RT Journal Article
SR Electronic
T1 Time for preference-informed foundation allocation?
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 590
OP 593
DO 10.7861/clinmed.2022-0198
VO 22
IS 6
A1 Amir H Sam
A1 Chee Yeen Fung
A1 Malcolm Reed
A1 Elizabeth Hughes
A1 Karim Meeran
YR 2022
UL http://www.rcpjournals.org/content/22/6/590.abstract
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.