scholarly journals ASiT backs trainees through upheaval

2007 ◽  
Vol 89 (7) ◽  
pp. 242-243
Author(s):  
Elaine Towell
Keyword(s):  
Surgical Training ◽  
Medical Training ◽  
Junior Doctors ◽  
Security Breach ◽  
High Profile ◽  
Medical Careers ◽  
Recruitment System

There is no doubt that surgical training is going through a period of major upheaval. The implementation of Modernising Medical Careers (MMC) has been steeped in controversy with recent months bringing uncertainty and anger as junior doctors compete for a limited number of training places. The introduction of a new selection and recruitment system, the Medical Training Applications System (MTAS), only served to exacerbate the anger. The system, as well as being involved in a major security breach, also failed to take into account doctors' qualifications and experience and was subsequently dropped, leaving a trail of destruction and high-profile resignations in its wake.

Surgical Training: Still Highly Competitive But Still Very Male

2012 ◽  
Vol 94 (2) ◽  
pp. 53-55 ◽  
Author(s):  
SA McNally
Keyword(s):  
Career Choice ◽  
Surgical Training ◽  
Radical Change ◽  
Junior Doctors ◽  
Medical Specialties ◽  
Medical Careers ◽  
Training Post

The likelihood of obtaining a training post varies massively between all 65 medical specialties. The competition ratio (defined as the number of applicants per post) varies from 1:1 to 12:1. There are few published competition ratios despite these being useful for junior doctors refining their career choice. Modernising Medical Careers (MMC) was a radical change, initiated in 2007, aiming to streamline, strengthen and shorten training.

scholarly journals Training and selection of surgeons 2008: a personal view

2008 ◽  
Vol 90 (7) ◽  
pp. 238-239
Author(s):  
M Lewis
Keyword(s):  
Surgical Training ◽  
Medical Training ◽  
Personal View ◽  
Extensive Experience ◽  
Medical Careers ◽  
Application Service ◽  
International Reputation ◽  
Training Of Surgeons ◽  
The Uk ◽  
Selection Of

For decades Britain has maintained an international reputation for training of surgeons, both from the UK and principally the Commonwealth countries. Consultants proffered their extensive experience and time: their reward being the satisfaction of watching inexperienced trainees mature into competent surgeons. This 'educational agreement' has existed for many years. Currently, the organisation of surgical training has been destabilised somewhat by Modernising Medical Careers, the Medical Training Application Service (MTAS) and the Tooke report.

scholarly journals August used to be a quiet month…

2007 ◽  
Vol 89 (9) ◽  
pp. 302-303
Author(s):  
Bernard Ribeiro
Keyword(s):  
Patient Care ◽  
Medical Training ◽  
Medical Specialty ◽  
Recent Survey ◽  
Junior Doctors ◽  
Medical Careers ◽  
Application Service

Against the background of Modernising Medical Careers (MMC) and the Medical Training Application Service (MTAS), August came and went without quite the catastrophe the newspapers predicted. This was because we had feared for the worst and had made preparations to ensure that our patients' care would not be affected. A recent survey by doctors.net of 180 consultants, chosen to be representative of the NHS by region and medical specialty, reported concerns that patient care had been affected during August with cancelled clinics and operating lists, although almost half of all respondents did not find any evidence of such cancellations. It was noted that there was low morale among some junior doctors who had been appointed and concern that they had been pushed into roles for which they were not adequately trained.

scholarly journals A Critical Appraisal of the Evidence of Current Methods of Assessment for Surgical Trainees

2013 ◽  
Vol 95 (6) ◽  
pp. 7-11
Author(s):  
AJ Batchelder ◽  
MJ McCarthy
Keyword(s):  
Surgical Training ◽  
Critical Appraisal ◽  
Junior Doctors ◽  
The Past ◽  
Medical Careers ◽  
Surgical Trainees ◽  
The Uk ◽  
Supervision And Training ◽  
And Training

Over the past decade training pathways in the UK have been subject to extensive changes. Concerns regarding the supervision and training of junior doctors led to a number of reforms that were implemented through the Modernising Medical Careers programme and these mandated formalisation of curricula for all specialties. Consequently, the surgical royal colleges of the UK and Ireland designed the Intercollegiate Surgical Curriculum Programme (ISCP), which delineates the framework for surgical training from core trainee level through to the award of a Certificate of Completion of training.

