Demographics, distribution and experiences of UK clinical academic trainees using GMC NTS Survey data

Abstract

Involvement in research plays an integral role in the delivery of high-quality patient care, benefitting doctors, patients and employers. It is important that access to clinical academic training opportunities are inclusive and equitable. To better understand the academic trainee population, distribution of academic posts and their reported experience of clinical training, we analysed 53 477 anonymous responses from General Medical Council databases and the 2019 National Training Survey. Academic trainees are more likely to be men, and the gender divide begins prior to graduation. There are very low numbers of international medical graduates and less than full-time academic trainees. A small number of UK universities produce a greater prevalence of doctors successfully appointed to academic posts; subsequent academic training also clusters around these institutions. At more senior levels, academic trainees are significantly more likely to be of white ethnicity, although among UK graduates, no ethnicity differences were seen. Foundation academic trainees report a poorer experience of some aspects of their clinical training placements, with high workloads reported by all academic trainees. Our work highlights important disparities in the demographics of the UK clinical academic trainee population and raises concerns that certain groups of doctors face barriers accessing and progressing in UK academic training pathways.

The under-representation of racially minoritised doctors in academic general practice training: a retrospective analysis

“…[5] In August 2023, out of a total of 10,446 GP trainees in England 5,379 (51.5%) were from the UK, 594 (5.7%) were from the EU, 4,462 (43%) were from outside of the UK or EU and 11 (0.1%) were from an unknown location. [4] Work by Beckwith et al, [6] found that postgraduate academic trainees are significantly more likely to be White but found no significant difference in the ethnicities of UK graduates in academic posts, as opposed to internationally trained graduates. This suggests that the intersections of country of origin, race and ethnicity may compound inequitable recruitment.…”