{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T11:28:56Z","timestamp":1773228536985,"version":"3.50.1"},"reference-count":27,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,7,20]]},"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The British Government is acting on recommendations to overhaul postgraduate training to meet the needs of the changing population, to produce generalist doctors undergoing shorter broad-based training (Greenaway Review). Only 45 doctors in training were involved in the consultation process. This study aims to obtain a focused perspective on the proposed reforms by doctors in training from across specialities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, questionnaire-based cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants<\/jats:title>\n                    <jats:p>Following validation, a 31-item electronic questionnaire was distributed via trainee organisations and Postgraduate Local Education and Training Board (LETB) mailing lists. Throughout the 10-week study period, the survey was publicised on several social media platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 3603 demographically representative respondents, 69% knew about proposed changes. Of the respondents, 73% expressed a desire to specialise, with 54% keen to provide general emergency cover. A small proportion (12%) stated that current training pathway length is too long, although 86% felt that it is impossible to achieve independent practitioner-level proficiency in a shorter period of time than is currently required. Opinions regarding credentialing were mixed, but tended towards disagreement. The vast majority (97%) felt credentialing should not be funded by doctors in training. Respondents preferred longer placement lengths with increasing career progression. Doctors in training value early generalised training (65%), with suggestions for further improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first large-scale cross-specialty study regarding the Shape of Training Review. Although there are recommendations which trainees support, it is clear that one size does not fit all. Most trainees are keen to provide a specialist service on an emergency generalist background. Credentialing is a contentious issue; however, we believe removing aspects from curricula into post-Certificate of Completion of Training (CCT) credentialing programmes with shortened specialty training routes only degrades the current consultant expertise, and does not serve the population. Educational needs, not political winds, should drive changes in postgraduate medical education and all stakeholders should be involved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-010461","type":"journal-article","created":{"date-parts":[[2016,10,7]],"date-time":"2016-10-07T23:09:04Z","timestamp":1475881744000},"page":"e010461","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["What shape do UK trainees want their training to be? Results of a cross-sectional study"],"prefix":"10.1136","volume":"6","author":[{"given":"Rhiannon L","family":"Harries","sequence":"first","affiliation":[{"name":"Association of Surgeons in Training Council, Association of Surgeons in Training, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Rashid","sequence":"additional","affiliation":[{"name":"British Orthopaedic Trainees Association, British Orthopaedic Association Offices, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Smitham","sequence":"additional","affiliation":[{"name":"British Orthopaedic Trainees Association, British Orthopaedic Association Offices, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Vesey","sequence":"additional","affiliation":[{"name":"Royal College of Physicians and Surgeons in Glasgow Trainees\u2019 Committee, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"McGregor","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons of Edinburgh Training Committee, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Scheeres","sequence":"additional","affiliation":[{"name":"Psychiatric Trainees\u2019 Committee, Royal College of Psychiatrists, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Bailey","sequence":"additional","affiliation":[{"name":"Emergency Medicine Training Association, Royal College of Emergency Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Mohammed Afzal","family":"Sohaib","sequence":"additional","affiliation":[{"name":"British Junior Cardiologists Association, British Cardiovascular Society, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Prior","sequence":"additional","affiliation":[{"name":"Royal College of Obstetricians and Gynaecologists Trainees\u2019 Committee, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Frost","sequence":"additional","affiliation":[{"name":"Royal College of Obstetricians and Gynaecologists Trainees\u2019 Committee, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walid","family":"Al-Deeb","sequence":"additional","affiliation":[{"name":"The Society of Radiologists in Training, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gana","family":"Kugathasan","sequence":"additional","affiliation":[{"name":"The Society of Radiologists in Training, Wrexham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vimal J","family":"Gokani","sequence":"additional","affiliation":[{"name":"Association of Surgeons in Training Council, Association of Surgeons in Training, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,10,7]]},"reference":[{"key":"2025121223331687000_6.10.e010461.1","unstructured":"Calman K , Department of Health. Hospital Doctors\u2014Training for the Future. 1993."},{"key":"2025121223331687000_6.10.e010461.2","unstructured":"Tooke J . Aspiring to excellence\u2014Findings and Final Recommendations of the Independent Inquiry into Modernising Medical Careers. 2008."