2017 NATIONAL TRAINEE SURVEY RESULTS

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1 NATIONAL TRAINEE SURVEY RESULTS CLINICAL PHARMACOLOGY AND THERAPEUTICS SPECIALTY SPECIFIC QUESTIONS OCTOBER Warren Lynch / Aidan Simpson Quality Management Team Joint Royal Colleges of Physicians Training Board

2 Introduction The Specialty Specific Questions have been developed to test trainee s access to, participation in or confidence in the attainment of specific aspects of the specialty training curriculum. The questions have been included as Programme Specific Questions in the annual GMC National Trainee Survey. A table showing trainee s collective responses from a national perspective, a comparison with the responses last previously received for the question (if it has been asked in a previous year) and the region or regions where agreement is highest or lowest are shown on pages 4-7 with a fuller breakdown of the questions and the trainee responses (nationally, by Deanery/LETB and by grade later in this report. Clinical Pharmacology and Therapeutics trainees (5 ST, 7 ST4, 7 ST5, 9 ST, ST7 and 2 ST8 trainees) completed the survey. This was an increase of 9% ( trainees) compared to. The numbers of trainees in each Deanery / LETB completing the survey were as follows: Deanery / LETB % Difference Health Education East of England 4 +% Health Education N, C & E London 7 -% Health Education rth East < N/A Health Education rth West 9 -% Health Education NW London + % Health Education South London 4 +% Health Education West Midlands < N/A NHS Education for Scotland +% Wales Deanery < < N/A Total (including n<) + 9% Reduction of >1% of trainees completing the NTS in compared to A table showing the overall percentage of trainees in agreement with each of the specialty specific questions, the / percentage difference, and the regions with the highest and lowest levels of agreement can be found on pages 2 to below. Page 1

3 Specialty Specific Questions Clinical Pharmacology and Therapeutics Quality Criteria % trainees agreeing overall / Difference Q1: My training in CPT is complemented by my involvement in other specialties (e.g. General Internal Medicine). Q2: In this post, which (if any) of the following CPT special interest areas do you have the opportunity to study/undertake (select all that apply) Hypertension Research Clinical Trials Toxicology ne: Q: Which (if any) of the following CPT related service activities have you been involved with in the last 12 months? (select all that apply) Audit projects D/T committee Clinical guidance development/review Formulary committee Area prescribing committee Electronic prescribing development Other Research ethics committee Medication safety committee Providing advice via Toxbase 8% -8% 78% 75% 5% 1% % % % % 9% % 19% 19% % % % - 7% -1% - 2% - 2% + % + % +19% +15% + % - 5% +1% +% + 5% - 4% + 5% Agreement Highest Agreement Lowest LDN NC&E, NW) % London (S) % (/) East of England 8% (5/) NW, SCO 84% East of England % (/) rth West % (/) rth West % (/) / regions % London (S) % (1/) rth West 8% (5/) London (NW) % (/) Scotland 8% (5/) LDN (NW), (N,C&E) % LDN (S) % (4/) LDN (NW), (N,C&E) % EoE, SCO % (2/) East of England % (/) / regions % Scotland % (2/) London (S) % (/) 4/ regions % LDN (S), LDN (NW) % EoE, NW % (/) 5/ regions % 4/ regions % NW, SCO % (2/) rth West % (1/) rth West % (/) EoE, NW % (1/) rth West % (/) London (NW) % (/) LDN (NW, SCO % LDN (N,C & E), SCO % (/) 4/ regions % Page 2

