Reflections on the NHS at 75: postgraduate training is the problem

Feature, 1 JulyReflecting on the NHS at 75, Kumar concludes that we should simplify medical education.1 Her focus, much like the government’s, is on reforming undergraduate medical education. She suggests a general multidisciplinary first year, followed by just two or three years of undergraduate training. No evidence is provided to support this suggestion.I would argue that we should instead focus on shortening and transforming postgraduate training. A recent study from the University of Nottingham2 found that most trainees decided to take a break during foundation year 2. The most common reasons for taking time out were needing a break from the NHS working environment, hoping to improve health and wellbeing, and hoping to achieve personal fulfilment. The need to earn more money was also highlighted. Together, these suggest a fundamental problem with foundation training and perceived future training. Furthermore, the 2022 General Medical Council national trainee survey3 found that as…
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