2017 NATIONAL TRAINEE SURVEY RESULTS · 2018. 6. 27. · Joint Royal Colleges of Physicians...
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2017 NATIONAL TRAINEE SURVEY RESULTS NEUROLOGY SPECIALTY SPECIFIC QUESTIONS SEPTEMBER 2017 Warren Lynch / Aidan Simpson Quality Management Team Joint Royal Colleges of Physicians Training Board
Transcript of 2017 NATIONAL TRAINEE SURVEY RESULTS · 2018. 6. 27. · Joint Royal Colleges of Physicians...
2017 NATIONAL TRAINEE SURVEY RESULTS
NEUROLOGY
SPECIALTY SPECIFIC QUESTIONS
SEPTEMBER 2017
Warren Lynch / Aidan Simpson Quality Management Team Joint Royal Colleges of Physicians Training Board
Introduction The Specialty Specific Questions have been developed to test trainee’s access to, participation in or confidence in the attainment of specific aspects of the specialty training curriculum. The questions have been included as Programme Specific Questions in the annual GMC National Trainee Survey. The details of these questions and the trainee responses (nationally, by Deanery/LETB and by grade can be found within this report.
254 Neurology trainees (58 ST3, 61 ST4, 45 ST5, 48 ST6, 37 ST7 and 3 ST8 trainees) an overall increase of 9% compared to 2016, completed the 2017 survey. The numbers of trainees in each Deanery / LETB completing the survey were as follows:
Deanery / LETB 2016 2017 % Difference Health Education East Midlands 11 11 + 0%
Health Education East of England 14 17 + 8%
Health Education Kent, Surrey and Sussex 13 9 -31%
Health Education N, C & E London 27 35 +23%
Health Education North East 11 12 + 8%
Health Education North West 21 23 + 9%
Health Education NW London 7 10 +30%
Health Education South London 17 18 + 6%
Health Education South West 16 16 + 0%
Health Education Thames Valley 8 11 +27%
Health Education Wessex 10 8 -20%
Health Education West Midlands 18 16 -11%
Health Education Yorkshire and the Humber 26 26 + 0%
NHS Education for Scotland 15 21 +29%
Northern Ireland Medical & Dental Training Agency 8 9 +11%
Wales Deanery 10 12 +17%
Total 232 254 + 9%
Reduction of >10% of trainees completing the NTS in 2017 compared to 2016
A table showing the overall percentage of trainees in agreement with each of the specialty specific
questions, the 2016/17 percentage difference, and the regions with the highest and lowest levels of
agreement can be found on pages 2, 3 and 4 below.
Page | 1
Specialty Specific Questions – Neurology Quality Criteria % trainees agreeing
overall 2016/2017 Difference
Agreement Highest Agreement Lowest
Q1: Are you involved in the delivery of the National Stroke Strategy (ie rapid access TIA clinics or acute stroke care service)?
60% -12%
LDN (NW), WES 100% Northern Ireland 89% YAH 85%
North East 17% Scotland 24% KSS 33%
Q2: Does this include thrombolysis for acute ischaemic stroke?
88% +1% 8/16 regions 100% Thames Valley 33%
Scotland 40% KSS 67%
Q3: What is the extent of your involvement?
Office hrs only: 15% Office + part O/H: 50% Full 24 hrs: 35%
+4% +1% -6%
EMID, NE, WAL 100% SW, WES 89% East of England 100%
4/16 regions 0% 6/16 regions 0% 4/16 regions 0%
Q4: What is the format of your out of office hours neurology/thrombolysis on call?
On call: 77% Part Shift: 9% Full Shift: 4% No O/H: 10%
-3% +3% -2% +3%
KSS, WES 100% South Western 44% London (S) 22% EMID, THA 36%
Thames Valley 36% 8/16 regions 0%
10/16 regions 0% 4 deaneries/LETBs 0%
Q5: Please indicate the number of clinics completed each week.
0: 9% 1: 13% 2: 36% 3: 34% >3: 8%
+3% +0% +2% -4% -1%
East of England 29% KSS 56% Wessex 63% North Western 65% North East 33%
5/16 regions 0% 4/16 regions 0%
East Midlands 9% KSS 11% 8/16 regions 0%
Q6: Please indicate the number of new patients seen in an average clinic.
