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Surgical trainee experiences from 2013 to 2023 within the United Kingdom as reported by the General Medical Council National Training Survey. | LitMetric

Surgical trainee experiences from 2013 to 2023 within the United Kingdom as reported by the General Medical Council National Training Survey.

Surgeon

Department of Trauma and Orthopaedics, London North West University Hospitals NHS Trust, UK; Imperial College London, UK.

Published: April 2024

AI Article Synopsis

  • The General Medical Council (GMC) conducts annual surveys of doctors in UK postgraduate training to assess job satisfaction and its impact on burnout and clinical care.
  • An analysis of data from 2013 to 2023 revealed that a significant percentage (42%) of the assessed metrics showed declining trends, with overall job satisfaction negatively affecting most surgical training programs.
  • The study highlights worsening experiences and dissatisfaction among trainees across various specialties and regions, especially concerning overall satisfaction, self-development, and clinical supervision.

Article Abstract

Introduction: The General Medical Council (GMC) issues annual surveys to all doctors within the United Kingdom (UK) in a formal postgraduate training scheme. This facilitates the monitoring of experiences for quality assurance purposes. Low job satisfaction has been associated with heightened levels of burnout and staff turnover, alongside deteriorating clinical care and productivity levels.

Methods: We gathered and extracted data from the publicly available online GMC reporting tool. Data ranged from 2013 to 2023 and spanned 12 postgraduate surgical training programmes across all 18 indicators available. In total, 198 individual metrics were recorded, in addition to burnout. We conducted trend analysis and yearly average mean scores for individual metrics, burnout and geographical differences for 141 individual training programmes within the 16 training regions.

Results: Of the 198 metrics analysed, 83 (42 ​%) were found to have statistically significant negative trends (P ​< ​0.05), in comparison to 24 (12 ​%) with positive trends. 5 specialities had over 50 ​% of metrics showing a significant negative trend. Overall satisfaction was negative in all 12 programmes, with eight reaching significance (P ​< ​0.05). Of 141 individual training programmes, 29 ​% showed a significantly negative trend in overall satisfaction, with 1 ​% demonstrating a significant positive trend (P ​< ​0.05).

Conclusion: Our study is the first to explore long-term trends in trainee reported surgical training experiences within the UK. Our data have revealed widespread worsening trainee reported experiences and dissatisfaction across multiple specialities and geographical regions, especially in key areas of overall satisfaction, self-development, and clinical supervision.

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Source
http://dx.doi.org/10.1016/j.surge.2023.11.005DOI Listing

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