Intended for healthcare professionals

Letters Bottlenecks in specialty training

Workforce planning requires a broader view than focusing on one area of bottleneck

BMJ 2023; 382 doi: (Published 28 September 2023) Cite this as: BMJ 2023;382:p2170
  1. Charles Fry, specialty trainee year 6 neurophysiology,
  2. Menaka Paranathala, specialty trainee year 8 neurosurgery
  1. Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK
  1. Charles.fry{at}

Best discusses the growing bottlenecks in specialty training.1 There is undeniably a problem in the number of places at each stage of training: from medical schools, which are undergoing a vast expansion, to the number of foundation, core, and specialty training doctors, and consultant posts, which do not currently match this. Solving the problem isn’t, however, as simple as targeting one bottleneck by matching …

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