0: 7% 1-2: 13% 3-4: 49% 5-6: 27% >6: 4%
+3% +2% -7% +4% -2%
East of England 24% East Midlands 55% North East 92% West Midlands 63% WES, WMID 13%
6/16 regions 0% 6 /16 regions 0%
East Midlands 0% Wessex 0%
9/16 regions 0%
Page | 2
Quality Criteria % trainees agreeing overall
2016/2017 Difference
Agreement Highest Agreement Lowest
Q7: Please indicate the number of follow up patients seen in an average clinic.
0: 11% 1-2: 18% 3-4: 30% 5-6: 26% 7-8: 9% >8: 5%
-2% +1% -4% +2% +0% +1%
East of England 29% KSS 56% Northern Ireland 56% London (NC&E) 40% North Western 30% North Western 22%
4/16 regions 0% WAL, WES 0% KSS 11% West Midlands 6%
6/16 regions 0% 8/16 regions 0%
Q8. The 2010 curriculum requires trainees to complete at least 12 months' training in a District General Hospital (DGH) type setting. Are you confident this training requirement can be completed in your training scheme?
97% +3%
11/16 regions 100% YAH 88% EOE, WMID 94% Scotland 95%
Q9: The 2010 curriculum encourages trainees to complete a 3 month acting up role in preparation for becoming a consultant. Are you confident this training opportunity is available in your training scheme?
66% -6%
East Midlands 91% Northern Ireland 89% Wessex 88%
KSS 33% East of England 41% Thames Valley 45%
Page | 3
Quality Criteria % trainees agreeing overall
2016/2017 Difference
Agreement Highest Agreement Lowest
Q10: Have you applied for an OOPE in the last 12 months?
No: 87% Approved: 10% Declined: 2% No decision: 2%
-4% +4% +2% +0%
THA, WMID 100% Wessex 38% KSS 11% London (S) 11%
Wessex 63% 4/16 regions 0%
12/16 regions 0% 14/16 regions 0%
Q11: Do you believe your OOPE application was declined primarily due to clinical service commitments?
50% 2017 only
EoE, LDN (N,C&E) 100% KSS, NE Not sure 100%
Q12: Does your training programme include a three month period of acting up as a consultant for all trainees?
14% 2017 only
Wessex 50% East Midlands 45% Scotland 38%
6/16 regions 0%
Page | 4
Deanery / LETB Year N= Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12
Health Education East Midlands 2016 2017
11 11
36 55
100 83
100 100
100 91
45
Health Education East of England 2016 2017
14 17
71 47
100 100
100 94
50 41
100
0
Health Education Kent, Surrey & Sussex
2016 2017
13 9
38 33
100 67
92 100
54 33
0
Health Education London (North, Central & East) 2016 2017
27 35
74 71
70 84
96 100
59 51
100
6
Health Education London (North West) 2016 2017
7 10
100 100
71 90
86 100
71 50
10
Health Education London (South) 2016 2017
17 18
82 78
100 100
88 100
59 67
6
Health Education North East 2016 2017
11 12
64 17
43 100
91 100
73 58
Health Education North West 2016 2017
21 23
62 39
100 100
95 96
95 78
35
Health Education South West 2016 2017
16 16
88 56
93 100
100 100
63 69
0
Health Education Thames Valley 2016 2017
8 11
100 82
25 33
100 100
50 45
0
Health Education Wessex 2016 2017
10 8
100 100
100 100
90 100
80 88
50
Health Education West Midlands 2016 2017
18 16
67 63
100 100
94 94
89 75
19
Health Education Yorkshire and the Humber 2016 2017
26 26
88 85
100 91
88 88
73 65
4
NHS Education for Scotland 2016 2017
15 21
40 24
67 40
93 95
80 81
38
Northern Ireland Medical & Dental Training Agency 2016 2017
8 9
100 89
100 88
100 100
100 89
22
Wales Deanery 2016 2017
10 12
60 58
100 100
100 100
60 83
0
* Questions 3, 4, 5, 6, 7 and 10 are excluded as the questions are not yes/no or strongly agree/disagree.
