Hendrickson S A, Ibrahim I, Eccles S, Fitzgerald A
Plastic Surgery Trainee Association (PLASTA) UK Committee 2021-2022, United Kingdom; Department of Plastic Surgery, North Bristol NHS Trust, Bristol, United Kingdom.
Plastic Surgery Trainee Association (PLASTA) UK Committee 2021-2022, United Kingdom; Department of Plastic Surgery, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
J Plast Reconstr Aesthet Surg. 2022 Sep;75(9):2875-2881. doi: 10.1016/j.bjps.2022.06.042. Epub 2022 Jun 22.
The General Medical Council (GMC) has voiced its support of less-than-full-time (LTFT) training, which has been shown to have a positive impact on workforce well-being, burnout and attrition and patient safety. However, barriers to LTFT exist within plastic surgery. This study aims to understand plastic surgery trainees' perceptions of LTFT and provide practical suggestions for improvement. Two surveys were disseminated by the UK Plastic Surgery Trainees' Association (PLASTA). Survey 1 formed part of the PLASTA National Training Survey (NTS) 2021, and all plastic surgery trainees with a National Training Number (NTN) were eligible. Survey 2 looked specifically at the lived experience of LTFT trainees in plastic surgery. A total of 177 trainees responded to the NTS. Seven per cent of respondents currently work LTFT, and 50% would consider it in future. Reported barriers to applying for LTFT included concerns about reduction in pay, extension of training time, and concerns about trainers' negative perceptions of LTFT. Twenty LTFT NTN trainees responded to the LTFT-specific survey. The majority of respondents reported an overall positive impact on their training and personal lives, although many still encountered negative attitudes from trainers and peers. Based on the results of this study, we provide practical suggestions to make LTFT more accessible to and acceptable for all trainees regardless of reason for applying or gender. Promoting the uptake of LTFT and improving the experience of LTFT in plastic surgery will support a healthy work-life balance in our workforce, prevent attrition and support gender equality.
英国医学总会（GMC）表示支持非全日制（LTFT）培训，事实证明这种培训对劳动力的幸福感、职业倦怠和人员流失以及患者安全都有积极影响。然而，整形外科领域存在非全日制培训的障碍。本研究旨在了解整形外科实习生对非全日制培训的看法，并提供切实可行的改进建议。英国整形外科实习生协会（PLASTA）开展了两项调查。调查1是2021年PLASTA全国培训调查（NTS）的一部分，所有拥有国家培训编号（NTN）的整形外科实习生都符合条件。调查2专门关注整形外科非全日制培训学员的实际经历。共有177名学员回复了NTS。7%的受访者目前从事非全日制工作；50%的受访者未来会考虑从事非全日制工作。报告显示，申请非全日制培训的障碍包括担心薪资减少、培训时间延长，以及担心培训师对非全日制培训有负面看法。20名拥有NTN的非全日制培训学员回复了针对非全日制培训的调查。大多数受访者表示，非全日制培训对他们的培训和个人生活总体有积极影响，尽管许多人仍然遇到培训师和同行的负面态度。基于这项研究的结果，我们提供切实可行的建议，以使所有学员无论申请原因或性别如何，都能更容易获得并接受非全日制培训。促进非全日制培训的采用，并改善整形外科非全日制培训的体验，将有助于我们的劳动力实现健康的工作与生活平衡，防止人员流失，并支持性别平等。
