UK foundation programme: Why are some trainees so unhappy with the new allocation system?

On 8 March medical students were told which deanery they’d be working under from August, with places allocated for the first time using the new preference informed allocation system.What is preference informed allocation (PIA)?In June 2023 the UK Foundation Programme Office (UKFPO) confirmed that PIA would be introduced for the 2024 foundation programme.1 It uses a ranking system that’s “computer generated with no meritocratic assessment.”2 Medical students are ordered randomly by the Oriel system, which uses an algorithm to assign applicants to their preferred deanery.This means that those ranked higher by the computer are more likely to receive their first preference, while those ranked lower are less fortunate. Those left unallocated after this first pass are granted their highest available preference on the algorithm’s second pass, and so on.Previously, students’ rankings were based on their performance in exams throughout medical school, as well as a one-off situational judgment test. Similarly…
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