4 Specialty Specific Questions Clinical Pharmacology and Therapeutics Quality Criteria Q: continued.. Medication related CQUIN target development/management Patient safety committee Trust/Divisional Drug Committee involved in reviewing prescribing costs Drug chart updating n-medical prescribing committee ne of the above % trainees agreeing overall % 8% % % % % / Difference + 5% + 8% + % + % + % - % Agreement Highest London (NW) % (1/) London (NW) % (1/) London (NW) % (1/) London (NW) % (1/) London (NW) % (1/) Agreement Lowest / regions % / regions % 4/ regions % 4/ regions % 5/ regions % / regions % Q4: Have you had any formal training in research (e.g. research statistics or research ethics)? Q5: Which (if any) of the following research activities are you involved in? (select all that apply) Desk based research Publicly-funded clinical research Laboratory-based research Industry-funded clinical research Other ne of the above 81% +5% 5% 5% % % 8% 8% + 1% + 2% + 9% + % - 7% + 2% EOE, NWN % LDN (NC&E) 8% (5/) London (N,C&E), (S) % (4/) rth West % (/) / regions % East of England % (4/) London (NW) % (1/) London (NW) % (1/) LDN (NW, S), SCO % EoE, LDN (NW) % London (NW) % (/) LDN (S), SCO % (1/) LDN (S), SCO % (1/) 4/ regions % / regions % Page

5 Specialty Specific Questions Clinical Pharmacology and Therapeutics Quality Criteria Q: How many conference presentations have you delivered in the last 12 months? Q7: How many conference posters have you contributed to as an author in the last 12 months? Q8: How many abstracts have you contributed to as an author in the last 12 months? % trainees agreeing overall : 5% 1: % 2: 8% : % 4: % 5: % > 5: % : 5% 1: % 2: 8% : % 4: % 5: % > 5: % : % 1: % 2: % : % 4: % 5: 8% > 5: % / Difference -2% +5% -1% +% + % + % + % - 2% + 2% -1% - % + % + % +% -% -7% +5% +% +% +2% +5% Agreement Highest Scotland 8% (5/) London (S) % (2/) LDN (NW), NW % LDN (NC&E, S), SCO % EOE, LDN (NW), NW % London (NC&E) % (1/) London (NC&E) % (1/) Scotland 8% (5/) London (S) % (2/) rth West % (2/) London (NW) % (1/) EOE, NW % London (NC&E) % (1/) London (NW) % (1/) London (NW) % (2/) NWN, SCO % (2/) East of England % (2/) EOE, LDN (NC&E) % (1/) East of England % (2/) LDN (NC&E), NW, SCO % (1/) London (NW) % (1/) Agreement Lowest London (NC&E) % (2/) LDN (NW), NW, SCO % LDN (NW, S), SCO % EOE, LDN (NW), NW % LDN (NC&E, S), SCO % 5/ regions % 5/ regions % LDN (NC&E, NW) % LDN (NW), NW, SCO % 4/ regions % EOE, NW % (/) 4/ regions % 5/ regions % 4/ regions % EOE, LDN (NC&E), NW % EOE, LDN (NW) % London (NW) % (/) 4/ regions % 5/ regions % EOE, LDN (NW, S) % EOE, SCO % Page 4

6 Specialty Specific Questions Clinical Pharmacology and Therapeutics Quality Criteria Q9: How many journal articles have you contributed to as an author in the last 12 months? Q1: If you are not involved in research, what are the main reasons for this? (select all that apply) N/A (I am involved in research) Preference for clinical work Lack of funding for research Lack of opportunities to undertake research Other Discouragement from supervisor(s) ne of the above Q: Do you currently intend to apply for time out of programme (OOPT, OOPE, OOPR, or OOPC) within the next 12 months? Q12: In your current post, do you contribute to prescribing/therapeutics education or training activities? % trainees agreeing overall : 19% 1: 28% 2: % : % 4: % 5: 8% > : 8% 94% % % % % % % / Difference -% + 7% + 5% - % + 2% + 2% + 2% + % - 2% + % + % - % - % + % % +1% 81% -1% Agreement Highest LDN (NW), NW % Scotland % (/) LDN (S), SCO % London (S) % (1/) London (NC&E) % (2/) London (NC&E) % (2/) London (NW) % (1/) 4/ regions % London ()N, C & E) % (1/) London (NW) % (1/) London (NW) % (1/) London (NW) % (2/) EOE, LDN (S), SCO % Agreement Lowest LDN (NC&E), SCO % LDN (NC&E, NW), NW % LDN (NW), NW % 5/ regions % LDN (NW, S) % 4/ regions % EOE, LDN (S) % London (NW) % (2/) 5/ regions % EoE, SCO % (1/) 4/ regions % / regions % / regions % / regions % London (NC&E) % (/) rth West % (1/) LDN (NC&E, S), NW % (/) EOE, SCO % (/) London (NW) % (2/) Page 5

