英国基金会医生对偏好知情分配的看法:一项国家调查和专题分析
Faris Khan1, Jessica Daniel2, Clare Van Hamel2
1School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1TD, United Kingdom.
Postgraduate medical journal
|January 13, 2026
概括
大多数英国基础一年级医生发现新的偏好信息分配 (PIA) 系统不公平,尽管安置率高. 许多人更喜欢重新引入基于优点的元素,以实现更透明的分配过程.
科学领域:
- 医学教育 医学教育
- 研究生培训拨款的分配.
- 医疗保健工作人员管理管理
背景情况:
- 英国基金会项目办公室在2024年取代了教育绩效测量和情境判断测试 (SJT) 以偏好信息分配 (PIA) 在基金会第一年 (FY1) 后的分配.
- PIA的目的是提高公平性,减少申请人的压力,并更好地与毕业生偏好调整培训位.
- 以前的研究生对分配过程中这一重大转变的看法基本上未被探索.
研究的目的:
- 从FY1医生的角度评估优先信息分配 (PIA) 系统的公平性和有效性.
- 评估第一财年医生对取消情境判断测试 (SJT) 和建议使用PIA用于专业基础计划 (SFP) 拨款的看法.
- 在最近的医学毕业生中确定首选的分配模型.
主要方法:
- 在全国范围内对9702名符合条件的FY1医生进行了启动后的调查.
- 数据收集使用了五点的利克特比例表来衡量对PIA公平性,SJT删除和SFP分配的看法.
- 使用非参数统计数据分析了定量调查数据,并通过自由文本答复的反射主题分析进行了补充.
主要成果:
- 实现了13.8%的响应率 (1340 FY1s),代表了来自56所英国医学院的毕业生.
- 虽然75.2%的人获得了第一选择的基础学校,91.5%的人被列入前五名,但大多数受访者不同意PIA是公平的 (中位数2) 或适合SFP分配 (中位数2).
- 受访者对不参加SJT (中位数为4) 表示满意,但偏爱基于功绩或混合分配模式,英国毕业生,年轻人和白人受访者认为PIA不如国际,老年人和少数民族毕业生那么有利.
结论:
- 尽管实现了高的首选安置率,但PIA系统面临着关于公平性的重大问题,特别是在英国培训的毕业生中.
- 在FY1医生中,有显著的偏好重新引入基于功能的组件到分配过程中.
- 对PIA的持续评估至关重要,以确保为未来的队伍提供公平,透明和可接受的研究生医学培训分配系统.
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