Stress, lies and red tape: the views, success rates and stress levels of the MTAS cohort
Stress, lies and red tape: the views, success rates and stress levels of the MTAS cohort
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DOI：
10.1258/jrsm.2008.070449
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发表时间：
2008-06-01
影响因子：
17.3
通讯作者：
Bhugra, Dinesh
中科院分区：
文献类型：
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作者：
Whelan, Paul;Meerten, Maja;Bhugra, Dinesh
目的跟踪医学培训应用系统（MTAS）申请者获得专科培训（ST）职位的成功率，以及调查他们对申请过程的看法，并测量他们在申请期间和分配工作后的心理困扰症状。部分调查。设置两个大的南伦敦精神病学培训计划。参与者101 MTAS申请者。主要结果测量成功获得ST职位，结果48名被试对MTAS和GHQ-12的评分进行了跟踪调查。另外还有41名学员的MTAS后工作状态数据可用。64%的候选人获得了ST职位。然而，其中12%的人只获得了定期职位。大多数不成功的候选人做临时（34%）或非培训级（21%）的工作。英国/欧洲经济区（EEA）医生比非EEA申请人更成功地获得ST职位（比值比5.5，95%置信区间2.1-14.3），女性候选人与男性相比（3.7，0.5-9.3）。受访者对MTAS的看法总体上是负面的（即使他们成功地获得了ST职位）。受访者的GHQ-12评分中位数为7分，12.79%的样本得分高于心理困扰阈值（GHQ-12 >= 4），21%的受访者经历了显著的困扰（GHQ-12 >= 8）。相当大比例（36%）参加过高级内务主任培训计划的候选人在参加了MTAS后没有得到培训职位。该系统似乎有利于英国/欧洲经济区的申请人。申请人在MTAS过程中和之后遭受了严重的心理痛苦。
Objective To track the success rates in obtaining a specialist training (ST) post of a cohort of medical training application system (MTAS) applicants, as well as canvassing their views of the process and measuring symptoms of psychological distress during application and after job allocation.Design A follow-up cross-sectional survey.Setting Two large south London psychiatry training schemes.Participants 101 MTAS applicants.Main outcome measures Success in obtaining an ST post, respondents' views about MTAS and General Health Questionnaire-12 (GHQ-12) scores.Results 48 of the original sample responded to the follow-up survey. Data were available about post-MTAS job status for a further 41 trainees. 64% of candidates obtained an ST post. Of those, however, 12% were only offered a fixed-term post. Most unsuccessful candidates were doing locum (34%) or non-training grade (21 %) jobs. UK/European Economic Area (EEA) doctors were more successful than non-EEA applicants in obtaining an ST post (odds ratio 5.5, 95% confidence interval 2.1-14.3), as were women candidates compared to men (3.7, 0.5-9.3). The respondents' views about MTAS were globally negative (even if they were successful in obtaining an ST post). The median GHQ-12 score for respondents was 7 out of a potential total score of 12.79% of the sample scored above the threshold (GHQ-12 >= 4) for psychological distress and 21 % experienced significant distress (GHQ-12 >= 8).Conclusions MTAS was a flawed system. A considerable proportion (36%) of candidates who had been on a Senior House Officer training scheme were left without a training post after MTAS. The system seems to favour UK/EEA applicants. Applicants suffered significant psychological distress during and after the MTAS process.