Division of Clinical Medicine, The University of Sheffield, Sheffield, UK
Academic Unit of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
BMJ Open Gastroenterol. 2024 Apr 30;11(1):e001311. doi: 10.1136/bmjgast-2023-001311.
The updated Shape of Training curriculum has shortened the duration of specialty training. We present the potential role of out of programme clinical fellowships.
An electronic online survey was sent to all current fellows to understand their experiences, training opportunities and motivations.Data were collected on fellows' endoscopic experiences and publications using PubMed for all previous doctors who have completed the Sheffield Fellowship Programme.
Since 2004, 39 doctors have completed the Sheffield Fellowship.Endoscopic experience: current fellows completed a median average of 350 (IQR 150-500) gastroscopies and 150 (IQR 106-251) colonoscopies per year. Fellows with special interests completed either 428 hepato-pancreato-biliary procedures or 70 endoscopic mucosal resections per year.Medline publications: Median average 9 publications(IQR 4-17). They have also received multiple national or international awards and 91% achieved a doctoral degree.The seven current fellows in the new Shape of Training era (57% male, 29% Caucasian, aged 31-40 years) report high levels of enjoyment due to their research projects, supervisory teams and social aspects. The most cited reasons for undertaking the fellowship were to develop a subspecialty interest, take time off the on-call rota and develop endoscopic skills. The most reported drawback was a reduced income.All current fellows feel that the fellowship has enhanced their clinical confidence and prepared them to become consultants.
Out of programme clinical fellowships offer the opportunity to develop the required training competencies, subspecialty expertise and research skills in a supportive environment.
更新后的培训课程模式缩短了专科培训的时间。我们提出了临床进修医师项目之外的培训机会的潜在作用。
我们向所有现任研究员发送了电子在线调查，以了解他们的经验、培训机会和动机。使用 PubMed 收集了所有完成谢菲尔德研究员项目的医生之前的内镜经验和出版物的数据。
自 2004 年以来，已有 39 名医生完成了谢菲尔德研究员项目。内镜经验：现任研究员平均每年完成 350 次（IQR150-500）胃镜检查和 150 次（IQR106-251）结肠镜检查。有特殊兴趣的研究员每年完成 428 次肝胰胆内镜检查或 70 次内镜黏膜切除术。Medline 出版物：中位数平均 9 篇（IQR4-17）。他们还获得了多个国家或国际奖项，91%的人获得了博士学位。在新的培训模式时代的七名现任研究员（57%为男性，29%为白种人，年龄 31-40 岁）报告由于他们的研究项目、监督团队和社交方面而享受高水平的乐趣。选择从事研究员项目的主要原因是发展专业兴趣、脱离值班轮班和发展内镜技能。报告最多的缺点是收入减少。所有现任研究员都认为研究员项目增强了他们的临床信心，并为他们成为顾问做好了准备。
临床进修医师项目之外的培训机会为在支持性环境中发展所需的培训能力、专业专长和研究技能提供了机会。
