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Trends in training progression: response to the study by Silkens et al
Vivienne Curtis1, Kate Lovett2
1South London and Maudsley NHS Trust; School of Psychiatry, HEE London; Associate Dean for Academic Psychiatry, RCPsych; Institute of Psychiatry, Psychology and Neuroscience, King's College London; and Institute of Psychiatry, Department of Medicine, University of Bolton, UK.
Bjpsych Open
|November 24, 2021
Summary
UK medical speciality training faces recruitment and retention challenges. Trainee progression, not just recruitment, is key to senior workforce capacity, indicating a need for evolving career approaches.
Area of Science:
- Medical Education
- Healthcare Workforce Development
- Speciality Training Programmes
Background:
- Recruitment and retention are critical issues in the medical field.
- Improving recruitment to UK speciality training does not automatically ensure sufficient senior workforce capacity.
- Trainee progression is the primary determinant of future senior medical staff availability.
Purpose of the Study:
- To investigate the factors influencing trainee progression in UK speciality training programmes.
- To understand the shift in trainee expectations and career pathways.
- To identify necessary changes in medical career approaches to support workforce capacity.
Main Methods:
- A mixed-methods study was conducted in 2021.
- The research explored trainee-driven changes in conventional training pathways.
- Investigated evolving trainee expectations regarding speciality training.
Main Results:
- A significant shift away from traditional training pathways and expectations was observed.
- Trainees are increasingly seeking non-conventional routes in their medical careers.
- Findings highlight a divergence between programme structures and trainee desires.
Conclusions:
- A comprehensive change in career strategies is required for medical training.
- Reducing differential attainment must be prioritized.
- Acknowledging diverse trainee needs and fostering equality, diversity, and inclusion are essential for effective medical workforce development.