Key messages
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The GMC National trainee survey can be used as a tool to consider individual clinical units but also to take a global look at postgraduate medical training.
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To enhance trainee satisfaction and the quality of training focus should be on:
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The balance of workload and provision of adequate and appropriate environment; and
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Ensuring high quality accessible clinical supervision and high-quality feedback.
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Background
Methods
Variable measurement
Descriptive statistics
Empirical models
Results
n = 173,652 | Mean | SD | Min | Max |
---|---|---|---|---|
Trainee satisfaction | 80.929 | 14.477 | 20 | 100 |
Clinical supervision | 90.015 | 11.672 | 6.25 | 100 |
Feedback | 76.159 | 22.504 | 0 | 100 |
Workload | 45.980 | 18.930 | 0 | 100 |
Supportive environmenta
| 76.033 | 17.438 | 0 | 100 |
Gender | 0.549 | 0.498 | 0 | 1 |
1 | 2 | 3 | 4 | 5 | ||
---|---|---|---|---|---|---|
Trainee satisfaction
| Quality of teaching | 21.97% | 43.29% | 25.18% | 7.76% | 1.81% |
Quality of experience | 35.67% | 45.72% | 14.58% | 3.21% | 0.82% | |
Quality of clinical supervision | 36.75% | 45.79% | 14.09% | 2.85% | 0.52% | |
Recommendation to a friend | 30.82% | 42.98% | 19.31% | 5.24% | 1.65% | |
Usefulness for future career | 44.50% | 34.58% | 15.44% | 4.93% | 0.55% | |
Acquisition of relevant competences | 34.35% | 46.94% | 13.45% | 4.30% | 0.96% | |
Practical experience | 31.80% | 43.31% | 18.80% | 4.96% | 1.13% | |
Clinical supervision
| Accessibility of senior support during on call health protection | 0.28% | 6.95% | 6.77% | 85.99% | |
Competence of the supervisor | 0.91% | 1.96% | 3.02% | 21.15% | 72.97% | |
Forced to cope with problems beyond competence | 0.83% | 5.28% | 8.98% | 44.06% | 40.85% | |
Consensus for risky procedures | 0.24% | 1.15% | 2.06% | 12.62% | 83.92% | |
Feedback
| Frequency of feedback | 11.10% | 31.66% | 26.56% | 26.63% | 4.05% |
Feedback on personal progress | 63.61% | 7.47% | 18.83% | 6.34% | 3.75% | |
Feedback on performance | 61.67% | 6.34% | 19.71% | 5.36% | 6.92% | |
Workload
| Perceived intensity of day work | 0.53% | 4.07% | 52.84% | 32.53% | 10.03% |
Perceived intensity of night work | 1.58% | 6.87% | 45.35% | 31.19% | 15.01% | |
Beyond contracted hours | 18.74% | 40.63% | 13.18% | 23.21% | 4.24% | |
Tiredness | 3.98% | 18.32% | 20.97% | 34.10% | 22.63% | |
Supportive environment
| Overall supportive environment | 0.91% | 3.65% | 9.57% | 48.37% | 37.50% |
Fair treatment on staff | 1.16% | 5.17% | 12.27% | 52.97% | 28.44% | |
Respect | 0.59% | 2.91% | 8.56% | 54.58% | 33.35% | |
Supportive environment in confidence building | 1.68% | 6.37% | 16.19% | 48.84% | 26.93% | |
Superior-subordinate openness | 1.50% | 6.00% | 21.39% | 54.26% | 16.85% |
Overall satisfaction | Clinical supervision | Feedback | Workload | Supportive environment | Gender | |
---|---|---|---|---|---|---|
Overall satisfaction | 1.0000 | |||||
Clinical supervision | 0.445a
| 1.0000 | ||||
Feedback | 0.498a
| 0.338a
| 1.0000 | |||
Workload | 0.273a
| 0.331a
| 0.243a
| 1.0000 | ||
Supportive environment | 0.694a
| 0.440a
| 0.419a
| 0.365a
| 1.000 | |
Gender | -0.027a
| -0.054a
| -0.059a
| −0.002 | −0.033a
| 1.0000 |
Model 1 Robust coefficients (SE) | Model 2 Robust coefficients (SE) | |
---|---|---|
Clinical supervision |
0.379
a
(0.003) | 0.158a
(0.005) |
Feedback | 0.244a
(0.001) | 0.131a
(0.002) |
Workload | 0.064a
(0.002) | −0.029a
(0.003) |
Gender | 0.109a
(0.061) | 0.211a
(0.095) |
Supportive environment |
0.484
a
(0.003) | |
Constant | 26.293a
(0.242) | 22.544a
(0.388) |
Adj-R2
| 34.38% | 55.16% |
F statistics | 20,269.00a
| 6997.88a
|
Mean VIF | 1.13 | 1.26 |
SE of regression | 11.759 | 9.619 |
Observations | 148,247 | 37,630 |