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Completion of paediatric training: trends across 2011-2017 cohorts
Melody Grace Redman1,2, Davide Carzedda3, Nicola Jay3,4
1Sheffield Children's NHS Foundation Trust, Sheffield, UK meloredman@gmail.com.
Objective:
To determine trends in the demographics and destinations of doctors who have recently completed paediatric training in the UK.
Design:
A survey was sent to all new paediatric certificate holders 1 year on from completing specialty training every year from 2011 to 2017.
Setting:
Retrospective survey.
Outcome Measures:
Demographics, career destinations, time to complete training, working patterns, subspecialty registration, numbers of job applications, and use of the period of grace are reported.
Results:
1262 people who gained their paediatric certificate in the UK between 2011 and 2017 completed the survey (60.6% response rate). 58.5% (n=738) of respondents were female, and 32.4% (n=224) of women work less than full time, compared with 4.6% (n=23) of men. 85.9% (n=1056) of respondents were in a UK consultant post. 7.6% (n=94) were working overseas. 65.1% (n=722) remained in the region they trained in. 64.8% (n=1348) were registered for general paediatrics, whereas 35.2% (n=733) had subspecialised.Respondents who held a non-UK medical degree (47.5%, n=501) made more job applications on average (mean=2.2; 95% CI 2.0 to 2.5) than those with a UK degree (52.5%, n=554) (mean=1.1; 95% CI 1.0 to 1.2) (p<0.001). Average training time increased from 9.8 years (95% CI 9.4 to 10.2) to 11.3 years (95% CI 11.1 to 11.6) (p<0.001). Respondents' use of their grace period reduced from 42.7% (n=47) to 20.6% (n=29) (p<0.001).
Conclusions:
The data reflect the diverse paediatric workforce and doctors' working patterns following the completion of paediatric training in the UK. The trends demonstrated are vital to consider for evidence-based workforce planning.
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