Evidence map›Paper›PMID 31767592›Full record

ArticleBMJ open2019

Are there differences between those doctors who apply for a training post in Foundation Year 2 and those who take time out of the training pathway? A UK multicohort study.

Jennifer Cleland, Gordon Prescott, Kim Walker, Peter Johnston, Ben Kumwenda

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Junior doctors leaving the NHS: what would it mean for general practice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  8. Differential attainment, socioeconomic factors and surgical training.Annals of the Royal College of Surgeons of England · 2022
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jennifer ClelandCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen College of Life Sciences and Medicine, Aberdeen, UK jen.cleland@abdn.ac.uk.
Gordon PrescottLancashire Clinical Trials Unit, University of Aberdeen, Preston, UK.
Kim WalkerCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen College of Life Sciences and Medicine, Aberdeen, UK.
Peter JohnstonNHS Education for Scotland, North Deanery, Aberdeen, UK.
Ben KumwendaCentre for Healthcare Education Research and Innovation (CHERI), University of Aberdeen College of Life Sciences and Medicine, Aberdeen, UK.ORCID 0000-0003-1600-8229

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKnowledge about the career decisions of doctors in relation to specialty (residency) training is essential in terms of UK workforce planning. However, little is known about which doctors elect to progress directly from Foundation Year 2 (F2) into core/specialty/general practice training and those who instead opt for an alternative next career step.

objectiveTo identify if there were any individual differences between these two groups of doctors.

designThis was a longitudinal, cohort study of 'home' students who graduated from UK medical schools between 2010 and 2015 and completed the Foundation Programme (FP) between 2012 and 2017.We used the UK Medical Education Database (UKMED) to access linked data from different sources, including medical school performance, specialty training applications and career preferences. Multivariable regression analyses were used to predict the odds of taking time out of training based on various sociodemographic factors.

results18 380/38 905 (47.2%) of F2 doctors applied for, and accepted, a training post offer immediately after completing F2. The most common pattern for doctors taking time out of the training pathway after FP was to have a 1-year (7155: 38.8%) or a 2-year break (2605: 14.0%) from training. The odds of not proceeding directly into core or specialty training were higher for those who were male, white, entered medical school as (high) school leavers and whose parents were educated to degree level. Doctors from areas of low participation in higher education were significantly (0.001) more likely to proceed directly into core or specialty training.

conclusionThe results show that UK doctors from higher socioeconomic groups are less likely to choose to progress directly from the FP into specialty training. The data suggest that widening access and encouraging more socioeconomic diversity in our medical students may be helpful in terms of attracting F2s into core/specialty training posts.

Indexed as

Career ChoiceEducation, Medical, GraduateCohort StudiesFemaleHumansMaleUnited Kingdomfoundation doctorsmedical education and trainingUKMEDworkforce planning

Identifiers

PMID31767592
PMCPMC6886964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.