Abstract:The introduction of new rotas, rota gaps, poor handover arrangements, the junior hospital doctors’ strike, the imposition of a new contract after a four-year period of contract negotiation, the Bawa-Garba case, the abolition of the “Firm”, poor rest facilities and bullying have all contributed to eroding the morale of junior doctors. The retention of newly registered doctors is falling. Recent evidence shows that in 2010 83% of Foundation Year 2's went straight into training compared to 38% in 2018. This study… Show more
“…This may include taking time out of training to pursue personal interests or by building protected time into training that can be used to empower the trainee to re-gain some autonomy back into their life. This sentiment of loss of control and desire for individualised training is supported by previous work in this area [ 10 , 15 , 16 , 24 ]. Fig.…”
Section: Discussionsupporting
confidence: 67%
“…The central importance of trainee doctors feeling over-worked and under-valued has been raised before in previous work, predominantly from questionnaire surveys [8,9,[12][13][14], and is a widespread concern across the NHS workforce [15]. Similarly, a need for more support for Foundation doctors has been recently highlighted by other authors [16]. Our study has highlighted the strength of feeling of current trainees and some of the underlying causes, such as lack of flexibility and poor facilities.…”
Background: The number of UK foundation doctors choosing to go straight into speciality training has fallen drastically over the last 10 years: We sought to explore and understand the reasons for this change. Methods: We undertook semi-structured interviews with 16 foundation year two doctors, who had not applied to speciality training, from two regional foundation schools. Transcripts were thematically analysed. Results: The reasons that foundation doctors are choosing not to go straight into speciality training centre around the themes of feeling undervalued, career uncertainty and a new cultural norm. They report major feelings of uncertainty regarding career choice at such an early stage of their profession and this challenge was magnified by a perceived lack of flexibility of training and the growing normality of taking time out from training. Trainees feel a lack of support in planning and undertaking an "FY3" year and being helped back into the workforce. Trainees overwhelmingly reported that they feel undervalued by their employers. Importantly, however, not going into training directly was not always a reflection of dissatisfaction with training. Many trainees spoke very positively about their planned activities and often saw a break in training as an excellent way to recharge, develop skills and prepare for the rest of their careers in medicine. Conclusions: Taking a year or more out of training after foundation years has become the new cultural norm for UK junior doctors and reasons for this include feeling undervalued, career uncertainty and the perception that this is now "normal". Exploring these factors with participants has generated a number of recommendations related to improving the workplace environment, allowing more flexibility in training and supporting those who chose to take an FY3.
“…This may include taking time out of training to pursue personal interests or by building protected time into training that can be used to empower the trainee to re-gain some autonomy back into their life. This sentiment of loss of control and desire for individualised training is supported by previous work in this area [ 10 , 15 , 16 , 24 ]. Fig.…”
Section: Discussionsupporting
confidence: 67%
“…The central importance of trainee doctors feeling over-worked and under-valued has been raised before in previous work, predominantly from questionnaire surveys [8,9,[12][13][14], and is a widespread concern across the NHS workforce [15]. Similarly, a need for more support for Foundation doctors has been recently highlighted by other authors [16]. Our study has highlighted the strength of feeling of current trainees and some of the underlying causes, such as lack of flexibility and poor facilities.…”
Background: The number of UK foundation doctors choosing to go straight into speciality training has fallen drastically over the last 10 years: We sought to explore and understand the reasons for this change. Methods: We undertook semi-structured interviews with 16 foundation year two doctors, who had not applied to speciality training, from two regional foundation schools. Transcripts were thematically analysed. Results: The reasons that foundation doctors are choosing not to go straight into speciality training centre around the themes of feeling undervalued, career uncertainty and a new cultural norm. They report major feelings of uncertainty regarding career choice at such an early stage of their profession and this challenge was magnified by a perceived lack of flexibility of training and the growing normality of taking time out from training. Trainees feel a lack of support in planning and undertaking an "FY3" year and being helped back into the workforce. Trainees overwhelmingly reported that they feel undervalued by their employers. Importantly, however, not going into training directly was not always a reflection of dissatisfaction with training. Many trainees spoke very positively about their planned activities and often saw a break in training as an excellent way to recharge, develop skills and prepare for the rest of their careers in medicine. Conclusions: Taking a year or more out of training after foundation years has become the new cultural norm for UK junior doctors and reasons for this include feeling undervalued, career uncertainty and the perception that this is now "normal". Exploring these factors with participants has generated a number of recommendations related to improving the workplace environment, allowing more flexibility in training and supporting those who chose to take an FY3.
