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How do trainees choose their training school?. Stephen Preston Susan Cossins. Why audit?. National application scheme for England and Wales Increases chance of getting a post Reduces control over geography MMC reduces temporal flexibility
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How do trainees choose their training school? Stephen Preston Susan Cossins
Why audit? • National application scheme for England and Wales • Increases chance of getting a post • Reduces control over geography • MMC reduces temporal flexibility • It is desirable to attract the best applicants and place them in the most suitable school
Parameters audited • Factors used in making decision • Most important factor • Sources and adequacy of information • Opinions about: • Geographies • Fairness • Method: • Anonymised electronic form
Did trainees have enough information? • Ideas for more information were: • Yr2-5 hospitals (18) • Current trainee reviews (6) • Subspecialty training (4) • Open day (local/national) (4) • No trainees in each centre (2) • MRCPath pass rate (1)
Was the process fair? • If not, why not? • 2nd round candidates knew questions (2) • Poor short listing (1) • Did not get desired post (1) • Unable to change mind once partner employed (1) • Don’t know how allocations made (1) • Allocations did not include application form scores (1)
How could the process be improved? • Free text responses • Apply for a (more) specific rotation (3) (especially London - 2) • Advise applicants of ranking (2) • Lost/incorrect paperwork – confirm offers and responses on paper (2) • Make selection after accepting post (1)
Summary • Most trainees have geographically fixed commitments • Family, partner, research • Families are especially important to trainees • Most trainees had enough information • NHS Histopathology website especially useful • Majority felt that geographies too large • Most felt that the procedure was fair
Overall, school application went well – 83% in first choice, 12% second, 5% third “...I would like to explain why it WAS fair ... the opportunity to rank regions is more favourable than a choice of only three or four. We were given the opportunity to explain our personal circumstances...” But 5 or 6 applicants declined their posts – nearly 10% How can we make it better?
Proposals • Min and Max numbers for each training school • Smaller numbers can be used to improve flexibility • Improve information • Y2-5 hospitals, open days, trainee reviews etc • Offer more specific geographies • Overlap to maintain flexibility? • Follow-up e-mail offers with paper letters • Regain control over application procedure DONE