Intended for healthcare professionals

Views And Reviews Acute Perspective

David Oliver: Making less popular medical jobs more attractive

BMJ 2018; 362 doi: (Published 10 July 2018) Cite this as: BMJ 2018;362:k2936

Re: David Oliver: Making less popular medical jobs more attractive

Oliver is correct in his analysis that acute medical specialties are unattractive to trainees (Acute Perspective, 14 July). It's ironic that the health service needs more doctors to train as generalist to cope with an ageing population with complex needs but is struggling to recruit and retain doctors in those specialities. Whilst I agree with the main proposals to remedy the situation, I feel that significant contributing factors are not being addressed by the profession.

The RCP Document: The Medical Registrar, Empowering the unsung heroes of patient care (2013) clearly identifies the huge workload of the medical registrar. It also highlights the main reasons why recruitment into medical specialties is becoming increasing more difficult. The fact is, CMT trainees do not want to be medical registrars. The reasons for this include not feeling valued and respected, lack of leadership in general medicine and anxiety about becoming a medical registrar as the training is insufficient to prepare them for the role. These factors will have to be addressed at all levels within medicine if things are to change.

Competing interests: No competing interests

17 July 2018
Idrisu Sanusi
Senior Clinical Fellow Intensive Care Medicine
Royal Surrey County NHS Foundation Trust, Egerton Road, Guildford, Surrey, GU2 7XX