Doctors: Training
The question
To ask the Secretary of State for Health and Social Care, whether he will make an assessment of the potential merits of reducing the number of hospitals and departments that doctors rotate through as part of Internal Medical Training.
Answered by Karin Smyth
The Government recognises the importance of continuity in postgraduate medical training for both doctors and patients.
Following the 2024 Resident Doctors Agreement, the Department, working in partnership with NHS England and the British Medical Association, established a review of rotational training. This review drew on some 13,000 responses to surveys and found that rotations can provide valuable breadth of experience, but that in some cases frequent moves can disrupt learning, wellbeing, team integration, and patient care
NHS England has developed pilots within the Rotations Review programme, and these are being recruited to with start dates in August of this year. As set out in the 10-Point Plan to Improve Resident Doctors’ Working Lives, these test longer placements, smaller geographic footprints, and more flexible arrangements for less-than-full-time trainees. The future work will become part of the Medical Education and Training Review. One of these pilots has focussed on Internal Medicine Training programmes being based at a single provider for the entire three years.
The evaluation of these pilots will inform future policy decisions on placement length and continuity benefits.
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