“…The central importance of trainee doctors feeling over-worked and under-valued has been raised before in previous work, predominantly from questionnaire surveys (8,9,(12)(13)(14), and is a widespread concern across the NHS workforce (16). Similarly, a need for more support for Foundation doctors has been recently highlighted by other authors (17). Our study has highlighted the strength of feeling of current trainees and some of the underlying causes, such as lack of flexibility and poor facilities.…”
Background The number of UK foundation doctors choosing to go straight into speciality training has fallen drastically over the last 10 years: We sought to explore and understand the reasons for this change. Methods We undertook semi-structured interviews with 16 foundation year two doctors, who had not applied to speciality training, from two regional foundation schools. Transcripts were thematically analysed.Results The reasons that foundation doctors are choosing not to go straight into speciality training centre around the themes of feeling undervalued, career uncertainty and a new cultural norm. They report major feelings of uncertainty regarding career choice at such an early stage of their profession and this challenge was magnified by a perceived lack of flexibility of training and the growing normality of taking time out from training. Trainees feel a lack of support in planning and undertaking an “FY3” year and being helped back into the workforce. Trainees overwhelmingly reported that they feel undervalued by their employers. Importantly, however, not going into training directly was not always a reflection of dissatisfaction with training. Many trainees spoke very positively about their planned activities and often saw a break in training as an excellent way to recharge, develop skills and prepare for the rest of their careers in medicine.Conclusions Taking a year or more out of training after foundation years has become the new cultural norm for UK junior doctors and reasons for this include feeling undervalued, career uncertainty and the perception that this is now “normal”. Exploring these factors with participants has generated a number of recommendations related to improving the workplace environment, allowing more flexibility in training and supporting those who chose to take an FY3.
“…The central importance of trainee doctors feeling over-worked and under-valued has been raised before in previous work, predominantly from questionnaire surveys (8,9,(12)(13)(14) (8,9,(12)(13)(14), and is a widespread concern across the NHS workforce (15). Similarly, a need for more support for Foundation doctors has been recently highlighted by other authors (16). Our study has highlighted the strength of feeling of current trainees and some of the underlying causes, such as lack of flexibility and poor facilities.…”
Background The number of UK foundation doctors choosing to go straight into speciality training has fallen drastically over the last 10 years: We sought to explore and understand the reasons for this change. Methods We undertook semi-structured interviews with 16 foundation year two doctors, who had not applied to speciality training, from two regional foundation schools. Transcripts were thematically analysed. Results The reasons that foundation doctors are choosing not to go straight into speciality training centre around the themes of feeling undervalued, career uncertainty and a new cultural norm. They report major feelings of uncertainty regarding career choice at such an early stage of their profession and this challenge was magnified by a perceived lack of flexibility of training and the growing normality of taking time out from training. Trainees feel a lack of support in planning and undertaking an “FY3” year and being helped back into the workforce. Trainees overwhelmingly reported that they feel undervalued by their employers. Importantly, however, not going into training directly was not always a reflection of dissatisfaction with training. Many trainees spoke very positively about their planned activities and often saw a break in training as an excellent way to recharge, develop skills and prepare for the rest of their careers in medicine. Conclusions Taking a year or more out of training after foundation years has become the new cultural norm for UK junior doctors and reasons for this include feeling undervalued, career uncertainty and the perception that this is now “normal”. Exploring these factors with participants has generated a number of recommendations related to improving the workplace environment, allowing more flexibility in training and supporting those who chose to take an FY3.
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