Wilkinson Chris, Finn Gabrielle, Crampton Paul
Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH UK.
Health Professions Education Unit, Hull York Medical School, York, UK.
Med Sci Educ. 2021 Dec 1;32(1):121-129. doi: 10.1007/s40670-021-01476-8. eCollection 2022 Feb.
The Foundation Interim Year-one (FiY1) Programme was part of a UK strategy to increase the medical workforce in response to the COVID-19 pandemic. However, the strategy was introduced urgently without evidence. We sought to explore the transition experience of medical student to FiY1 to foundation doctor, with a view to inform future undergraduate education.
In this hermeneutic phenomenology study, semi-structured individual interviews were completed with nine foundation doctors who had experience of an FiY1 placement. A template analysis approach was taken, and themes reported.
Participants reported that FiY1 tended to offer a positive experience of transition as a stepping stone to becoming a foundation doctor. Having a degree of clinical responsibility including the right to prescribe medication with supervision was highly valued, as was feeling a core member of the healthcare team. Participants perceived that FiY1 made them more prepared for the foundation transition, and more resilient to the challenges they faced during their first foundation job.
The FiY1 fostered many opportunities for junior doctors to bridge the transition to foundation doctor. Aspects of the FiY1 programme, such as early licencing and increased team membership, should be considered for final-year students in the future.
基础第一年临时计划（FiY1）是英国为应对新冠疫情增加医疗劳动力战略的一部分。然而，该战略在没有证据的情况下被紧急推出。我们试图探索医学生向FiY1再到住院医师的过渡经历，以便为未来的本科教育提供参考。
在这项诠释现象学研究中，我们对九名有FiY1实习经历的住院医师进行了半结构化的个人访谈。采用了模板分析方法并报告了主题。
参与者表示，FiY1往往提供了积极的过渡体验，是成为住院医师的垫脚石。拥有一定程度的临床责任，包括在监督下开药的权利，以及成为医疗团队的核心成员，都受到高度重视。参与者认为FiY1使他们为向住院医师的过渡做好了更充分的准备，并且对他们在第一份住院医师工作中面临的挑战更具适应力。
FiY1为初级医生提供了许多过渡到住院医师的机会。FiY1计划的一些方面，如早期执照发放和增加团队成员身份，未来应考虑应用于即将毕业的学生。
