Less than full time training in plastic surgery: A qualitative survey-based study and practical suggestions for
S A Hendrickson1, I Ibrahim2, S Eccles3
1Plastic Surgery Trainee Association (PLASTA) UK Committee 2021-2022, United Kingdom; Department of Plastic Surgery, North Bristol NHS Trust, Bristol, United Kingdom.
Summary
Less-than-full-time (LTFT) training benefits plastic surgery trainees, but barriers like pay and negative perceptions persist. Improving access to LTFT supports well-being, reduces attrition, and promotes equality in surgical training.
Area of Science:
- Medical Education
- Surgical Training
- Workforce Well-being
Background:
- The General Medical Council supports less-than-full-time (LTFT) training for its positive impact on well-being, burnout, attrition, and patient safety.
- Barriers within plastic surgery hinder the adoption and acceptance of LTFT training.
- Understanding trainee perceptions is crucial for improving LTFT accessibility.
Purpose of the Study:
- To investigate plastic surgery trainees' perceptions of LTFT training.
- To identify barriers preventing trainees from undertaking LTFT.
- To propose practical solutions for enhancing LTFT accessibility and acceptance.
Main Methods:
- Two surveys were distributed by the UK Plastic Surgery Trainees' Association (PLASTA).
- Survey 1 was part of the 2021 National Training Survey (NTS), open to all plastic surgery trainees with a National Training Number (NTN).
- Survey 2 specifically addressed the experiences of LTFT trainees in plastic surgery.
Main Results:
- Out of 177 NTS respondents, 7% trained LTFT and 50% would consider it.
- Key barriers included concerns about reduced pay, extended training duration, and negative trainer perceptions.
- Most of the 20 LTFT trainees surveyed reported positive impacts on training and personal life, despite encountering negative attitudes.
Conclusions:
- LTFT training offers significant benefits for plastic surgery trainees' well-being and training experience.
- Addressing concerns regarding pay, training duration, and professional attitudes is essential.
- Implementing practical suggestions can improve LTFT accessibility, promoting work-life balance, reducing attrition, and supporting gender equality in surgery.