Increase in agreement 2016/17 decrease in agreement 2016/17 Agreement unchanged 2016/17
Page |5
Q1. Are you involved in the delivery of the National Stroke Strategy (ie rapid access TIA clinics or acute
stroke care service)? (This question was presented to trainees of the following grades: ST3, ST4, ST5,
ST6, ST7, ST8) 2016: n=232, 2017: n=254
All results
Grade
Page | 6
72 60
28 40
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
No
Yes
71
48
60 61
82 73
78
63 62 62 67
29
52
40 39
18 27
22
38 38 38 33
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
No
Yes
Deanery / LETB
Page | 7
36
55
71
47
38
33
74
71
100
100
82
78
62
39
64
17
100
89
40
24
88
56
100
82
60
58
100
100
67
63
88
85
64
45
29
53
62
67
26
29
18
22
38
61
36
83
11
60
76
13
44
18
40
42
33
38
12
15
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
t (i
nc
Mer
sey)
No
rth
East
No
rth
ern
Irel
and
Sco
tlan
dSo
uth
Wes
tTh
ames
Val
ley
Wal
esW
esse
xW
est
Mid
lan
ds
York
shir
e&
Hu
mb
er
Yes
No
Q2. Does this include thrombolysis for acute ischaemic stroke? (note: this question refers to the previous
question "Are you involved in the delivery of the National Stroke Strategy?") This question was
presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8)
2016: n=167, 2017: n=153
All results
Grade
Page | 8
87 88
13 12
80%
82%
84%
86%
88%
90%
92%
94%
96%
98%
100%
2016 2017
No
Yes
83 82
97 92 88 88 88 90
77 87
50
17 18
3 8 13 12 12 10
23 13
50
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
No
Yes
Deanery / LETB
Page | 9
100
83
100
100
100
67
70
84
71
90
100
100
100
100
43
100
67
40
100
88
93
100
25
33
100
100
100
100
100
100
100
91
17
33
30
16
29
10
57
33
60
13
7
75
67
9
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stSc
otl
and
No
rth
ern
Irel
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
Yes
No
Q3. What is the extent of your involvement? (note: this question refers to the previous question "Are you involved in the delivery of the National Stroke Strategy?") This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2014 n=141-145, 2016: n=167, 2017: n=153 All trainees
Grade
Page | 10
11 15
49 50
41 35
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
Full 24 hour cover
Office hours and a partial out ofhours cover
Office hours only
15 25
3
16 13 6 7
17 15 9
50
49 32
55
49
48 58 51
53
31
61
50
37 43 41
35 48
36 42
30
54
30
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
Full 24 hour cover
Office hours and a partial out ofhours cover
Office hours only
Deanery / LETB
Page | 11
100
100
20
20
33
10
4
29
10
7
10
67
100
100
13
20
13
33
100
4
9
80
33
65
76
10
29
10
62
25
50
33
86
89
75
67
17
50
89
67
80
74
73
100
80
33
25
20
71
80
64
80
38
33
75
38
67
80
14
11
13
83
50
11
33
20
22
18
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
Office hours only
Office hours and partial out ofhours cover
Full 24 hour cover
Q4. What is the format of your out of office hours neurology/thrombolysis on call? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2016: n=232, 2017: n=254 All trainees
Grade
Page | 12
80 77
6 9
6 4
7 10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
No out of hours cover
Full shift pattern
Partial shift pattern
On call rota
79 76 85
80 82 91
78 69 71 73
33
7 5
4 7
8
7
9
15 14
7 9
4 7 2 9
14
3
7 10 6 7 8 2 4
17 14 11
67
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
No out of hours cover
Full shift pattern
Partial shift pattern
On call rota
Deanery / LETB
Page | 13
64
64
79
94
85
100
81
89
86
60
82
67
81
78
73
92
75
78
93
86
56
44
63
36
90
67
90
100
83
94
85
73
7
3
10
11
5
17
13
11
31
44
13
18
10
6
12
15
14
15
4
3
20
18
22
14
8
13
7
6
9
6
4
36
36
7
6
7
6
14
10
4
27
11
14
6
13
25
36
10
33
6
6
4
8
