What is the role of out of programme clinical fellowships in the era of Shape of Training? A single-centre cohort study

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY
Suneil A Raju, Freya J Bowker-Howell, Imran Aziz, Mo Thoufeeq, Alan J Lobo, Dermot C Gleeson, Amer Al-Joudeh, Mark E McAlindon, Andrew D Hopper, Sampath Kumar, Reena Sidhu, David S Sanders
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Abstract

Background The updated Shape of Training curriculum has shortened the duration of specialty training. We present the potential role of out of programme clinical fellowships. Method 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. Results 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. Conclusion Out of programme clinical fellowships offer the opportunity to develop the required training competencies, subspecialty expertise and research skills in a supportive environment. Data are available on reasonable request.
在 "培训塑造 "时代,课程外临床研究金的作用是什么?单中心队列研究
背景 更新后的 "培训课程设置 "缩短了专科培训的时间。我们介绍了课程外临床研究金的潜在作用。方法 我们向所有在读研究员发送了一份电子在线调查,以了解他们的经历、培训机会和动机。我们还通过 PubMed 收集了所有完成谢菲尔德研究金项目的医生的内窥镜经验和发表的论文。结果 自 2004 年以来,共有 39 名医生完成了谢菲尔德奖学金计划。内窥镜检查经验:目前的研究员平均每年完成 350 例(IQR 150-500 例)胃镜检查和 150 例(IQR 106-251 例)结肠镜检查。有特殊兴趣的研究员每年完成 428 例肝胆胰手术或 70 例内镜粘膜切除术。Medline 出版物:中位数平均发表 9 篇论文(IQR 4-17)。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。培训新形态时代的七位现任研究员(57%为男性,29%为白种人,年龄在31-40岁之间)表示,他们对研究项目、指导团队和社交方面都非常满意。获得研究金的最主要原因是培养亚专科兴趣、摆脱值班和发展内窥镜技能。报告最多的缺点是收入减少。所有现任研究员都认为,研究金增强了他们的临床信心,为成为顾问做好了准备。结论 课程外临床研究金提供了在支持性环境中发展所需培训能力、亚专科专业知识和研究技能的机会。如有合理要求,可提供相关数据。
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来源期刊
BMJ Open Gastroenterology
BMJ Open Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
5.90
自引率
3.20%
发文量
68
审稿时长
2 weeks
期刊介绍: BMJ Open Gastroenterology is an online-only, peer-reviewed, open access gastroenterology journal, dedicated to publishing high-quality medical research from all disciplines and therapeutic areas of gastroenterology. It is the open access companion journal of Gut and is co-owned by the British Society of Gastroenterology. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around continuous publication, publishing research online as soon as the article is ready.
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