Local Control: Also a Strength of Radiotherapy Training?
Radiotherapy has been transformed by technological advances in computing and engineering over the last 20 years [1] and, in parallel, clinical oncology as a discipline has evolved significantly [2]. The European Working Time Directive [3] and the Modernising Medical Careers initiative [4] reshaped the UK postgraduate medical training environment from 2005. Subsequent expansion of the consultant workforce [5] coupled with a multifactorial national shortage of junior doctors [6] necessitates trainees routinely providing ‘middle grade’ cover for several teams, potentially to the detriment of radiotherapy learning [7]. (So...
Source: Clinical Oncology - April 23, 2021 Category: Radiology Authors: G.M. Walls, A.J. Cole, G.G. Hanna, J.J. McAleer Tags: Editorial Source Type: research

Influence of training changes on the stability of specialty choices of UK medical graduates: surveys of the graduates of 2002 and 2008
Conclusions Post-MMC, graduates were less likely to change their career choice and more likely to be motivated by personal factors and self-assessment of their suitability to a particular area of work. (Source: JRSM)
Source: JRSM - January 8, 2015 Category: UK Health Authors: Svirko, E., Lambert, T. W., Goldacre, M. J. Tags: Research Source Type: research

Opinions of the ePortfolio and workplace-based assessments: a survey of core medical trainees and their supervisors.
Abstract Since the introduction of Modernising Medical Careers in 2005, the electronic portfolio (ePortfolio) and workplace based assessments (WPBAs) have become integral, yet anecdotally controversial, components of postgraduate medical training. In this multi-centre, survey-based study, we looked at core medical trainees and trainers in the Northwest London region and their opinions of the ePortfolio and WPBAs. Our results demonstrate mixed feelings regarding these tools, with 60% of trainees stating that their training had not benefited from the use of an ePortfolio. 53% of trainers felt that feedback s...
Source: Clinical Medicine - October 1, 2014 Category: Journals (General) Authors: Tailor A, Dubrey S, Das S Tags: Clin Med Source Type: research

Response to: The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients' by Hickerton et al
We read with interest the study by Hickerton et al1 highlighting the considerable confusion with terminology for junior doctors’ titles following the implementation of Modernising Medical Careers (MMC) in the UK. The findings of Hickerton et al1 echo the conclusions of our own research into this topic in 2010.2 We studied nurses’ ability to identify doctors' titles and match post-MMC titles, such as Fy1, Fy2, ST3, ST7, with their equivalent traditional title—house officer, senior house officer, junior registrar, senior registrar. Our study demonstrated variability in the ability of nursing staff to correc...
Source: Quality and Safety in Health Care - June 12, 2014 Category: Health Management Authors: Islam, S., Deekes, A. Tags: Correspondence Source Type: research

Little public understanding of seniority of doctors according to job title
The National Health Service (NHS) doctors are required to carry photo-identification (ID) badges which also show information about the speciality and the grade of the doctor. Members of the public are able to see the name of the individual and may be able to gauge their level of experience from what is detailed on the badge. For most NHS hospitals, there are usually three grades of seniority of doctors most likely encountered by the public. Prior to 2007, these posts were commonly referred to in the familiar terms of Senior House Officer for junior posts, Registrar or Specialist Registrar (SpR) for middle grades and Consul...
Source: Archives of Disease in Childhood - November 12, 2013 Category: Pediatrics Authors: Farah, G. A., Heaton, P. Tags: PostScript Source Type: research

Supplementation of surgical training using a model of objective skill assessment: “The par diagonal”
The introduction of the European Working Time Regulations (ETWR) and Modernising Medical Careers (MMC) has had a profound impact on surgical training. Many trainees are finding more of their time taken up by service provision and ward work. Yet it is known that time spent in theatre predicts training opportunities and progression for surgical trainees. The conventional apprenticeship model in surgical education does not satisfy the requirements of training at present. We therefore introduced a model for objective skill assessment, the PAR-Diagonal Operating Matrix (PAR-DOM) which breaks down the task of vascular anastomosi...
Source: International Journal of Surgery - November 6, 2013 Category: Surgery Authors: Christopher Efthymiou David Tags: Abstracts from the Association of Surgeons in Training Conference Source Type: research

The role of anatomy demonstrating in a doctor's career
This study aimed to ascertain if the time-honoured benefits of becoming an AD still exist in the post-Modernising Medical Careers era. (Source: International Journal of Surgery)
Source: International Journal of Surgery - November 6, 2013 Category: Surgery Authors: Toby Jennison, Niroshan Sivathasan, Krzysztof Rakowski Tags: Abstracts from the Association of Surgeons in Training Conference Source Type: research