7 Specialty Specific Questions Clinical Pharmacology and Therapeutics Quality Criteria Q1: In your current post, which of the following settings do you contribute to training in? (Select all that apply) Hospital University E-Learning Other N/A (not involved in training/education) Q: In your current post, which of the following groups are you involved in training? Undergraduate medical students Other postgraduate trainees Postgraduate trainee doctors at FY level Academic supervision (i.e. MSC, PhD, etc) Other N/A (not involved in training/education) % trainees agreeing overall 89% 8% 19% % % 72% % % % % % / Difference +5% +1% +19% + % - % -7% +% -% +% +% -% Agreement Highest / regions % 4/ regions % / regions % London (NW) % (1/) East of England % (1/) rth West % (/) LDN (NW), SCO % London (NW) % (1/) Scotland % (2/) London (S) % (1/) East of England % (1/) Agreement Lowest East of England % (4/) London (NW) % (1/) / regions % 4/ regions % 5/ regions % London (NW) % (1/) LDN (S), NW % 4/ regions % 5/ regions % 5/ regions % 5/ regions % Page

8 Deanery / LETB Year N= Q1 Q2 Q Q4 Q5 Q Q7 Q8 Q9 Q1 Q Q12 Q1 Q Health Education East of England 4 8 Health Education London (rth, Central & East) Health Education London (rth West) Health Education London (South) 4 75 Health Education rth East < data data data data Health Education rth West Health Education West Midlands NHS Education for Scotland Wales Deanery 9 < < < data 84 data 5 data data data data 89 data data Q2, Q, Q5, Q, Q7, Q8, Q9, Q1, Q1 and Q were not included above as they are not yes or strongly agree / agree questions Increase in agreement / Decrease in agreement / Agreement unchanged / Page 7

9 Q1. To what extent do you agree or disagree with the following statement about your current post? My training in CPT is complemented by my involvement in other specialties (e.g. General Internal Medicine) (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n= : n= All results % 9% Strongly disagree 8% 7% % Disagree Neither agree nor disagree % 4% % 2% 1 47 Agree Strongly agree 1% % N/A (not involved in other specialties in current post) Grade % 9% 8% 7% % % 4% % 2% 1% % ST ST4 ST5 ST ST7 Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree N/A (not involved in other specialites in current post) Page 8

10 East of England London (rth Central Deanery / LETB and East) London (rth West) London (South) rth Western Scotland 8 5 N/A (not involved in other specialties in current post) Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree 75 % 2% 4% % 8% % Page 9

11 Q2. In this post, which (if any) of the following CPT special interest areas do you have the opportunity to study/undertake? (select all that apply) (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All results % 5 Hypertension Research Clinical trials research 1 Toxicology ne of the above Grade % Clinical trials research Hypertension ne of the above Research Toxicology 1 ST ST4 ST5 ST ST7 Page 1

12 East of England London (rth Central rth Western (inc Deanery / LETB Mersey) Scotland Toxicology and East) London (rth West) London (South) 8 Research ne of the above Hypertension Clinical trials research % Page

13 Q. Which (if any) of the following CPT related service activities have you been involved with in the last 12 months? (select all that apply) (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees 8 % Page 12

