ReviewClinical medicine (London, England)2016
Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.
Review in Clinical medicine (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Evolving practice of general internal medicine in the current medical landscape.Internal medicine journal · 2026Review
- Performance of Queen's University Belfast graduates at core and speciality application.The Ulster medical journal · 2021Article
- Evaluation of training programmes mapped to the new internal medicine curriculum.Future healthcare journal · 2020Article
- Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.Clinical medicine (London, England) · 2017Article
- Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.Clinical medicine (London, England) · 2017Article
- Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.Clinical medicine (London, England) · 2017Article
- The millennial doctor - A blue collar worker?Future hospital journal · 2017Article
- Where did the acute medical trainees go?Clinical medicine (London, England) · 2017Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute care common stem acute medicine (ACCS AM) training was designed to develop competent multi-skilled acute physicians to manage patients with multimorbidity from 'door to discharge' in an era of increasing acute hospital admissions. Recent surveys by the Royal College of Physicians have suggested that acute medical specialties are proving less attractive to trainees. However, data on the career pathways taken by trainees completing core acute medical training has been lacking. Using London as a region with a 100% fill rate for its ACCS AM training programme, this study showed only 14% of trainees go on to higher specialty training in acute internal medicine and a further 10% to pursue higher medical specialty training with dual accreditation with internal medicine. 16% of trainees switched from ACCS AM to emergency medicine or anaesthetics during core ACCS training, and intensive care medicine proved to be the most popular career choice for ACCS AM trainees (21%). The ACCS AM training programme therefore does not appear to be providing what it was set out to do and this paper discusses the potential causes and effects.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.