The case for reform of rotational training

Calls for reform of rotational training have been growing. Grassroots movements, junior doctors’ committees, and others have been calling for updates to a system that they say brings little benefit and much disadvantage to doctors in training.Under the current system (see box 1) trainees rotate to new jobs—often spread over a wide geographical area—every few months for anything up to a decade (or longer if working less than full time) before achieving their certificate of completion of training. Supporters of the system argue that doctors are thus exposed to different hospitals, patient populations, and ways of working, bringing a breadth of knowledge to their practice.Box 1How does rotational training work?The current rotational training system requires doctors to move between jobs regularly.Medical graduates apply to the UK Foundation Programme for the first two years (foundation years 1 and 2) of their postgraduate training, ranking their preference for 18 foundation schools across…
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