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The secret of two years of basic training: Why are F2 doctors dissatisfied?
With the transformation of modern medical care, the Modern Medical Careers (MMC) program introduced in the UK in 2005 aims to optimize the professional training process of medical students. However, after years of implementation, many doctors in the second year of basic training, that is, the F2 year, feel disappointed and frustrated. Why is this?
According to a survey, 69% of the doctors surveyed believe that the F2 year has not improved compared to the previous SHO (Senior House Officer) experience.
Since 2005, the MMC scheme has replaced the traditional one-year Pre-registration House Officer (PRHO) term and subsequent SHO, renaming these roles as Foundation House Officers. Officer 1, F1) and Basic Doctor 2 years (F2). The original intention of this change was to introduce a more structured training program and establish a national curriculum to standardize the quality of medical education. However, in practice, the situation did not go as expected.
The survey found that 66% of doctors believe that basic training has not had a positive impact on the delivery of clinical services.
During basic training, F2 doctors need to rotate between different specialties, with each phase usually lasting three to four months. Although this provides diversified experience, it is followed by a high degree of work pressure and emotional burden. Many doctors do not feel a substantial increase in their professional abilities after the rotation period, but instead have a negative impact on their medical career. The future is full of doubts.
What is even more worrying is that F2 doctors are forced to choose a specialty half way through their circuit training and must make decisions before they truly understand the work characteristics of each field. This leaves many doctors feeling invisible pressure to determine their future direction before trying various specialties.
Many doctors report that when choosing a specialty, less than one-third believe they know exactly what field they want to specialize in in the future.
MMC’s original intention is to improve patient care and enhance doctors’ professional training. However, with the changes in the training system, many trainees have reported that these changes seem to have weakened the standards of the medical profession, and some reports have even stated that Some doctors choose to leave the profession because they cannot find jobs.
In response to concerns about the quality of training, many different professional organizations and medical associations began to question MMC. Some senior doctors even expressed distrust of the new recruitment system, leading to large-scale protests. These protests are not only dissatisfaction with existing policies, but also deep concerns about the future of the entire medical training system.
As the problem continues to ferment, disharmony within the profession has become increasingly intensified, and many doctors have chosen to resign in protest.
From the perspective of a senior doctor, is the overall system reform effective? Past experience may not be one-sidedly negated. Regarding the training quality of F2 doctors, should the opinions within the profession be taken more seriously? In the development process of the medical profession, these questions undoubtedly still deserve further exploration.
Although the new medical training system is designed to improve patient care, it seems that the experiences of F2 doctors are just a reflection of larger systemic problems?
