E-ISSN 2146-8354
 

Original Research 


Why UK Junior Doctors Defer Postgraduate Training.

Gareth Huw Jones , Melanie Dowling, Shirley Remington, Jeremy Brown.

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  • Abstract
    Objectives

    National surveys have identified a declining trend in UK Foundation Year 2 doctors (FY2s) entering directly into training positions. Last year less than half entered training directly. We aimed to investigate the reasons why current FY2s choose not to enter training directly.

    Methods

    This is a qualitative study using semi-structured interviews. We used thematic framework analysis to code the data into themes for analysis.

    Results

    “Feeling unprepared for training” and “lack of flexibility” were the two main themes identified from the interviews as reasons to delay training. A lack of clinical exposure and career advice were cited as reasons to feel unprepared. Flexibility was very important in terms of family considerations, working abroad and financial reasons which were felt to be absent from a rigid training programme.

    Conclusions

    Defering training after FY2 appears to have become normalised in the UK. Many other international training programmes appear less structured than the UK and expect juniors to spend time in non-training jobs prior to entering training. It is impossible to say which system is superior but it appears no system can dictate the speed of postgraduate medical training.

    Key words: Postgraduate medical education; work-life balance; specialty training; career choice.


     
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    How to Cite this Article
    Pubmed Style

    GHJ, Dowling M, Remington S, Brown J, . Why UK Junior Doctors Defer Postgraduate Training.. J Contemp Med Edu. 2019; 9(3): 66-74. doi:10.5455/jcme.20190325094530


    Web Style

    GHJ, Dowling M, Remington S, Brown J, . Why UK Junior Doctors Defer Postgraduate Training.. http://www.jcmedu.org/?mno=39293 [Access: November 17, 2019]. doi:10.5455/jcme.20190325094530


    AMA (American Medical Association) Style

    GHJ, Dowling M, Remington S, Brown J, . Why UK Junior Doctors Defer Postgraduate Training.. J Contemp Med Edu. 2019; 9(3): 66-74. doi:10.5455/jcme.20190325094530



    Vancouver/ICMJE Style

    GHJ, Dowling M, Remington S, Brown J, . Why UK Junior Doctors Defer Postgraduate Training.. J Contemp Med Edu. (2019), [cited November 17, 2019]; 9(3): 66-74. doi:10.5455/jcme.20190325094530



    Harvard Style

    , G. H. J. ., Dowling, M., Remington, S., Brown, J. & (2019) Why UK Junior Doctors Defer Postgraduate Training.. J Contemp Med Edu, 9 (3), 66-74. doi:10.5455/jcme.20190325094530



    Turabian Style

    , Gareth Huw Jones , Melanie Dowling, Shirley Remington, Jeremy Brown, and . 2019. Why UK Junior Doctors Defer Postgraduate Training.. Journal of Contemporary Medical Education, 9 (3), 66-74. doi:10.5455/jcme.20190325094530



    Chicago Style

    , Gareth Huw Jones , Melanie Dowling, Shirley Remington, Jeremy Brown, and . "Why UK Junior Doctors Defer Postgraduate Training.." Journal of Contemporary Medical Education 9 (2019), 66-74. doi:10.5455/jcme.20190325094530



    MLA (The Modern Language Association) Style

    , Gareth Huw Jones , Melanie Dowling, Shirley Remington, Jeremy Brown, and . "Why UK Junior Doctors Defer Postgraduate Training.." Journal of Contemporary Medical Education 9.3 (2019), 66-74. Print. doi:10.5455/jcme.20190325094530



    APA (American Psychological Association) Style

    , G. H. J. ., Dowling, M., Remington, S., Brown, J. & (2019) Why UK Junior Doctors Defer Postgraduate Training.. Journal of Contemporary Medical Education, 9 (3), 66-74. doi:10.5455/jcme.20190325094530





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