The Impact of COVID-19 on the Job Satisfaction of Cardiothoracic Trainees in the United Kingdom: An Insight From the General Medical Council National Training Survey.

Abstract

Introduction The National Training Survey (NTS) is conducted annually by the General Medical Council (GMC) to monitor and report on the quality of postgraduate medical education and training. The coronavirus disease 2019 (COVID-19) pandemic had a significant impact on training in cardiothoracic surgery due to the unprecedented restructuring of surgical activity across the UK. We aim to evaluate how the job satisfaction of cardiothoracic surgery trainees was impacted by COVID-19 using the National Training Survey. Methods The National Training Survey in cardiothoracic surgery from 2017 to 2024 was obtained from the General Medical Council website. Job satisfaction for trainees was evaluated using 17 indicators: Adequate Experience, Clinical Supervision, Clinical Supervision Out of Hours, Educational Governance, Educational Supervision, Feedback, Handover, Induction, Local Teaching, Overall Satisfaction, Regional Teaching, Reporting Systems, Rota Design, Study Leave, Supportive Environment, Teamwork and Workload. The pre-pandemic score for each indicator was an average of 2017, 2018 and 2019, while the post-pandemic score was an average of 2022, 2023 and 2024. The overall job satisfaction per year, combining all indicators, was also analysed. Results Thirty-eight cardiothoracic centres were included in this study. There was a reduction in trainees' job satisfaction from pre- to post-pandemic surveys when comparing all 17 indicators together (scored out of 100) (73.87 versus 70.97, p<0.001). There were six out of 17 (35.29%) indicators that demonstrated a significant decrease in job satisfaction amongst trainees: Regional Teaching (70.53 versus 54.53, p<0.001), Adequate Experience (78.65 versus 72.34, p=0.003), Local Teaching (68.26 versus 62.92, p=0.037), Educational Governance (73.78 versus 70.36, p=0.033), Clinical Supervision Out of Hours (91.16 versus 87.95, p=0.005) and Clinical Supervision (91.98 versus 88.92, p=0.014). Conclusion Trainees' job satisfaction significantly decreased after the COVID-19 pandemic. Although the most recent survey suggests job satisfaction amongst trainees may be recovering, further work needs to be done to ensure training standards return to pre-pandemic levels.