Predictors of ophthalmology career success (POCS) study

Objective Ophthalmology is the busiest outpatient specialty with demand predicted to rise over 40% in the next 20 years. A significant increase in the number of trainee ophthalmologists is required to fill currently vacant consultant posts and meet the UK’s workforce demands by 2038. Our aim was to...

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Main Authors: Rashmi G Mathew, Aditi Das, Daniel Smith
Format: Article
Language:English
Published: BMJ Publishing Group 2021-09-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/6/1/e000735.full
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author Rashmi G Mathew
Aditi Das
Daniel Smith
author_facet Rashmi G Mathew
Aditi Das
Daniel Smith
author_sort Rashmi G Mathew
collection DOAJ
description Objective Ophthalmology is the busiest outpatient specialty with demand predicted to rise over 40% in the next 20 years. A significant increase in the number of trainee ophthalmologists is required to fill currently vacant consultant posts and meet the UK’s workforce demands by 2038. Our aim was to understand what determines success in ophthalmology training, in order to inform future ophthalmologists, refine recruitment and facilitate workforce planning.Methods and Analysis This was a retrospective longitudinal cohort study using routinely collected data available from UK Medical Education Database (UKMED) (https://www.ukmed.ac.uk/). Data were analysed on 1350 candidates who had applied for ophthalmology specialty training (OST) between 2012 and 2018, as well as 495 candidates who had attempted Fellow of the Royal College of Ophthalmologists (FRCOphth) Part 1 between 2013 and 2018. Participants who had not obtained their primary medical qualification from the UK medical schools were excluded. Primary outcome measures included gaining a place on the OST programme and passing the FRCOphth Part 1 examination on first attempt.Results Higher education performance measure decile scores at medical school are strongly predictive in securing an OST post and passing the part 1 examination first time (p<0.001). Candidates who attempt FRCOphth Part 1 prior to their ST1 application are more likely to get a place on OST on first attempt. Socioeconomic factors, gender and ethnicity do not influence success in OST entry. Male trainees are more likely to pass FRCOphth Part 1 on their first attempt.Conclusion This study is the first quantitative assessment of the factors that determine success in OST recruitment and ophthalmology postgraduate examinations in the UK. Similar studies should be undertaken in all other medical and surgical specialties to understand what factors predict success.
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spelling doaj-art-fed28a8499a64de493949db70b4ccad62025-08-20T02:11:31ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692021-09-016110.1136/bmjophth-2021-000735Predictors of ophthalmology career success (POCS) studyRashmi G Mathew0Aditi Das1Daniel Smith2Institute of Ophthalmology, University College London, London, UKDirectorate of Undergraduate Medical Education, Moorfields Eye Hospital NHS Foundation Trust, London, UKMRC Integrative Epidemiology Unit, University of Bristol, Bristol, UKObjective Ophthalmology is the busiest outpatient specialty with demand predicted to rise over 40% in the next 20 years. A significant increase in the number of trainee ophthalmologists is required to fill currently vacant consultant posts and meet the UK’s workforce demands by 2038. Our aim was to understand what determines success in ophthalmology training, in order to inform future ophthalmologists, refine recruitment and facilitate workforce planning.Methods and Analysis This was a retrospective longitudinal cohort study using routinely collected data available from UK Medical Education Database (UKMED) (https://www.ukmed.ac.uk/). Data were analysed on 1350 candidates who had applied for ophthalmology specialty training (OST) between 2012 and 2018, as well as 495 candidates who had attempted Fellow of the Royal College of Ophthalmologists (FRCOphth) Part 1 between 2013 and 2018. Participants who had not obtained their primary medical qualification from the UK medical schools were excluded. Primary outcome measures included gaining a place on the OST programme and passing the FRCOphth Part 1 examination on first attempt.Results Higher education performance measure decile scores at medical school are strongly predictive in securing an OST post and passing the part 1 examination first time (p<0.001). Candidates who attempt FRCOphth Part 1 prior to their ST1 application are more likely to get a place on OST on first attempt. Socioeconomic factors, gender and ethnicity do not influence success in OST entry. Male trainees are more likely to pass FRCOphth Part 1 on their first attempt.Conclusion This study is the first quantitative assessment of the factors that determine success in OST recruitment and ophthalmology postgraduate examinations in the UK. Similar studies should be undertaken in all other medical and surgical specialties to understand what factors predict success.https://bmjophth.bmj.com/content/6/1/e000735.full
spellingShingle Rashmi G Mathew
Aditi Das
Daniel Smith
Predictors of ophthalmology career success (POCS) study
BMJ Open Ophthalmology
title Predictors of ophthalmology career success (POCS) study
title_full Predictors of ophthalmology career success (POCS) study
title_fullStr Predictors of ophthalmology career success (POCS) study
title_full_unstemmed Predictors of ophthalmology career success (POCS) study
title_short Predictors of ophthalmology career success (POCS) study
title_sort predictors of ophthalmology career success pocs study
url https://bmjophth.bmj.com/content/6/1/e000735.full
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