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. 2020 Apr 7;20(1):106.
doi: 10.1186/s12909-020-01999-5.

Assessing the preparedness of foundation year 1 (FY1) doctors during the transition from medical school to the foundation training programme

Athena Michaelides  1 , Melina Mahr  2 , Gaurav Pydisetty  2 , Jerocin Vishani Loyala  2
Affiliations

Assessing the preparedness of foundation year 1 (FY1) doctors during the transition from medical school to the foundation training programme

Athena Michaelides et al. BMC Med Educ. .

Abstract

Background: To assess how ready current FY1 doctors felt when starting their first posting as newly qualified doctors.

Methods: We created an online survey where 45 FY1 doctors in South Yorkshire rated how confident they were across different domains (Induction and Assistantship, Hospital Systems, and Skills) using a scale ranging from 0 (no confidence performing task) to 5 (highly confident).

Results: The ICE system and observations had a mean rating of 3.645 (95% CI 3.446 to 3.844), and 4.425 (95% CI 4.248 to 4.602) with a standard deviation (SD) of 1.10 and 0.83 respectively. The radiological platform, referral system, telephone system, and hospital notes had a mean score of 3.149 (95% CI 2.876 to 3.422), 2.340 (95% CI 2.096 to 2.584), 3.573 (95% CI 3.407 to 3.739) and 4.061 (95% CI 3.931 to 4.191), with a SD of 1.281, 1.153, 0.961 and 0.752 respectively. Patient needs and diagnostic procedures had a mean score of 3.933 (95% CI 3.749 to 4.117) and 4.250 (95% CI 4.140 to 4.360) with a SD of 1.190 and 0.944 respectively. Patient care, prescribing, and therapeutic procedures gave a mean score of 3.634 (95% CI 3.432 to 3.836), 4.130 (95% CI 3.959 to 4.301), 3.386 (95% CI 3.228 to 3.544) with a SD of 1.133, 0.958 and 1.256 respectively. No statistically significant difference in the overall mean score was found between respondents who attended medical schools in Yorkshire, and those who had not.

Conclusion: Overall, confidence differs across different domains and categories. A larger sample size across a wider geographical area would allow us to compare and contrast results across the different regions in the UK.

Keywords: Foundation doctor; Foundation training programme; Junior doctor; Medical school; Preparedness; Transition.

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Conflict of interest statement

The authors declare that they have no competing interests. Authors have no association with commercial entities that could provide support for the work reported in this manuscript, nor with entities that could be viewed as having a general interest in the area of the submitted manuscript. Authors have no association with financial and non-financial organizations.

Figures

Fig. 1
Fig. 1
Percentage of respondents who agreed that certain topics were covered during the induction (n = 41)
See this image and copyright information in PMC

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