Stop the random foundation lottery. Stop MSRA for speciality recruitment Drs should be the priority for compulsory portfolio procedures Royal colleges to stop messing up exams Stop recruitment bottlenecks Make CESR less onerous Simplify ARCP Recruitment based on ability not Olympic medals - ThreadSky

peteturton85.bsky.social • 126 days ago

Stop the random foundation lottery.

Stop MSRA for speciality recruitment

Drs should be the priority for compulsory portfolio procedures

Royal colleges to stop messing up exams

Stop recruitment bottlenecks

Make CESR less onerous

Simplify ARCP

Recruitment based on ability not Olympic medals

Reposted from Shaun Lintern

🚨BREAKING: Chief Medical Officer Sir Chris Whitty and NHS England medical director Sir Steve Powis are to lead a review of postgraduate medical training after concerns raised by resident (the old junior) doctors. A report is due in summer.

Details: www.england.nhs.uk/postgraduate...

Comments

peteturton85.bsky.social•126 days ago

Rest facilities

Car parking

Badges sorted in advance of arrival

Security staff to stop acting like an influx of F1s isn’t a new event that they couldn’t possibly have prepared for and hence rolls their eyes like Drs turning up to work and needing the doors to open is a massive inconvenience

peteturton85.bsky.social•126 days ago

If it really is a competency based curriculum, cut rotations short when competency reached (appreciate this one is fanciful)

Standardise rotation exemptions/time cut off rather than the current whims

Academic training to be properly seen as “in programme”

peteturton85.bsky.social•126 days ago

A £20 fine to any senior nurse who during induction, makes a wild claim such as “you doctors don’t wash your hands/you doctors don’t speak to patients/you doctors don’t do all the dishes in the staff room”

peteturton85.bsky.social•126 days ago

Study leave to be paid upfront at the point of applying for the course.

If you don’t attend, you pay it back/go down disciplinary routes

No one should be out of pocket for 6 months waiting for ATLS

andydrummond.bsky.social•126 days ago

This *can* be done - courses paid directly by lead employer, by invoice. And yet...

cathjw.bsky.social•126 days ago

I believe people may be working on this. I agree would be a game changer. Can occasionally be managed in special circumstances

vataha.md•125 days ago

This one strikes me deep. Everyone pretends it's not about time served but it really is and noone could imagine it being any different. You can work your ass off or be as lazy as possible and everyone gets the same treatment. Demoralising.

cathjw.bsky.social•126 days ago

I am fairly sure that all this may have been in either “improving junior doctors working lives” or “promoting excellence”’both of which say the right kind of things overall. But there’s no teeth in enforcement and that’s what is desperately needed

schistosomnia.bsky.social•126 days ago

Inquiry complete

makingsawdust.bsky.social•126 days ago

Badges to no longer stop working after 6-months even though people are in a place for 12-months.

That one is very annoying.

rajacexplains.bsky.social•126 days ago

I think the manner in which the lottery works is weird but I actually don't think there's a good way to recruit to either specialty or Foundation tbh.

Every assessment I've encountered is flawed is a Dr facto lottery anyway.

andydrummond.bsky.social•126 days ago

It’s really poor though - sending FY1s to the opposite end of the country away from their support networks, while sending others on the opposite direction.

What was so wrong with local recruitment (occasional acts of sharp practice aside)?

rajacexplains.bsky.social•126 days ago

I was in national recruitment so I never did local applications. But when I graduated, Sheffield had 150 Foundation jobs for 250 students. If you don't get a local job, you're kind of screwed.

I think the issue with the lottery isn't that it's a lottery but there doesn't appear to be any

andydrummond.bsky.social•126 days ago

As I am Old I came through local recruitment. There was a sort of clearing for people who didn't get a job in the main round, IIRC.

Having adequate numbers of jobs, both FP and specialty training, is of course another issue, and having to do non-standard LE posts is not good for morale either.

peteturton85.bsky.social•126 days ago

I can’t think of any other profession where competitively choosing people isn’t the done thing. If two architects want to go to the same practise they compete for the job. The problem with medical exams is they aren’t fit for assessing excellence, rather minimal competence.

rajacexplains.bsky.social•126 days ago

I struggle to think of a profession where you have this many jobs and applicants to manage simultaneously. It's clearly more complex than a job with two applicants.

Agree with medical exams, if somebody wants to design one which is figures out the best prospective Foundation doctors, I'm all ears.

rajacexplains.bsky.social•126 days ago

effort to consider preference. There is, presumably, a relatively straightforward way to maximise preferences across the cohort rather than giving everybody a random number.

cathjw.bsky.social•126 days ago

Surely the decision making about student numbers should be linked intimately to foundation places? i.e. expand together, with foundation almost being considered as part of med school?

rajacexplains.bsky.social•126 days ago

(Agree with everything else.)

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