The newest recruits to the NHS already felt daunted about joining. Now, changes to how foundation training places are allocated risk taking away even more of their agency, writes Nathanael Leaf Earlier this month, I was among the first cohort of medical students to be assigned their foundation training post by the preference informed allocation system, which gives each applicant a random, computer generated ranking.1 Although the UK Foundation Programme Office (UKFPO) has maintained that this system has been introduced to make allocation “as fair as possible,”2 the powerlessness felt by incoming trainees who’ve been given a post far away from their families, friends, and partners has engendered a palpable sense of injustice among many. More than that, the introduction of random allocation seems to foreshadow a future career in an impersonal and indifferent institution, which disregards the wellbeing of its workforce. In June 2023, the UKFPO announced—with less than six months’ notice—that their “score based” system was to be replaced by a random ranking system.3 For current final year students, who were led to believe that they could influence where they were sent for further training by performing well in exams, this meant that their academic efforts were suddenly replaced with the …

中文翻译：

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新的基础培训分配制度让医生在开始工作之前就士气低落

NHS 的新成员已经对加入感到畏惧。纳撒内尔·利夫 (Nathanael Leaf) 本月早些时候写道，现在，基础培训名额分配方式的变化可能会剥夺他们更多的自主权，我是第一批通过偏好知情分配系统分配基础培训职位的医科生之一。为每个申请者提供一个随机的、计算机生成的排名。1 尽管英国预科项目办公室 (UKFPO) 坚称引入该系统是为了“尽可能公平”2 分配，但已获得分配的新学员仍感到无力远离家人、朋友和伴侣的职位让许多人产生了明显的不公正感。更重要的是，随机分配的引入似乎预示着未来的职业生涯会在一个客观、冷漠的机构中进行，而该机构忽视了员工的福祉。 2023 年 6 月，UKFPO 宣布（在不到六个月的通知时间内）他们的“基于分数”的系统将被随机排名系统取代。3 对于当前的最后一年学生来说，他们被引导相信他们可以影响哪些方面他们因考试表现出色而被送去接受进一步的培训，这意味着他们的学术努力突然被……所取代。