Consultant Attitudes to 'St' Higher Surgical Trainees

2012 ◽  
Vol 94 (10) ◽  
pp. 1-334
Author(s):  
A Rashid ◽  
N Al-Hadithy ◽  
D Rossouw ◽  
S Mellor
Keyword(s):  
Surgical Training ◽  
Selection Process ◽  
Career Progression ◽  
Junior Doctors ◽  
Short Term ◽  
Medical Careers ◽  
Surgical Trainees ◽  
Higher Surgical Training ◽  
Training Programmes ◽  
Training Opportunities

The Modernising Medical Careers 2005 report on SHO training concluded that there was a need to minimise the SHO years that had, until then, involved short-term posts, poor training opportunities and indifferent career progression. In response to this, 'run-through training' was introduced in August 2007. However, numerous problems were highlighted with this system, including lack of confidence in the selection process, concern about how to counsel failing trainees, concerns about staffing the wards at the junior level if all trainees were to have realistic anticipation of promotion and difficulty reconfiguring hospital services to support high-quality training. Consequently, run-through training was uncoupled at CT2 and ST3, reverting back to a system of competitive entry into higher surgical training. Nevertheless, junior doctors in new core training posts could still potentially progress to higher surgical training programmes with as little as nine months of experience in their chosen subspecialty.

scholarly journals European List of Essential Medicines for Medical Education: a protocol for a modified Delphi study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045635
Author(s):  
Erik Donker ◽  
David Brinkman ◽  
Milan Richir ◽  
Paraskevi Papaioannidou ◽  
Robert Likic ◽  
...  
Keyword(s):  
Medical Education ◽  
Delphi Study ◽  
Medical Training ◽  
Medical Center ◽  
European Countries ◽  
Essential Medicines ◽  
Ethical Review ◽  
Junior Doctors ◽  
Direct Supervision ◽  
Modified Delphi

IntroductionJunior doctors are responsible for a substantial number of prescribing errors, and final-year medical students lack sufficient prescribing knowledge and skills just before they graduate. Various national and international projects have been initiated to reform the teaching of clinical pharmacology and therapeutics (CP&T) during undergraduate medical training. However, there is as yet no list of commonly prescribed and available medicines that European doctors should be able to independently prescribe safely and effectively without direct supervision. Such a list could form the basis for a European Prescribing Exam and would harmonise European CP&T education. Therefore, the aim of this study is to reach consensus on a list of widely prescribed medicines, available in most European countries, that European junior doctors should be able to independently prescribe safely and effectively without direct supervision: the European List of Essential Medicines for Medical Education.Methods and analysisThis modified Delphi study will recruit European CP&T teachers (expert group). Two Delphi rounds will be carried out to enable a list to be drawn up of medicines that are available in ≥80% of European countries, which are considered standard prescribing practice, and which junior doctors should be able to prescribe safely and effectively without supervision.Ethics and disseminationThe study has been approved by the Medical Ethics Review Committee of VU University Medical Center (no. 2020.335) and by the Ethical Review Board of the Netherlands Association for Medical Education (approved project no. NVMO‐ERB 2020.4.8). The European List of Essential Medicines for Medical Education will be presented at national and international conferences and will be submitted to international peer-reviewed journals. It will also be used to develop and implement the European Prescribing Exam.

scholarly journals An analysis of the cost of postgraduate training in surgery in Ireland compared to other specialties

