315 The Impact of COVID-19 on Training Opportunities and Long-Term Career Aspirations of UK Based Doctors

Abstract

Abstract Background The onset of the COVID-19 pandemic in November 2019 has witnessed a reactive ‘covidisation’ of NHS care services. Training opportunities for junior doctors have suffered and psycho-social impacts are anticipated. This study will seek to assess these factors and their impact on doctors’ career aspirations. Method A five question survey was disseminated to 350 junior doctors in the Yorkshire and Humber deanery. 115 responses were gained; 78 Foundation doctors (FY1–2), 24 Core/Early specialist trainees (CT 1–2/ST1–2) and 13 Specialist Registrars. Results Negative impacts on training include teaching commitments (61.7%) and work-based assessments (48%). A change in treatment protocols (67%) and acute referrals (58%) were also identified. Concerns regarding personal wellbeing were highlighted by 65%, with a greater willingness to consider taking time out of training (32%) or leave UK medical practice altogether (22%). Discussion The number of doctors immediately progressing into specialist training has almost halved. COVID era practice has impacted on training opportunities, clinical experience, and the ability to meet ARCP requirements. It has also led to high levels of personal concern amongst junior doctors surveyed. These factors may stimulate a greater willingness to take time out of training (1/3) or leave UK based medical practice (1/4). Conclusions It is evident that new and existing concerns amongst junior doctors have been heightened by COVID-19. This data provides a useful snapshot and may be utilised in ensuring the continued health and robustness of the UK's junior doctor workforce and its ability to meet the evolving challenges of global healthcare.