Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.

<h4>Background</h4>Medical training is a long process that is not complete until doctors finish specialty training. Getting into specialty training is challenging because of strong competition for limited places, depending on doctors' chosen field. This may have a negative impact on...

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Autores principales:	Belinda O'Sullivan, Matthew McGrail, Tiana Gurney, Priya Martin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ebea01d332ed4380a9d18bdc23769664
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spelling	oai:doaj.org-article:ebea01d332ed4380a9d18bdc237696642021-12-02T20:16:41ZBarriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.1932-620310.1371/journal.pone.0258584https://doaj.org/article/ebea01d332ed4380a9d18bdc237696642021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258584https://doaj.org/toc/1932-6203<h4>Background</h4>Medical training is a long process that is not complete until doctors finish specialty training. Getting into specialty training is challenging because of strong competition for limited places, depending on doctors' chosen field. This may have a negative impact on doctor well-being and reduce the efficiency of the medical training system. This study explored the barriers of pre-registrar (junior) doctors getting into specialty training programs to inform tailored support and re-design of speciality entry systems.<h4>Methods</h4>From March to October 2019, we conducted 32 semi-structured interviews with early-career doctors in Australia, who had chosen their specialty field, and were either seeking entry, currently undertaking or had recently completed various fields of specialty training. We sought reflections about barriers and major influences to getting into specialty training. In comparing and contrasting generated themes, different patterns emerged from doctors targeting traditionally non-competitive specialty fields like General Practice (GP) and other specialties (typically more competitive fields). As a result we explored the data in this dichotomy.<h4>Results</h4>Doctors targeting entry to GP specialties had relatively seamless training entry and few specific barriers. In contrast, those pursuing other specialties, regardless of which ones, relayed multiple barriers of: Navigating an unpredictable and complex system with informal support/guidance; Connecting to the right people/networks for relevant experience; Pro-actively planning and differentiating skills with recurrent failure of applications.<h4>Conclusions</h4>Our exploratory study suggests that doctors wanting to get into non-GP specialty training may experience strong barriers, potentially over multiple years, with the capacity to threaten their morale and resilience. These could be addressed by a clearinghouse of information about different speciality programs, broader selection criteria, feedback on applications and more formal guidance and professional supports. The absence of challenges identified for doctors seeking entry to GP could be used to promote increased uptake of GP careers.Belinda O'SullivanMatthew McGrailTiana GurneyPriya MartinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258584 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Belinda O'Sullivan Matthew McGrail Tiana Gurney Priya Martin Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
description	<h4>Background</h4>Medical training is a long process that is not complete until doctors finish specialty training. Getting into specialty training is challenging because of strong competition for limited places, depending on doctors' chosen field. This may have a negative impact on doctor well-being and reduce the efficiency of the medical training system. This study explored the barriers of pre-registrar (junior) doctors getting into specialty training programs to inform tailored support and re-design of speciality entry systems.<h4>Methods</h4>From March to October 2019, we conducted 32 semi-structured interviews with early-career doctors in Australia, who had chosen their specialty field, and were either seeking entry, currently undertaking or had recently completed various fields of specialty training. We sought reflections about barriers and major influences to getting into specialty training. In comparing and contrasting generated themes, different patterns emerged from doctors targeting traditionally non-competitive specialty fields like General Practice (GP) and other specialties (typically more competitive fields). As a result we explored the data in this dichotomy.<h4>Results</h4>Doctors targeting entry to GP specialties had relatively seamless training entry and few specific barriers. In contrast, those pursuing other specialties, regardless of which ones, relayed multiple barriers of: Navigating an unpredictable and complex system with informal support/guidance; Connecting to the right people/networks for relevant experience; Pro-actively planning and differentiating skills with recurrent failure of applications.<h4>Conclusions</h4>Our exploratory study suggests that doctors wanting to get into non-GP specialty training may experience strong barriers, potentially over multiple years, with the capacity to threaten their morale and resilience. These could be addressed by a clearinghouse of information about different speciality programs, broader selection criteria, feedback on applications and more formal guidance and professional supports. The absence of challenges identified for doctors seeking entry to GP could be used to promote increased uptake of GP careers.
format	article
author	Belinda O'Sullivan Matthew McGrail Tiana Gurney Priya Martin
author_facet	Belinda O'Sullivan Matthew McGrail Tiana Gurney Priya Martin
author_sort	Belinda O'Sullivan
title	Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
title_short	Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
title_full	Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
title_fullStr	Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
title_full_unstemmed	Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.
title_sort	barriers to getting into postgraduate specialty training for junior australian doctors: an interview-based study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ebea01d332ed4380a9d18bdc23769664
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Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study.

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