14 Grade (% of trainees - CPT related service activities involved with in the last 12 months) ST ST4 ST5 ST ST7 Area prescribing committee Audit projects Clinical guidance development/review Drug and therapeutics committee Drug chart updating 29 Electronic prescribing development Formulatory committee Medication related CQUIN (Commissioning for Quality and Innovation) target development/management Medication safety committee 2 29 n-medical prescribing committee ne of the above 2 Other 2 4 Patient safety committee 29 Providing advice via Toxbase Research ethics committee Trust or Divisional Drug Management Committee (or equivalent) involved in reviewing prescribing costs 1 Page 1

15 Deanery / LETB (% of trainees - CPT related service activities involved with in the last 12 months) East of England East of England London (N, C & E) London (N, C & E) Area prescribing committee 4 22 Audit projects Clinical guidance development/review 71 8 Drug and therapeutics committee Drug chart updating Electronic prescribing development 4 Formulary committee 29 Medication related CQUIN (Commissioning for Quality and Innovation) target development/management Medication safety committee n-medical prescribing committee ne of the above 22 Other 29 Patient safety committee Providing advice via Toxbase Research ethics committee Trust or Divisional Drug Management Committee (or equivalent) involved in reviewing prescribing courts London (NW) London (NW) London (Sth) London (Sth) rth West rth West Scotland Page

16 Q4. Have you had any formal training in research (e.g. research statistics or research ethics)? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : All trainees % 9% % 7% % % 4% 7 81 Yes % 2% 1% % Grade % 9% 8% 7% % % 4% % 2% Yes 1% % ST ST4 ST5 ST ST7 Page 15

17 East of England London (rth Central Deanery / LETB and East) London (rth West) London (South) rth Western Scotland Yes % 1% 2% % 4% % % 7% 8% 9% % Page 1

18 Q5. What (if any) of the following research activities are you involved in? (select all that apply) (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % Grade (% of trainees - involved in the following research activities) Desk based research (e.g. systematic review, meta-analysis) ST ST4 ST5 ST ST Industry-funded clinical research Laboratory-based research ne of the above 2 2 Other Publicly-funded clinical research (e.g. MRC, BHF. Wellcome etc) Page

19 Deanery / LETB (% of trainees - involved in the following research activities) East of England London (N, C & E) London (NW) London (Sth) rth West Scotland Desk based research (e.g. systematic review, metaanalysis) 57 Industry-funded clinical research Laboratory-based research 4 44 ne of the above Other Publicly-funded clinical research (e.g. MRC, BHF, Wellcome etc) Q. How many conference presentations have you delivered in the last 12 months? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % % 4% % 2% More than % % Page 18

20 East of England London (rth Central and East) London (rth West) London (South) rth Grade % 9% 8% 7% % % 4% % 2% 1% More than % ST ST4 ST5 ST ST7 Deanery / LETB Western Scotland More than % 2% 4% % 8% % Page 19

21 Q7. How many conference posters have you contributed as an author in the last 12 months? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % % 4% % 2% 1% % More than Grade % 9% 8% 7% % More than 5 5 % 4% % 2% 1% % ST ST4 ST5 ST ST7 Deanery / LETB Page 2

22 East of England London (rth Central 8 and East) London (rth West) London (South) rth Western Scotland More than 5 % 2% 4% % 8% % Page 21 Q8. How many abstracts have you contributed to as an author in the last 12 months?

23 (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % % 4% More than % 1 2% 42 1% % Grade % 9% 8% 7% % % 4% % 2% 1% More than % ST ST4 ST5 ST ST7 Deanery / LETB Page 22

24 East of England London (rth Central and East) London (rth West) London (South) rth Western Scotland More than 5 % 2% 4% % 8% % Q9. How many journal articles have you contributed to as an author in the last 12 months? Page 2

25 (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % % 4% % 2% 1% % More than Grade % 9% 8% 7% % % 4% % 2% 1% % ST ST4 ST5 ST ST7 More than Deanery / LETB Page 24