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
On call rota
Partial shift pattern
Full shift pattern
No out of hours cover
Q5. Please indicate the number of clinics completed each week. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2016: n=232, 2017: n=254 All trainees
Grade
Page | 14
6 9
13 13
34 36
38 34
9 8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
More than 3
3
2
1
0
9 10 4 7 4
18
5 4 5 5
19 21
6 8 16
11
7 8
19 14 33
33
38
38 39 33
31
40 40 19 32
34 22
44 43
35 27 44
40
33
41 67
5 9 8 3
12 13 4 8
24
8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
More than 3
3
2
1
0
Deanery / LETB
Page | 15
9
9
14
29
11
7
17
14
20
6
9
13
6
9
20
8
13
11
4
12
14
24
8
56
15
20
14
20
24
11
5
4
9
13
22
20
5
19
50
27
30
17
6
6
4
8
9
9
36
35
69
22
33
37
29
30
53
50
14
22
9
33
38
44
33
43
25
38
13
27
40
50
90
63
39
56
31
23
36
55
29
12
15
11
37
20
43
20
12
17
76
65
64
33
25
33
47
43
38
63
38
36
10
25
10
25
44
31
50
46
45
27
7
8
7
6
10
12
17
5
18
33
13
10
13
6
12
12
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
0
1
2
3
More than 3
Q6. Please indicate the number of new patients seen in an average clinic. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2016: n=232, 2017: n-254 All trainees
Grade
Page | 16
4 7
11 13
56 49
23 27
6 4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
More than 6
5 - 6
3 - 4
1 - 2
0
3 10
4 3 2 11
5 4 5 5
16 12
2 16
12
7 15 17 5
14
59 52
60
54 61 49 49 48
43
43
33
21 24
25
26 22 31 24 27
29
24
67
2 2 8
2 2 7 4
19 14
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2016 2017
ST3 ST4 ST5 ST6 ST7 ST8
More than 6
5 - 6
3 - 4
1 - 2
0
Deanery / LETB
Page | 17
9
7
24
11
4
14
14
10
9
6
9
20
8
13
11
4
8
9
55
14
23
12
14
20
41
50
5
13
13
22
7
10
6
13
30
42
6
12
19
18
79
59
69
56
70
54
14
20
47
33
57
57
100
92
63
33
53
62
50
44
63
36
40
33
100
75
6
25
62
46
55
36
12
8
33
22
17
43
56
6
17
19
13
8
13
44
27
24
44
50
25
45
10
17
67
63
23
27
18
6
4
3
14
6
19
9
13
13
5
9
13
11
13
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
0
1 - 2
3 - 4
5 - 6
More than 6
Q7. Please indicate the number of follow up patients seen in an average clinic. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2014: n=211-215, 2015: n=237, 2016: n=232 All trainees
Grade
Page | 18
13 11
17 18
34 30
24 26
9 9
4 5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
More than 8
7 - 8
5 - 6
3 - 4
1 - 2
0
22 19
6 13 12 11 9
4 5 3
22
15
17 15
24 33
9 17 10 14
26
26
35 25
37 16
35
48
43 41 67
14 29 29
26
18
22 36
23
19 30
12 7 8
10
6
11 5
6
14
14
33
3 3 4 11
2 7 5 2
10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
More than 8
7 - 8
5 - 6
3 - 4
1 - 2
0
Deanery / LETB
Page | 19
27
21
29
8
11
19
20
29
10
6
11
9
9
13
5
13
13
50
18
20
17
17
6
12
27
18
12
38
56
4
6
43
30
24
33
5
4
55
33
50
11
20
29
6
25
13
36
10
10
22
25
8
8
18
18
29
24
46
11
37
26
14
40
24
17
24
13
18
42
38
56
53
33
44
31
25
27
50
33
60
38
11
44
42
46
27
9
36
29
8
22
33
40
14
20
35
28
24
22
18
25
13
22
13
33
25
19
9
10
33
30
38
39
6
19
27
18
18
14
7
3
12
6
19
30
13
6
9
17
25
11
19
15
15
9
9
6
6
6
29
22
11
6
13
10
4
4
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
ort
hW
est)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
este
rnTh
ames
Val
ley
Wal
esW
esse
xW
est
Mid
lan
ds
York
shir
e&
Hu
mb
er
0
1 - 2
3 - 4
5 - 6
7 - 8
More than 8
Q8. The 2010 curriculum requires trainees to complete at least 12 months' training in a District General Hospital (DGH) type setting. Are you confident this training requirement can be completed in your training scheme? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2016: n=232, 2017: n=254 All trainees
Grade
Page | 20
94
97
6
3
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
2016 2017
No