},{"key":"2025121223331687000_6.10.e010461.3","unstructured":"Temple J . Time for Training\u2014A review of the impact of the European Working Time Directive on the quality of training. 2010."},{"key":"2025121223331687000_6.10.e010461.4","unstructured":"Greenaway D , ed. Securing the future of excellent patient care. http:\/\/www.shapeoftraining.co.uk\/static\/documents\/content\/Shape_of_training_report_Final_Report.pdf_53900462.pdf (accessed 22 Oct 2015)."},{"key":"2025121223331687000_6.10.e010461.5","unstructured":"Greenaway D , ed. Securing the future of excellent patient care: annexes. http:\/\/www.shapeoftraining.co.uk\/static\/documents\/content\/Annexes_and_Appendices_final.pdf_53854144.pdf (accessed 22 Oct 2015)."},{"key":"2025121223331687000_6.10.e010461.6","unstructured":"BMA. Response to the Shape of Training Review \u2018and unprecedented show of professional unity\u2019. 2014. https:\/\/communities.bma.org.uk\/my_working_life\/b\/weblog\/archive\/2015\/01\/08\/response-to-the-shape-of-training-review-39-an-unprecedented-show-of-professional-unity-39 (accessed 22 Oct 2015)."},{"key":"2025121223331687000_6.10.e010461.7","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1308\/147363514X14042954769915","article-title":"Implications of the shape of training review for surgery","volume":"96","author":"Ferguson","year":"2014","journal-title":"Ann R Coll Surg Engl (Suppl)"},{"key":"2025121223331687000_6.10.e010461.8","doi-asserted-by":"crossref","unstructured":"Glaseby J , McElnay P , Ferguson H , et al . Proposals for shortening UK surgical training will directly impact on patient safety. Ann Surg 2015. doi:10.1097\/SLA.0000000000001294","DOI":"10.1097\/SLA.0000000000001294"},{"key":"2025121223331687000_6.10.e010461.9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3219"},{"key":"2025121223331687000_6.10.e010461.10","doi-asserted-by":"crossref","first-page":"100","DOI":"10.4997\/JRCPE.2015.202","article-title":"Shaping the future of our training","volume":"45","author":"Hollick","year":"2015","journal-title":"J R Coll Physicians Edinb"},{"key":"2025121223331687000_6.10.e010461.11","unstructured":"Correspondence from Kevin Connor, General Medical Council (19 Aug 2015)."},{"key":"2025121223331687000_6.10.e010461.12","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1308\/003588413X13511609956372","article-title":"A quick guide to survey research","volume":"95","author":"Jones","year":"2013","journal-title":"Ann R Coll Surg Engl"},{"key":"2025121223331687000_6.10.e010461.13","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"2025121223331687000_6.10.e010461.14","first-page":"43","article-title":"Organizational research: determining appropriate sample size in survey research","volume":"19","author":"Bartlett","year":"2001","journal-title":"Inf Technol Learn Perform J"},{"key":"2025121223331687000_6.10.e010461.15","doi-asserted-by":"crossref","first-page":"402","DOI":"10.12968\/hmed.2014.75.7.402","article-title":"Quantifying the challenges of specialty training : the 2013 British Junior Cardiologist's Association Survey","volume":"74","author":"Afzal Sohaib","year":"2014","journal-title":"Br J Hosp Med (Lond)"},{"key":"2025121223331687000_6.10.e010461.16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa012337"},{"key":"2025121223331687000_6.10.e010461.17","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.24.3169"},{"key":"2025121223331687000_6.10.e010461.18","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1159"},{"key":"2025121223331687000_6.10.e010461.19","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.gie.2008.12.061","article-title":"Higher hospital volume is associated with lower mortality in acute nonvariceal upper-GI haemorrhage","volume":"70","author":"Ananthakrishnan","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"2025121223331687000_6.10.e010461.20","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.20.1747"},{"key":"2025121223331687000_6.10.e010461.21","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-6-200209170-00012"},{"key":"2025121223331687000_6.10.e010461.22","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000375"},{"key":"2025121223331687000_6.10.e010461.23","doi-asserted-by":"crossref","unstructured":"Archampong D , Borowski D , Wille-J\u00f8rgensen P , et al . Workload and surgeon's specialty for outcome after colorectal cancer surgery. Cochrane Database Syst Rev 2012;(3):CD005391. doi:10.1002\/14651858.CD005391.pub3","DOI":"10.1002\/14651858.CD005391.pub3"},{"key":"2025121223331687000_6.10.e010461.24","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007335"},{"key":"2025121223331687000_6.10.e010461.25","doi-asserted-by":"crossref","unstructured":"Stroman L , Weil S , Butler K , et al . Can you afford to become a surgeon? The bill, please. The Bulletin of the Royal College of Surgeons of England, 2015.","DOI":"10.1308\/147363515X14162390057944"},{"key":"2025121223331687000_6.10.e010461.26","first-page":"44","article-title":"The financial implications of training within the UK system","volume":"3","author":"Smitham","year":"2015","journal-title":"J Trauma Orthop"},{"key":"2025121223331687000_6.10.e010461.27","unstructured":"General Medical Council. National Training Survey. 2014. http:\/\/www.gmc-uk.org\/NTS_2014__KFR_A4.pdf_56706809.pdf (accessed 22 Oct 2015)."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2015-010461","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:33:27Z","timestamp":1765611207000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2015-010461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":27,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2016,10,7]]},"published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1136\/bmjopen-2015-010461"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2015-010461","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}