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首页> 外文期刊>BMC Medical Education >The new cultural norm: reasons why UK foundation doctors are choosing not to go straight into speciality training
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The new cultural norm: reasons why UK foundation doctors are choosing not to go straight into speciality training

机译：新的文化规范：英国基金会医生选择不直接进入专业培训的原因

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The number of UK foundation doctors choosing to go straight into speciality training has fallen drastically over the last 10?years: We sought to explore and understand the reasons for this change. We undertook semi-structured interviews with 16 foundation year two doctors, who had not applied to speciality training, from two regional foundation schools. Transcripts were thematically analysed. The reasons that foundation doctors are choosing not to go straight into speciality training centre around the themes of feeling undervalued, career uncertainty and a new cultural norm. They report major feelings of uncertainty regarding career choice at such an early stage of their profession and this challenge was magnified by a perceived lack of flexibility of training and the growing normality of taking time out from training. Trainees feel a lack of support in planning and undertaking an “FY3” year and being helped back into the workforce. Trainees overwhelmingly reported that they feel undervalued by their employers. Importantly, however, not going into training directly was not always a reflection of dissatisfaction with training. Many trainees spoke very positively about their planned activities and often saw a break in training as an excellent way to recharge, develop skills and prepare for the rest of their careers in medicine. Taking a year or more out of training after foundation years has become the new cultural norm for UK junior doctors and reasons for this include feeling undervalued, career uncertainty and the perception that this is now “normal”. Exploring these factors with participants has generated a number of recommendations related to improving the workplace environment, allowing more flexibility in training and supporting those who chose to take an FY3.
机译：在过去的10年度，英国基金会医生选择直接进入专业培训的人数急剧下降？我们试图探索并理解这种变化的原因。我们采取了半结构化访谈，从两个区域基金会学校没有申请专业培训的16个基金会第二个医生。专题分析了转录物。基金会医生选择不直接进入特色培训中心的原因，周围的感觉被低估，职业不确定性和新的文化规范。他们报告了对他们职业早期阶段的职业选择的主要不确定性感，并且这一挑战是通过培训的缺乏灵活性和日益增长的训练而增加的挑战。学员感到缺乏在规划和开展“财政年度”一年并帮助回到劳动力的支持。培训师据报道，他们常常被雇主所吸收。重要的是，没有直接进入训练并不总是对对训练不满的反映。许多学员对他们的计划活动非常讲话，并且经常在培训中突破，作为充值，发展技能的绝佳途径，并为他们的其他医学职业生涯做好准备。在基础岁月后，随之而来的培训已经成为英国初级医生的新文化常态以及其中的原因，包括被低估的感觉，职业不确定性和这种看法，这是现在“正常”。探索与参与者的这些因素产生了一些与改进工作场所环境有关的建议，允许在培训方面具有更多的灵活性，并支持那些选择担任FY3的人。

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