Yes
91 93
96
100
92
100
96 98
100
97
100
9 7
4
8
4 2
3
86%
88%
90%
92%
94%
96%
98%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
No
Yes
Deanery / LETB
Page | 21
100
100
100
94
92
100
96
100
86
100
88
100
95
96
91
100
100
100
93
95
100
100
100
100
100
100
90
100
94
94
88
88
6
8
4
14
12
5
4
9
7
5
10
6
6
12
12
75% 80% 85% 90% 95% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
Yes
No
Q9. The 2010 curriculum encourages trainees to complete a 3 month acting up role in preparation for becoming a consultant. Are you confident this training opportunity is available in your training scheme? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2016: n=232, 2017: n=254 All trainees
Grade
Page | 22
72 66
28 34
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017
No
Yes
71 72 83
62 69
60 64 67
81
68 67
29 28 17
38 31
40 36 33
19
32 33
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
No
Yes
Deanery / LETB
Page | 23
100
91
50
41
54
33
59
51
71
50
59
67
95
78
73
58
100
89
80
81
63
69
50
45
60
83
80
88
89
75
73
65
9
50
59
46
67
41
49
29
50
41
33
5
22
27
42
11
20
19
38
31
50
55
40
17
20
13
11
25
27
35
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
Yes
No
Q10. Have you applied for an OOPE in the last 12 months? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2016: n=232, 2017: n=254 All trainees
Grade
Page | 24
91
87
6
10
2
2 2
75%
80%
85%
90%
95%
100%
2016 2017
Yes, but but I have not had adecision yet
Yes, and it was declined
Yes, and it was approved
No
95 97 98
80 84 82 85 83
100 89
100
2 2 2
13 12 13 11 13
11 2
2 2 4
3 5 4 4 2
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2016 2017 2016 2017 2016 2017 2016 2017 2016 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
Yes, but I havenot had adecision yet
Yes, and it wasdeclined
Yes, and I wasapproved
No
Deanery / LETB
Page | 25
100
91
93
88
77
89
93
74
100
70
94
78
86
91
100
92
100
78
87
95
81
94
100
100
70
83
100
63
100
100
92
92
9
7
6
23
4
14
30
6
11
14
9
22
5
6
6
20
17
38
8
8
6
11
3
8
6
4
9
11
13
6
10
0% 20% 40% 60% 80% 100%
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
2016
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
No
Yes, and it wasapproved
Yes, and it wasdeclined
Yes, and I havenot had adecision yet
Q11. Do you believe your OOPE application was declined primarily due to clinical service commitments? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2017: n=4 All trainees
Grade
Page | 26
50
50
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2017
Not applicable
Not sure
No
Yes
100
50
100
50
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2017 2017 2017
ST3 ST4 ST6
Not applicable
Not sure
No
Yes
Q12. Does your training programme include a three month period of acting up as a consultant for all trainees? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6, ST7, ST8) 2017: n=254 All trainees
Grade
Page | 27
14
24
60
3
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2017
Not applicable
Not sure
No
Yes
10 13 11 17
22 9
18 29
27
46
33
78
66
60 52
32
67
3 3 4
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2017 2017 2017 2017 2017 2017
ST3 ST4 ST5 ST6 ST7 ST8
Not applicable
Not sure
No
Yes
Deanery / LETB
Page | 28
45
6
10
6
35
22
38
50
19
4
9
24
11
29
30
17
9
50
33
14
31
45
25
50
25
27
36
76
89
57
60
72
52
50
44
48
69
55
75
56
65
9
9
6
4
4
0% 20% 40% 60% 80% 100%
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
East
Mid
lan
ds
East
of
Engl
and
Ken
t,Su
rrey
&Su
ssex
Lon
do
n(N
, C &
E)
Lon
do
n(N
W)
Lon
do
n(S
ou
th)
No
rth
Wes
tern
(in
cM
erse
y)N
ort
hEa
stN
ort
her
nIr
elan
dSc
otl
and
Sou
thW
est
Tham
esV
alle
yW
ales
Wes
sex
Wes
tM
idla
nd
s
York
shir
e&
Hu
mb
er
Yes
No
Not sure
Not applicable
