Time for preference-informed foundation allocation?

Successful completion of year 1 of the UK Foundation Pro-gramme is a General Medical Council requirement that newly qualified doctors must achieve in order to gain full registra-tion for licence to practise in the UK. We present compelling evidence that both sections of the UK Foundation Programme allocation process, consisting of the Educational Performance Measure and Situational Judgement Test scores, are not fit for purpose. The ranking process drives competitive behaviours among medical students and undermines NHS teamworking values. Furthermore, data from 2013-2020 show that UK mi-nority ethnic students consistently receive significantly lower SJT scores than White students. The current process in the UK allocates lower ranked students, who often need more aca-demic and social support, to undersubscribed regions. This can lead to vacancies in less popular regions, ultimately worsening health inequality. A preference-informed allocation process will improve trainee access to support and help retain trainees in underserved regions. We aim to summarise the flaws of the current system and report a potential radical solution.

Automated summary

This article examines the issues with the UK Foundation Programme allocation process and proposes improvements. The study found that the current allocation process creates competition, undermines the values of teamwork among medical students, and shows lower scores for ethnic minority students in the UK. Additionally, lower-ranked students are assigned to undersubscribed regions, exacerbating health inequality. The authors suggest implementing a preference-informed allocation process to improve support opportunities and retain trainees in underserved areas.