Exponentially increasing competition is exposing flaws in the current system of selection for specialty training.
Aveyard, Benedict Asbridge, Stephanie
Aveyard, Benedict
Asbridge, Stephanie
Affiliation
Clinical Education Fellow at South Warwickshire NHS Foundation Trust, Warwick, CV34 5BW, UK.; Foundation Year 2 Doctor at University Hospital Coventry and Warwickshire, Coventry, CV2 2DX, UK.
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Publication date
2025-11-12
Subject
Collections
Research Projects
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Journal Issue
Abstract
Competition to get into specialty training is increasingly exponentially, exposing issues with the current selection process. Flaws include biases in portfolio scoring matrices against those at financial disadvantage, incentivising application to multiple specialties, employing solely non-clinical criteria for selection for interview, and inappropriate use of the multi-specialty recruitment assessment. Increasing competition puts greater emphasis on these components in selection, with many potential negative ramifications. Efforts must now be made to address the flaws highlighted. We propose that this starts with incorporating clinical measures, such as multi-source feedback and clinical self-development activities, in portfolio scoring. However, an increased number of available training posts is what is ultimately needed to reduce the intense competition for jobs, take pressure off the current system, and allow its flaws to be addressed.
NOTE: CONTAINS RETRACTED CITATION: Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians [information from LibKey Nomad]
Citation
Future Healthc J . 2025 Nov 12;12(4):100487. doi: 10.1016/j.fhj.2025.100487. eCollection 2025 Dec.
Type
Article