Views And Reviews

Should UK training programmes base doctors on one site for two years?

BMJ 2017; 359 doi: (Published 14 November 2017) Cite this as: BMJ 2017;359:j5235
  1. Robin Baddeley, editorial registrar
  1. The BMJ
  1. rbaddeley{at}

A “residency model” may help rebuild bonds between doctors and their employers

Issues affecting the recruitment and retention of junior doctors have been recognised for some time now, and further delay in demonstrable progress is difficult to justify. But to truly bend the recruitment and retention curve for the better, we may also need to confront an obstacle intrinsic to the way we train our doctors: the frequency with which trainees rotate through hospitals.

Despite the appearance of sympathy for junior doctors’ cause from senior medics and national governance bodies, there are those for whom junior doctors’ demands are simply born of millennial entitlement. While there may be elements of truth in this, it is an oversimplification. Frequent rotation between hospitals is not a new phenomenon for trainee doctors in the UK. But historical approaches to training benefited from important mitigating …

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