Intended for healthcare professionals

Letters Opting out of training

An inflexible system is driving away motivated trainees

BMJ 2019; 365 doi: (Published 22 May 2019) Cite this as: BMJ 2019;365:l2241
  1. Fraser S Brown, academic foundation year 2 doctor
  1. Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ
  1. fraser{at}

As a current foundation year 2 doctor planning to work out of a training programme as a clinical fellow next year, I read your article “Doctors opt out of training after foundation years” with interest.1

The authors suggest that emphasis on selection based on high academic merit …

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