Challenges and solutions to returning to clinical training after research: a multidisciplinary survey of integrated academic trainees in West Yorkshire, United Kingdom

C. L. Downey,J. Bentley,H. Pandit

doi:10.1186/s12909-021-02556-4

C. L. Downey, J. Bentley + Show 1 more

Open Access

https://doi.org/10.1186/s12909-021-02556-4

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Abstract

BackgroundTime out of clinical training can impact medical trainees’ skills, competence and confidence. Periods of Out of Programme for Research (OOPR) are often much longer than other approved mechanisms for time of out training. The aim of this survey study was to explore the challenges of returning to clinical training following OOPR, and determine potential solutions.MethodsAll current integrated academic training (IAT) doctors at the University of Leeds (United Kingdom) and previous IAT trainees undertaking OOPR in the local region (West Yorkshire, United Kingdom)(n = 53) were invited to complete a multidisciplinary survey.ResultsThe survey was completed by 33 participants (62% response rate). The most relevant challenges identified were completing the thesis whilst transitioning back to clinical work, the rapid transition between full-time research and clinical practice, a diminished confidence in clinical abilities and isolation from colleagues. Potential solutions included dedicated funds allocated for the renewal of lapsed skills, adequate notice of the clinical rotation to which trainees return, informing clinical supervisors about the OOPR trainee returning to practice and a mandatory return to standard clinical days.ConclusionsAddressing these issues has the potential to improve the trainee experience and encourage future trainees to take time out of training for research activities.

Highlights

Time out of clinical training can impact medical trainees’ skills, competence and confidence
The survey established the most relevant challenges of transitioning between academic and clinical training when undertaking a higher degree, and potential solutions to meet the needs of clinical academic trainees
Our findings echoed those of the Health Education England (HEE) survey which identified diminished confidence as a challenge of returning to training [1], but has added knowledge specific to Out of Programme for Research (OOPR) trainees such as concerns around thesis completion

Summary

Introduction

Time out of clinical training can impact medical trainees’ skills, competence and confidence. Periods of Out of Programme for Research (OOPR) are often much longer than other approved mechanisms for time of out training The aim of this survey study was to explore the challenges of returning to clinical training following OOPR, and determine potential solutions. In 2017, Health Education England (HEE) conducted a survey of trainees and employers via the HEE Deans, the British Medical Association the AoMRC, research bodies, the NHS Improvement and NHS England medical directors, and chief professional officers. This national survey received responses from only 53 trainees, most of whom reported a lack of confidence in their clinical knowledge and technical skills when they returned to training [1]. HEE has subsequently implemented the Supported Return to Training (SuppoRTT) initiative in recognition of the fact that targeted training and learning opportunities can help trainees return to practice in a more ‘safe and confident manner’ [1]

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