Abstract
Aims and methodThe specialist registrar (SpR) grade was introduced in 1996, taking the place of the senior registrar (SR) grade. We surveyed higher trainees in Scotland in order to draw comparisons between the two grades and assess satisfaction with the changes. A postal questionnaire was sent to all higher trainees (n=129) in Scotland seeking Information on structure of training, work patterns and views.ResultsSixty-two per cent of trainees responded. There was little difference in the activity and structure of training between SRs and SpRs. Seventy per cent of responders felt that the SpR grade had not improved training.Clinical implicationsThe survey uncovered dissatisfaction with the new grade, but little objective evidence of differences between SRs and SpRs. More flexibility for time in higher training and restoring the SR title would help to improve morale.
Highlights
Aimsand method The specialistregistrar(SpR)grade was introduced in 1996,taking the place of the senior registrar (SR) grade
We aimed to discover how far those objectives were being met by comparing the lot of SRs and specialist registrars (SpR)
Respondents felt that rather than raising the profile of training, the changes served as an opportunity for trusts to increase the service commitment of training posts
Summary
Aimsand method The specialistregistrar(SpR)grade was introduced in 1996,taking the place of the senior registrar (SR) grade. We surveyed higher trainees in Scotland in order to draw comparisons between the two grades and assesssatisfaction with the changes. A postal questionnaire was sent to all higher trainees (n=129) in Scotland seeking information on structure of training, work patterns and views. Clinical implications The survey uncovered dis satisfaction with the new grade, but little objective evidence of differences between SRsand SpRs.More flexibility for time in higher training and restoring the SR title would help to improve morale. In 1996 the first wave of specialist registrars (SpR), the new higher training grade, took up posts in Scotland. The grade was introduced following the publication of the report of the working group on specialist medical training by the Department of Health in 1993 - the Caiman report (Department of Health, 1993).
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