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Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study
Belinda O'Sullivan1, Matthew McGrail2, Tiana Gurney1
1Rural Clinical School, The University of Queensland, Toowoomba, Queensland, Australia.
Plos One
|October 21, 2021
Summary
Junior doctors face significant hurdles entering competitive medical specialties, unlike General Practice. Addressing these barriers is crucial for doctor well-being and efficient training system redesign.
Area of Science:
- Medical Education
- Doctoral Training Pathways
- Specialty Selection
Background:
- Specialty training is essential for medical practice completion.
- High competition for limited training places impacts doctor well-being and system efficiency.
Purpose of the Study:
- To explore barriers faced by junior doctors entering specialty training.
- To inform tailored support and redesign of specialty entry systems.
Main Methods:
- 32 semi-structured interviews with early-career doctors in Australia (March-October 2019).
- Explored barriers and influences for specialty training entry.
- Compared themes between General Practice (GP) and other specialty fields.
Main Results:
- Doctors targeting GP specialties experienced seamless entry with few barriers.
- Doctors pursuing other specialties faced challenges: navigating complex systems, networking, and application failures.
Conclusions:
- Non-GP specialty training entry presents significant, multi-year barriers affecting doctor morale and resilience.
- Recommendations include an information clearinghouse, broader criteria, feedback, and formal support.
- The ease of GP entry could be leveraged to encourage more doctors into General Practice.
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