title: Influence of less than full-time or full-time on totality of training and subsequent consultant appointment in anaesthesia.
abstract: Changes in medical training have increased the popularity of less than full-time training. However, there are no data on the impact on training time or consultant workforce. We reviewed a three-year cohort of trainees via the Royal College of Anaesthetist's training and recruitment databases. Eighty-eight (96%) less than full-time trainees and 677 (95%) full-time trainees were appointed to a substantive consultant post (p = 0.82). Three (3%) less than full-time trainees and 12 (2%) full-time trainees gained part-time consultant posts (p < 0.001). Average length of training (years, months, days) was 8 y, 5 m, 6 d (median (IQR [range]) 5 y, 0 m, 14 d (4 y, 11 m, 29 d - 9 y, 8 m, 3 d [4 y, 2 m, 18 d - 12 y, 0 m, 0 d]) for full-time and 10 y, 8 m, 23 d (median (IQR [range]) 7 y, 3 m, 28 d (6 y, 7 m, 24 d - 11 y, 1 m, 23 d [4 y, 11 m, 29 d - 11 y, 9 m, 10 d]) for less than full-time trainees. The average length of training for both groups is significantly longer than the seven years used in workforce planning.
authors.affiliation: Mid Essex Services NHS Trust, Chelmsford, UK.
authors.forename: S
authors.initials: S
authors.lastname: Randive
authors.affiliation: St George's University Hospitals NHS Foundation Trust, London, UK.
authors.forename: C L
authors.initials: CL
authors.lastname: Johnston
authors.affiliation: University College, London, UK.
authors.forename: A M
authors.initials: AM
authors.lastname: Fowler
authors.affiliation: Royal College of Anaesthetists, London, UK.
authors.forename: C S
authors.initials: CS
authors.lastname: Evans
mesh_terms: D000328:Adult; D000758:Anesthesia; D000776:Anesthesiology / Q000193:education*; D015331:Cohort Studies; D016208:Databases, Factual; D004502:Education, Medical, Continuing / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D006113:United Kingdom