◽  
The Uk

Genetic Selection for Enhanced Health Characteristics

2007 ◽  
Vol 4 (6) ◽  
Author(s):  
Andy Miah
Keyword(s):  
Genetic Information ◽  
Genetic Selection ◽  
Regulatory Framework ◽  
Genetic Tests ◽  
Selection For ◽  
The Uk ◽  
Moral Stance ◽  
Human Genetic Commission

AbstractThis paper examines the UK regulatory framework and the ethical arguments surrounding the use of genetic tests, specifically considering how they would apply to selecting for enhanced health characteristics. It discusses the Human Genetic Commission reports on the use of genetic information more broadly, identifying the implied values and concerns arising from their conclusions. It argues that the HGC conflates the concepts of ‘best’ and ‘enhancement’ and this limits the persuasiveness of their moral stance

A genetic analysis of wool and lamb production traits in Scottish Blackface Sheep

2002 ◽  
Vol 2002 ◽  
pp. 21-21
Author(s):  
A. Murphy ◽  
J. Conington
Keyword(s):  
Genetic Relationships ◽  
Carcass Traits ◽  
Direct Selection ◽  
Meat Production ◽  
Production Traits ◽  
Selection For ◽  
Wool Quality ◽  
Sheep Production ◽  
The Uk ◽  
The Impact

Scottish Blackface sheep have a multi-purpose role in the UK to produce breeding females and lambs for meat consumption. Over the last fifty years, wool has accounted for a very low proportion of economical return from hill sheep production in the UK. In recent years, the ratio of the value of lamb meat to wool clip has altered, with wool becoming relatively more important in particular for hill breeds. The consequence of direct selection for improved carcass traits in these breeds on wool quality is unknown. With other sheep breeds such as Merino, selection for improved wool traits has largely been undertaken with little regard to the impact on meat production. The objectives of this study are to quantify wool quality traits and examine genetic relationships between wool quality and carcass traits in Scottish Blackface sheep.

The inheritance of faecal egg count following natural Ostertagia circumcinctainfection in Scottish Blackface lambs

1996 ◽  
Vol 1996 ◽  
pp. 117-117
Author(s):  
S.C. Bishop ◽  
K. Bairden ◽  
Q.A. McKellar ◽  
M. Park ◽  
M.J. Stear
Keyword(s):  
Genetic Selection ◽  
Live Weight ◽  
Gastrointestinal Parasites ◽  
Sheep Industry ◽  
Environment Effects ◽  
Faecal Egg Count ◽  
Genetic And Phenotypic Correlations ◽  
Selection For ◽  
The Uk ◽  
Production Losses

The use of genetic selection as a means of reducing the welfare and production losses caused by gastrointestinal parasites has hitherto been ignored by the UK sheep industry. The aim of this study is to assess the potential for selection for reduced faecal egg count, as an indicator of parasitism, and to establish relationships with live weight.Faecal egg counts and live weights were measured on approximately 200 predominantly twin born Scottish Blackface lambs each year for three years following natural, predominantly Ostertagia circumcincta , infection on pasture. Measurements were made from one to six months of age, at four week intervals, following anthelmintic treatment. Heritabilities, maternal common environment effects, genetic and phenotypic correlations were calculated using Residual Maximum Likelihood techniques.

scholarly journals UK nationals who received their medical degrees abroad: selection into, and subsequent performance in postgraduate training: a national data linkage study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e023060 ◽  
Author(s):  
Paul A Tiffin ◽  
James Orr ◽  
Lewis W Paton ◽  
Daniel T Smith ◽  
John J Norcini
Keyword(s):  
Postgraduate Training ◽  
Medical Specialty ◽  
Linkage Study ◽  
Annual Review ◽  
Educational Performance ◽  
Specialty Training ◽  
Subsequent Performance ◽  
Satisfactory Outcome ◽  
Training Programmes ◽  
The Uk

ObjectivesTo compare the likelihood of success at selection into specialty training for doctors who were UK nationals but obtained their primary medical qualification (PMQ) from outside the UK (‘UK overseas graduates’) with other graduate groups based on their nationality and where they gained their PMQ. We also compared subsequent educational performance during postgraduate training between the graduate groups.DesignObservational study linking UK medical specialty recruitment data with postgraduate educational performance (Annual Review of Competence Progression (ARCP) ratings).SettingDoctors recruited into national programmes of postgraduate specialist training in the UK from 2012 to 2016.Participants34 755 UK-based trainee doctors recruited into national specialty training programmes with at least one subsequent ARCP outcome reported during the study period, including 1108 UK overseas graduates.Main outcome measuresOdds of being deemed appointable at specialty selection and subsequent odds of obtaining a less versus more satisfactory category of ARCP outcome.ResultsUK overseas graduates were more likely to be deemed appointable compared with non-EU medical graduates who were not UK citizens (OR 1.29, 95% CI 1.16 to 1.42), although less so than UK (OR 0.25, 95% CI 0.23 to 0.27) or European graduates (OR 0.66, 95% CI 0.58 to 0.75). However, UK overseas graduates were subsequently more likely to receive a less satisfactory outcome at ARCP than other graduate groups. Adjusting for age, sex, experience and the economic disparity between country of nationality and place of qualification reduced intergroup differences.ConclusionsThe failure of recruitment patterns to mirror the ARCP data raises issues regarding consistency in selection and the deaneries’ subsequent annual reviews. Excessive weight is possibly given to interview performance at specialty recruitment. Regulators and selectors should continue to develop robust processes for selection and assessment of doctors in training. Further support could be considered for UK overseas graduates returning to practice in the UK.

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