26 East of England London (rth Central and East) London (rth West) London (South) rth Western Scotland More than % 2% 4% % 8% % Page

27 Q1. If you are not involved in research, what are the main reasons for this? (select all that apply) (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=2, : n= All trainees % Grade (% of trainees - reasons for not being involved in research) ST ST4 ST5 ST ST7 Discouragement from supervisor(s) 12 Lack of funding for research 2 Lack of opportunities to undertake research 1 2 N/A (I am involved in research) ne of the above Other 1 Preference for clinical work 1 22 Page 2

28 Deanery / LETB (% of trainees - reasons for not being involved in research) East of England London (N, C & E) London (NW) London (South) rth West Scotland Discouragement from supervisor(s) Lack of funding for research Lack of opportunities to undertake research N/A (I am involved in research) 8 ne of the above Other Preference for clinical work Q. Do you currently intend to apply for time out of programme (OOPT, OOPE, OOPR, or OOPC) within the next 12 months? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % 7 75 % 4% Yes % 2% 1% % 24 Page 27

29 East of England London (rth Central and East) London (rth West) London (South) rth Western Scotland Grade % 9% 8% 7% % % 4% % 2% 1% % ST ST4 ST5 ST ST7 Yes Deanery / LETB 8 Yes % 1% 2% % 4% % % 7% 8% 9% % Page 28

30 Q12. In your current post, do you contribute to prescribing/therapeutics education or training activities? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 7% % % 4% % 2% 1% % , other reason, on-call commitments don't allow the time for this, ward commitments don't allow the time for this, I've been discouraged from doing so by my supervisor, the training is already done by others, there is no training delivered in my current post, I prefer not to Yes Grade % 9% 1 1, other reason 8% 7% % 4, on-call commitments don't allow the time for this, ward commitments don't allow the time for this % 4% % 2% 1% , I've been discouraged from doing so by my supervisor, the training is already done by others, there is no training delivered in my current post, I prefer not to % Yes ST ST4 ST5 ST ST7 Page 29

31 East of England London (rth Central Deanery / LETB and East) London (rth West) London (South) rth Western Scotland 89 Yes, I prefer not to, there is no training delivered in my current post, the training is already done by others, I've been discouraged from doing so by my supervisor, ward commitments don't allow the time for this, on-call commitments don't allow the time for this, other reason % 2% 4% % 8% % Page

32 Q1. In your current post, which of the following settings do you contribute to training in? (select all that apply)* (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=2, : n= * In the question only allowed trainees to pick one answer All trainees % Grade E-learning 7 71 Hospital 4 4 N/A (not involved in training/education) Other University ST ST4 ST5 ST ST7 Page 1

33 East of England London (rth Central Deanery / LETB and East) London (rth West) London (South) rth Western Scotland University Other N/A (not involved in training/education) Hospital E-learning Page 2

34 Q. In your current post, which of the following groups are you involved in training? (This question was presented to trainees of the following grades: ST, ST4, ST5, ST, ST7, ST8) : n=, : n= All trainees % 9% 8% 12 Other 7% % % 4% Those requiring academic supervision (i.e. MSC, PhD, etc) Other postgraduate trainees Postgraduate trainee doctors at foundation level % Undergraduate medical students 2% 1% N/A (not involved in training/education) % Grade % 9% 8% 1 4 Other 7% % % 4% % 2% Those requiring academic supervision (i.e. MSC, PhD, etc) Other postgraduate trainees Postgraduate trainee doctors at foundation level Undergraduate medical students 1% % 2 1 ST ST4 ST5 ST ST7 N/A (not involved in training/education) Page

35 East of England London (rth Central Deanery / LETB and East) London (rth West) London (South) rth Western Scotland N/A (not involved in training/education) Undergraduate medical students Postgraduate trainee doctors at foundation level Other postgraduate trainees Those requiring academic supervision (i.e. MSc, PhD, etc) Other % 2% 4% % 8% % Page 4

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