Theme: Postgraduate Education |
The end of the surgical F1 - a justifiable proposition? | ||||||
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Surgical Foundation posts are under threat from plans to convert significant numbers into primary care in an effort to improve the educational experience offered. The aim of this study was to gather opinion from foundation doctors, to determine the contemporary educational value related to subspecialty interest.
One hundred and three F1 doctors working across a spectrum of surgical specialties in a single UK postgraduate deanery completed anonymous questionnaires related to their overall educational experience.
Seventy-six percent reported their overall experience was positive or strongly positive; 95% considered themselves adequately or excellently supported by their immediate senior, and 93% by both their SpRs and Consultants. Experience of elective surgical admissions was modest, but 91% of doctors clerked on average more than >5 emergency patients per week, and 78% gained operating theatre exposure. Procedural skills were also gained (86% performing ABGs, 73% suturing, and 57% performing minor surgery). Scholarly activity and academic interests were also well supported, with 88% reporting the opportunity to participate in audit projects or research. In contrast 45% of doctors were of the opinion that there was too little formal teaching provided. Opinion on EWTD was divided, with 68% in support of the restrictions. There were no significant differences in educational experiences relative to surgical specialty interest (p=0.98), and 91% would recommend their job to a final year student.
Overall Surgical F1 jobs were well supported, providing a wealth of clinical and academic experience.
More evidence is needed to justify reduction and conversion of surgical F1 posts into primary care.