Owen J P
J R Nav Med Serv. 2007;93(3):117-24.
In 2007 Defence Medical Service (DMS) Medical Officers (MOs) applying to train within hospital based specialities were selected using the Medical Training Application Service (MTAS). Recognising the problems being reported about MTAS, the Defence Postgraduate Medical Deanery (DPMD) conducted an evaluation in order to assess whether DMS MOs had also experienced problems with the MTAS process.
DMS MO applicants were sent an email questionnaire, requesting both graded (Likert scale) and narrative responses, to gauge their opinion about the application service. The questionnaire covered the technical aspects of the process, the support available and the ability to demonstrate appropriate knowledge and skills.
Only 42 responses (32%) were received. However, having considered areas of potential bias, the graded questionnaire results and thematic analysis of the narrative responses showed a clear consensus amongst the applicants in many areas. More than three quarters (78%) of DMS applicants criticised the opportunity to record their abilities and achievements, and 91% recorded that the questions were unable to differentiate between candidates. These views were mirrored in the narrative responses, with more than 130 statements covering five topic areas highlighting areas for improvement. Strong support was recorded for the work and advice provided by DPMD in support of the candidates.
DMS MOs presented very negative opinions of their experiences of MTAS, highlighting their perceptions that they were unable to record their particular skills and experiences and that the questions were unable to discriminate between specialties. Particular difficulties were reported in presenting non-NHS experiences and skills.
2007年，国防医疗服务（DMS）的医务人员（MOs）通过医疗培训申请服务（MTAS）申请医院专科培训。鉴于有报告称MTAS存在问题，国防研究生医学教务处（DPMD）进行了一项评估，以确定DMS的医务人员在MTAS流程中是否也遇到了问题。
向DMS的申请人发送了一份电子邮件调查问卷，要求他们给出分级（李克特量表）和叙述性回答，以了解他们对申请服务的看法。问卷涵盖了流程的技术方面、可获得的支持以及展示适当知识和技能的能力。
仅收到42份回复（32%）。然而，在考虑了潜在偏差的领域后，分级问卷结果和叙述性回答的主题分析显示，申请人在许多领域达成了明显的共识。超过四分之三（78%）的DMS申请人批评了记录自身能力和成就的机会，91%的申请人表示这些问题无法区分候选人。这些观点在叙述性回答中也有体现，超过130条陈述涵盖五个主题领域，突出了需要改进的方面。受访者对DPMD为支持候选人所做的工作和提供的建议给予了大力支持。
DMS的医务人员对他们在MTAS中的经历给出了非常负面的评价，强调他们认为自己无法记录自己的特殊技能和经历，而且这些问题无法区分不同专科。在陈述非国民医疗服务体系（NHS）的经历和技能方面，报告了特别的困难。