2021 ◽  
Author(s):  
Earley H. ◽  
Mealy K.
Keyword(s):  
Surgical Training ◽  
Financial Support ◽  
Postgraduate Training ◽  
Medical Training ◽  
Medical Council ◽  
List Type ◽  
Training Costs ◽  
Considerable Cost ◽  
Surgical Trainees ◽  
The Cost

Abstract Introduction Postgraduate specialty training in Ireland is associated with considerable cost. Some of these are mandatory costs such as medical council fees, while others are necessary to ensure career progression, such as attendance at courses and conferences. In particular, surgical specialities are believed to be associated with high training costs. It is unknown how these costs compare to those borne by counterparts in other specialities. Aims The aims of this study were to Quantify the amount that trainees in Ireland spend on postgraduate training Determine whether a difference exists between surgery and other non-skill-based specialties in terms of expenditure on training Methods A standardised non-mandatory questionnaire was circulated to trainees across two training centres in Ireland. Trainees at all levels were invited to participate. Results Sixty responses were obtained. Fifty-seven questionnaires were fully completed and included for analysis. The median expenditure on training was higher for surgical than non-surgical specialities. Subgroup analysis revealed surgical training was associated with higher expenditure on higher degrees and courses compared to medical training (p = 0.035). > 95% of trainees surveyed felt that greater financial support should be available for trainees during the course of their training. Conclusions This study demonstrated that a career in surgery is associated with higher ongoing costs for higher degrees and courses than counterparts in non-surgical training. All surgical trainees surveyed felt that better financial support should be available. Increasing financial support for may be a tangible way to mitigate against attrition during training.

Factors relating to working hours restriction that have impacted the professional identity of trainees in the last decade

2021 ◽  
Vol 82 (3) ◽  
pp. 1-10
Author(s):  
Soumya Mukherjee ◽  
James Meacock ◽  
Eleanor Kissane ◽  
Debasish Pal
Keyword(s):  
Identity Development ◽  
Professional Identity ◽  
Medical Training ◽  
Working Hours ◽  
Junior Doctors ◽  
Clinical Experiences ◽  
Postgraduate Medical Training ◽  
European Working ◽  
Working Time Directive ◽  
The Impact

Ever-developing changes to the working hours of junior doctors by the European Working Time Directive, the junior doctor contract of 2019 and most recently the COVID-19 pandemic have impacted the professional identity of doctors. There has been little investigation into its influence on the multifaceted aspects of postgraduate medical training, which feeds into how trainees consider themselves professionally and the concept of professional identity or ‘being a doctor’. A review of the medical, socio-political and educational literature reveals that the impact on the professional identity development of trainees is influenced by several perspectives from the trainee, trainer and the public. Gross reduction in working hours has no doubt decreased the raw volume of clinical experiences. However, to counteract this, smarter learning processes have evolved, including narrative reflection, supervised learning events, and a greater awareness of coaching and training among trainers.

scholarly journals Near-misses and Missed Opportunities: Poor Patient Handover In General Surgery

2008 ◽  
Vol 90 (3) ◽  
pp. 96-98 ◽  
Author(s):  
M Tokode ◽  
L Barthelmes ◽  
B O'Riordan
Keyword(s):  
General Surgery ◽  
Working Hours ◽  
Junior Doctors ◽  
Learning Potential ◽  
Missed Opportunities ◽  
Near Misses ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive ◽  
Patient Handover

Since the introduction of shift systems for junior doctors as part of the European Working Time Directive, different teams of doctors look after patients over the course of a day. This requires ro bust handover mechanisms to pass on inf ormation between differ ent teams of doctors to avoid misses and near-misses in patients' care. Modernising Medical Careers shortens the placements of doctors in foundation programmes in general surgery to four months compared with six-month placements as pre-registration house officers in the past. The reduction in working hours will therefore adv ersely aff ect exposur e and experience of junior doctors in general surg ery unless the learning potential of time spent at work is maximised.

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