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Foundation doctors' induction experiences.

Susan Miles1, Joanne Kellett2, Sam J Leinster3

  • 1Norwich Medical School, University of East Anglia, Norwich, UK. susan.miles@uea.ac.uk.

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Summary

Foundation Programme trainee doctors often receive inadequate inductions, particularly at the departmental level. Improving these experiences is crucial for equipping new doctors with essential knowledge for confident and competent practice.

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Area of Science:

  • Medical Education
  • Doctoral Training
  • Professional Development

Background:

  • Trainee doctors face significant challenges transitioning from medical school to practice.
  • Existing evidence suggests inadequate induction experiences for UK Foundation Programme doctors.
  • This study investigates trainee doctors' induction experiences to identify key beneficial characteristics.

Purpose of the Study:

  • To explore trainee doctors' experiences with induction during their first year of the Foundation Programme.
  • To identify the characteristics of induction that are most beneficial for trainee doctors.
  • To pinpoint gaps in current induction processes.

Main Methods:

  • An anonymous questionnaire was administered to Foundation trainee doctors at two time points during their first year.
  • The survey captured data on induction characteristics, perceived usefulness, and identified gaps.
  • Both in-person and online survey versions were utilized to maximize participation.

Main Results:

  • Inductions at the start of the year, including 'Preparation for Professional Practice' weeks, were more effective than later ones.
  • Longer induction periods correlated with greater usefulness.
  • Departmental inductions were often only moderately helpful, lacking crucial information about roles, resources, and local procedures.

Conclusions:

  • Many Foundation trainee doctors receive insufficient departmental inductions, leading to a lack of essential role-specific information.
  • Trainees lack knowledge regarding responsibilities, resources, contacts, and local protocols in new departments.
  • Urgent improvements in departmental inductions are necessary to ensure trainees are well-prepared and confident in their roles.