Over the past few years there have been notable changes in
the way Doctors are choosing to progress through their training. A recent
report from the GMC highlighted that 54% of Doctors took a career break after
F2 in 2017, nearly double the 2014 figures (GMC, 2017). Also, that in 2017
40% of Foundation Doctors did not take up a speciality training post (UK Foundation
Programme, 2017),
but what’s driving this trend? We know that the two main reasons cited were
indecision around career choice and health and wellbeing (BMA, 2018). Taking a career
break following completion of the Foundation Programme is generally viewed
positively(BMA, 2018)(Fell, Jaring, & MacKenzie, 2013). However, if you’re
planning an F3 year you must be crystal clear on your underlying motivation and
exactly what you’re planning to achieve during that time.
Gaining Experience
The necessary generalist nature of Foundation Training can
mean that managing to get all the necessary experience before applying for
specialty training can be difficult. This can be particularly notable for
aspiring surgeons, the intense competition at St3 applications can lead to the
bar being raised beyond what’s practical to achieve their first four years.
For many an F3 year doesn’t mean stepping away from
medicine. Trusts posts can offer the opportunity for regular hours whilst allowing
the time for a greater focus on your own development needs. With perpetual rota
gaps the demand is great and Trusts often offer training and support as part of
the role to encourage recruitment. Before accepting the position offered,
consider what your development needs are and negotiate to ensure that you’re
maximising your exposure to the opportunities you need.
Exploring Options
For some, the experience of those first few years has left their
impression of medicine a little tarnished. Medicine is a great profession; it can
be wonderfully satisfying; it is also incredibly challenging. To guard against
the all-encompassing nature of Medicine there has been increasing interest in
constructing a portfolio career. This might be by incorporating more traditional
strings to your bow such as education or academia; or perhaps a more creative
and bespoke path. Do you have an entrepreneurial flair, a predilection for
leadership opportunities, an inclination towards medical journalism or
something off the beaten path? Taking the time to explore your other skills and
talents is the first step in identifying which direction is right for you.
Recharging Batteries
The perception is often that newly qualified doctors sprint
out of medical school, fresh-faced and eager. The truth is that many Medics
have had their nose pressed to the grindstone since the ink dried on their SATs
papers. It’s no surprise that many Foundation doctors are pushing through to
the end of F2 with the feeling that it’s time for a break whether for travel,
or just to take their foot of the pedal. Taking a step back from training can
provide you with the space needed to take stock, or even take some control back
over your life. However, taking a career break to side-step burnout should be
considered the canary in the coal mine. The time out of training can be a
timely opportunity to consider the sustainability of your current approach to
your work and life. At least part of your aim for the year should be in taking
a step back and evaluating how you weave your interests and support structures
throughout your life. These will be the scaffolding that will hold us up when
times get tough.
Finding Direction
This leaves the question ‘what’s right for me?’ The honest
answer is that you need to create the time and space needed to explore what it
is you want, both out of your career and your life. Find someone to act as a
sounding board for your thoughts and ideas; be that critical friend to
challenge your assumptions and perceptions; ultimately, to support you in
exploring not just how to achieve your potential but reach beyond it.
If you are thinking of taking a career break or are
struggling with you career direction, then consider accessing a Career Advisor through
your local Trust or Deanery. They can help with practicalities and also in
understanding the options available. An alternative is Career Coaching. Working
with a Coach will enable you to explore not only what you’d like from your
destination, but your own unique path to get there.
Useful Resources
www.medicfootprints.org.uk
For those considering developing a portfolio career, or
perhaps a new direction beyond medicine then Medic Footprints offer resources
and support to help you do just that.
www.theadventuremedic.com
Looking for inspiration? Then take a look at The Adventure
Medic Guide to taking Time out of Training.
Planning an “F3” year:
opportunities and considerations for aspiring surgeons
This BMJ article explores the practicalities and
benefits of an F3 year for aspiring surgeons.
References
BMA. (2018). Understanding
trends among current doctors in training.
London: BMA.
GMC. (2017). Local
Education Providers: Progression Reports.
London: GMC.
UK Foundation
Programme. (2017). Career Destinations Report 2017.
London: UKFPO.
