학술논문

Time for preference-informed foundation allocation?
Document Type
Article
Source
Clinical Medicine. Nov2022, Vol. 22 Issue 6, p590-593. 4p.
Subject
*TEAMS in the workplace
*HOSPITAL medical staff
*NATIONAL health services
*PHYSICIANS
*PROFESSIONAL licensure examinations
*MEDICAL education
Language
ISSN
1470-2118
Abstract
Successful completion of year 1 of the UK Foundation Programme is a General Medical Council requirement that newly qualified doctors must achieve in order to gain full registration for licence to practise in the UK. We present compelling evidence that both sections of the UK Foundation Programme allocation process, consisting of the Educational Performance Measure and Situational Judgement Test scores, are not fit for purpose. The ranking process drives competitive behaviours among medical students and undermines NHS teamworking values. Furthermore, data from 2013--2020 show that UK minority ethnic students consistently receive significantly lower SJT scores than White students. The current process in the UK allocates lower ranked students, who often need more academic and social support, to undersubscribed regions. This can lead to vacancies in less popular regions, ultimately worsening health inequality. A preference-informed allocation process will improve trainee access to support and help retain trainees in underserved regions. We aim to summarise the flaws of the current system and report a potential radical solution. [ABSTRACT FROM AUTHOR]