PT  - JOURNAL ARTICLE
AU  - Amir H Sam
AU  - Chee Yeen Fung
AU  - Malcolm Reed
AU  - Elizabeth Hughes
AU  - Karim Meeran
TI  - Time for preference-informed foundation allocation?
AID  - 10.7861/clinmed.2022-0198
DP  - 2022 Nov 01
TA  - Clinical Medicine
PG  - 590--593
VI  - 22
IP  - 6
4099  - http://www.rcpjournals.org/content/22/6/590.short
4100  - http://www.rcpjournals.org/content/22/6/590.full
SO  - Clin Med2022 Nov 01; 22
AB  - Successful completion of year 1 of the UK Foundation Programme is a General Medical Council requirement that 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 and Situational Judgement Test scores, are not fit for purpose. The ranking process drives competitive behaviours among medical students and undermines NHS teamworking values. Furthermore, data from 2013–2020 show that 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 a potential radical solution.