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Academic medicine: the continuing challenges.

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Declining academic medicine trainee numbers highlight poor awareness of established pathways like the UK's Academic Foundation Programme (AFP). A national course significantly improved applicant knowledge and preparedness for the AFP application process.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Academic Medicine

Background:

  • International decline in academic medicine trainees necessitates improved recruitment strategies.
  • The UK's Academic Foundation Programme (AFP) is a pathway for aspiring academic clinicians, but faces recruitment challenges.
  • Variations in university application and success rates for the AFP indicate underlying issues.

Purpose of the Study:

  • To explore challenges in recruiting trainees to academic medicine.
  • To assess the effectiveness of a national course designed to inform applicants about the AFP.
  • To improve applicant knowledge and preparedness for the AFP.

Main Methods:

  • A 1-day national course was developed, including lectures and workshops on the AFP.
  • Pre- and post-course questionnaires using a 5-point Likert scale evaluated attendee knowledge and preparedness.
  • 150 attendees from 16 UK medical schools participated.

Main Results:

  • Attendees initially lacked awareness of the AFP application process and felt underprepared.
  • Post-course, median knowledge scores increased significantly (2 to 4, p < 0.01).
  • Median preparedness scores also improved significantly (2 to 3, p < 0.01).

Conclusions:

  • Recruitment to academic medicine remains challenging despite established pathways.
  • Poor awareness of pathways like the AFP in the UK can be addressed by targeted educational interventions.
  • Further research is needed on effective recruitment methods and the impact of institutional factors on application success.