1 Brighton and Sussex University Hospitals NHS Trust, Brighton BN2 5BE, UK.
2 Brighton and Sussex Medical School, Brighton BN1 9PH, UK.
J R Soc Med. 2019 May;112(5):192-199. doi: 10.1177/0141076819831872. Epub 2019 Apr 9.
The number of doctors directly entering UK specialty training after their foundation year 2 (F2) has steadily declined from 83% in 2010 to 42.6% in 2017. The year following F2, outside the UK training pathway, is informally termed an 'F3' year. There is a paucity of qualitative research exploring why increasingly doctors are taking F3s. The aim of this study is to explore the reasons why F2 doctors are choosing to take a year out of training and the impact upon future career choices.
This is an exploratory qualitative study, using in-depth interviews and content analysis.
UK.
Fourteen participants were interviewed from one foundation school. Participants included five doctors who commenced their F3 in 2015, five who started in 2016 and finally four recently starting this in 2017.
Content analysis was conducted to distill the themes which exemplified the totality of the experience of the three groups.
There were four predominant themes arising within the data set which can be framed as 'unmet needs' arising within foundation years, sought to be fulfilled by the F3 year. First, doctors describe exhaustion and stress resulting in a need for a 'break'. Second, doctors required more time to make decisions surrounding specialty applications and prepare competitive portfolios. Third, participants felt a loss of control which was (partially) regained during their F3s. The final theme was the impact of taking time out upon return to training (for those participants who had completed their F3 year). When doctors returned to NHS posts they brought valuable experience.
This study provides evidence to support the important ongoing initiatives from Health Education England and other postgraduate bodies, exploring approaches to further engage, retain and support the junior doctor workforce.
在完成基础培训第二年（F2）后直接进入英国专科培训的医生人数从 2010 年的 83%稳步下降到 2017 年的 42.6%。在 F2 之后，不在英国培训途径内的那一年被非正式地称为“F3 年”。很少有定性研究探讨为什么越来越多的医生选择 F3 年。本研究旨在探讨 F2 医生选择休假一年的原因，以及对未来职业选择的影响。
这是一项探索性的定性研究，采用深入访谈和内容分析。
英国。
从一所基础学校采访了 14 名参与者。参与者包括 5 名在 2015 年开始 F3 的医生、5 名在 2016 年开始的医生和最后 4 名在 2017 年开始的医生。
内容分析用于提取体现三个组总体经验的主题。
数据集中出现了四个主要主题，可以归结为在基础年出现的“未满足的需求”，试图通过 F3 年来满足这些需求。首先，医生描述了因疲劳和压力而导致的需要“休息”的情况。其次，医生需要更多的时间来做出有关专业申请和准备有竞争力的档案的决策。第三，参与者感到失去了控制，这种情况在 F3 期间（部分）得到了恢复。最后一个主题是休假对返回培训的影响（对于那些完成了 F3 年的参与者）。当医生返回 NHS 岗位时，他们带来了宝贵的经验。
本研究为英格兰卫生与保健卓越中心和其他研究生机构正在进行的重要举措提供了证据，这些举措探讨了进一步吸引、留住和支持初级医生劳动力的方法。
