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.
Surgeons are an integral provider of elective and emergency secondary care in the UK. However, the supply of surgeons is struggling to keep up with the demand; for at least the past four years, there have remained unfilled core surgical training (CST) posts despite other specialties (eg radiology, public health medicine and ophthalmology) achieving consistent 100% fill rates. 1 , 2
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