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[Editorial] Time for preference - informed foundation programme allocation?

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posted on 2023-06-10, 04:21 authored by Chee Yeen Fung, Amir Sam, Elizabeth Hughes, Malcolm ReedMalcolm Reed, Karim Meeran
Successful completion of the Foundation Programme Year 1 is a General Medical Council (GMC) requirement which 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 (EPM) and Situation Judgement Test (SJT) scores, are not fit for purpose. The ranking process drives competitive behaviours amongst medical students and undermines NHS team-working values. Furthermore, data from 2013-20 shows 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 of a potential radical solution.

History

Publication status

  • Published

File Version

  • Published version

Journal

Clinical Medicine

ISSN

1470-2118

Publisher

Royal College of Physicians

Volume

6

Page range

590-593

Place of publication

Editorial

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2022-07-29

First Open Access (FOA) Date

2022-11-30

First Compliant Deposit (FCD) Date

2022-07-29

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