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英国口腔颌面外科国家专业选拔中减少双学位学员流失的三项变革:循证建议

Three changes to reduce the loss of dual degree trainees from OMFS national specialty selection in the UK: evidence based proposals.

作者信息

Al-Najjar Y, Rowe A, Naredla P, Magennis P, Smith A T

机构信息

Russell's Hall Hospital, Dudley.

Queen's Medical Centre, Nottingham.

出版信息

Br J Oral Maxillofac Surg. 2022 Jan;60(1):36-41. doi: 10.1016/j.bjoms.2021.01.010. Epub 2021 Feb 1.

Abstract

The training pathway for oral and maxillofacial surgery (OMFS) has remained relatively stable for around 30 years. Circumstances surrounding the training pathway have changed including the priorities of individuals considering entering OMFS training. Run-through Specialty Training (ST1) OMFS posts (which include core surgical training) are oversubscribed while direct entry to Specialty Training (ST3) OMFS specialty recruitment rounds have unfilled posts, including places declined by appointable candidates. As part of a project to refine and improve OMFS recruitment and retention, data drawn from the British Association of Oral and Maxillofacial Surgeons (BAOMS) and the OMFS National Selection administering Deanery, Health Education England South West were scrutinised. Numbers of students starting second undergraduate degrees (medicine or dentistry) to pursue an OMFS career are increasing. Of a total of 43 candidates deemed appointable at OMFS ST1 selection but not offered an available post, 16 did not subsequently apply for ST3 selection. In the period studied (2015-20), of a total of 116 unfilled ST3 posts, 39 remained vacant because appointable candidates declined the available posts (33%). Appropriate changes to the current national selection processes could help address the perceived OMFS ST recruitment problems. By increasing the number of available ST1 posts, widening the window during which appointable candidates can continue into training and increasing prior experience recognition (including creating benchmarking processes prior to ST). These three clear, fair and transparent changes could reduce the current levels of attrition.

摘要

口腔颌面外科(OMFS)的培训途径在大约30年里一直相对稳定。围绕培训途径的情况发生了变化,包括考虑进入OMFS培训的个人的优先事项。贯通式专科培训(ST1)的OMFS职位(包括核心外科培训)申请人数过多,而直接进入专科培训(ST3)的OMFS专科招聘轮次有空缺职位,包括可录用候选人拒绝的职位。作为完善和改进OMFS招聘与留用项目的一部分,对从英国口腔颌面外科医生协会(BAOMS)以及OMFS全国选拔管理教区(英格兰西南部健康教育部门)获取的数据进行了审查。开始攻读第二学士学位(医学或牙科)以从事OMFS职业的学生人数在增加。在OMFS ST1选拔中被认为可录用但未获得可用职位的43名候选人中,有16人随后未申请ST3选拔。在研究期间(2015 - 20年),在总共116个未填补的ST3职位中,有39个职位仍然空缺,因为可录用候选人拒绝了可用职位(33%)。对当前国家选拔流程进行适当调整有助于解决人们认为的OMFS ST招聘问题。通过增加可用的ST1职位数量、延长可录用候选人能够继续接受培训的时间窗口以及提高对先前经验的认可(包括在ST之前创建基准流程)。这三项明确、公平且透明的改变可以降低当前的人员流失率。

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