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Elisabeth Paice North Thames
Department of Postgraduate Medical and Dental Education, London WC1N
3EJ
Correspondence to: E Paice epaice{at}tpmde.ac.uk
Objectives:
To evaluate the impact of the Calman
reforms of higher specialist training on trainee satisfaction.
Design:
Questionnaire surveys using portable
electronic survey units, two years apart.
Setting:
Postgraduate, teaching, district
general, and community NHS trusts in North Thames. North Thames deanery includes London north of the Thames, Essex, and Hertfordshire.
Participants:
Trainees in all grades and all
specialties: 3078 took part in the first survey and 3517 in the second survey.
Main outcome measures:
Trainees' satisfaction with
training in their current post, including educational objectives,
training agreements, induction, consultant feedback, hands on
experience acquired, use of log books, consultant supervision, and
overall satisfaction with the post.
Results:
In the second survey respondents were
more likely to have discussed educational objectives with their
consultant, used a log book, and had useful feedback from their
consultant. They were more likely to give high ratings to induction,
consultant supervision, and hands on experience acquired in the post.
Each of these elements was associated with increased satisfaction with the post overall. Improvements were most noticeable at the level of
specialist registrar, but changes in the same direction were also seen
in more junior grades.
Conclusions:
After the reforms of specialist
training, trainees in all grades reported greater satisfaction with
their current posts. The changes required extra training time and
effort from consultants.
© BMJ 2000
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