Aintree University Hospitals NHS Trust.
Health Education England Yorkshire & Humber.
Br J Oral Maxillofac Surg. 2020 Dec;58(10):1282-1290. doi: 10.1016/j.bjoms.2020.09.023. Epub 2020 Sep 23.
OMFS Specialty Training in the UK is usually 5 years and 'starts' at Specialty Training Year 3 (ST3). In 2007 a pilot of 'run-through' training started with Core Training (CT) posts linked to specialty training (ST1 posts). ST1 posts are usually 12 months but may be up to 24 months.
UK OMFS consultants joining the OMFS specialist list between 2002 and 2019 were contacted regarding their training. If their training was extended beyond the expected date of completion, they were asked to give a primary and secondary reason from a simplified list. Results were analysed with Winstat©.
A total of 382 consultants were contacted, 325 responding (86%) and of these 290 were appointed at ST3 and their mean extension of training time was 0.63 years. For those 35 who were appointed to ST1, their training was on average 0.77 years longer than planned. Undertaking a Fellowship (33%) was the commonest reason for extension, followed by administrative delay (24%), unsuccessful attempts at the FRCS exam (12%) and training reasons (10%). Female trainees (n=37) spent on average 1.28 years longer than planned in training compared to male trainees (288 - 0.67 years). Gender differences were also present in the main reasons for extension with 12% of female respondents giving family reasons as the main cause, whereas only 2% of males gave this reason. Problems with training was the main cause for extension for 19% of females compared to 8% of males.
Understanding factors which extend training and the length of these extensions could have the twin benefits of openness for new trainees and directing support to existing trainees. Differential attainment and Equality Diversity & Inclusion (EDI) are domains whose monitoring is required by the General Medical Council and undertaken by training authorities. The small numbers of trainees in OMFS programmes may not always allow training variance to be recognised.
英国口腔颌面外科专科培训通常为 5 年，从专科培训第 3 年（ST3）开始。2007 年，开始试行“直通式”培训，核心培训（CT）职位与专科培训（ST1 职位）挂钩。ST1 职位通常为 12 个月，但也可能长达 24 个月。
联系了 2002 年至 2019 年间加入口腔颌面外科专家名单的英国口腔颌面外科顾问，了解他们的培训情况。如果他们的培训时间超过预期完成日期，他们被要求从简化清单中给出主要和次要原因。结果使用 Winstat©进行分析。
共联系了 382 名顾问，325 名（86%）做出回应，其中 290 名在 ST3 被任命，他们的培训时间平均延长了 0.63 年。对于 35 名被任命为 ST1 的人来说，他们的培训时间平均比计划延长了 0.77 年。攻读 Fellowship（33%）是延长培训时间的最常见原因，其次是行政延迟（24%）、FRCS 考试未通过（12%）和培训原因（10%）。女性学员（n=37）的培训时间平均比计划延长了 1.28 年，而男性学员（288 人，延长 0.67 年）。在延长培训时间的主要原因方面也存在性别差异，12%的女性受访者将家庭原因列为主要原因，而只有 2%的男性受访者这样认为。对于 19%的女性来说，培训问题是延长培训时间的主要原因，而对于 8%的男性来说则是培训问题。
了解延长培训时间的因素及其延长时间，既可以为新学员提供开放性，也可以为现有学员提供支持。普通医学委员会要求监测差异成就和平等多样性与包容性（EDI），并由培训当局进行监测。口腔颌面外科项目中的学员人数较少，可能无法始终认识到培训差异。
