John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, UK.
Clin Med (Lond). 2013 Apr;13(2):163-5. doi: 10.7861/clinmedicine.13-2-163.
The two-year Foundation Programme was introduced in the UK as a structured way to deal with the lack of training, support and difficulties with career progression associated with the old senior house office (SHO) grade. Although it provides a clear curriculum and structure for career progression, there is growing dissatisfaction among participants about the difference between the aspirations of the Foundation Programme and the realities of working as a foundation doctor. In particular, the erosion of the traditional team structure, difficulties with the system of assessment and a feeling that the career structure is now too rigid has led to a situation where doctors are being forced to choose their specialty training too early and often with little experience in the specialty. To what extent is the Foundation Programme fit for purpose? This will be considered together with suggestions for future reform.
英国引入了为期两年的基础培训计划，作为一种结构化的方式来解决与旧有的高级住院医师（SHO）级别相关的培训不足、支持不足和职业发展困难的问题。尽管它为职业发展提供了明确的课程和结构，但参与者对基础培训计划的期望与作为一名基础医生的实际工作之间的差距越来越不满。特别是传统团队结构的侵蚀、评估系统的困难以及职业结构现在过于僵化的感觉，导致医生被迫过早地选择专业培训，而且往往在该专业领域缺乏经验。基础培训计划在多大程度上符合目的？这将与未来改革的建议一起考虑。
