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Exponentially increasing competition is exposing flaws in the current system of selection for specialty training. 日益激烈的竞争暴露了现行专业人才选拔制度的缺陷。
Pub Date : 2025-11-12 eCollection Date: 2025-12-01 DOI: 10.1016/j.fhj.2025.100487
Benedict Aveyard, Stephanie Asbridge

Competition to get into specialty training is increasingly exponentially, exposing issues with the current selection process. Flaws include biases in portfolio scoring matrices against those at financial disadvantage, incentivising application to multiple specialties, employing solely non-clinical criteria for selection for interview, and inappropriate use of the multi-specialty recruitment assessment. Increasing competition puts greater emphasis on these components in selection, with many potential negative ramifications. Efforts must now be made to address the flaws highlighted. We propose that this starts with incorporating clinical measures, such as multi-source feedback and clinical self-development activities, in portfolio scoring. However, an increased number of available training posts is what is ultimately needed to reduce the intense competition for jobs, take pressure off the current system, and allow its flaws to be addressed.

进入专业培训的竞争呈指数级增长,暴露了当前选拔过程中的问题。缺陷包括投资组合评分矩阵对那些经济上处于劣势的人存在偏见,鼓励申请多个专业,单独采用非临床标准进行面试选择,以及不恰当地使用多专业招聘评估。日益激烈的竞争使得这些因素在选择上更加重要,同时也带来了许多潜在的负面影响。现在必须努力解决突出的缺陷。我们建议首先在组合评分中纳入临床措施,如多源反馈和临床自我发展活动。然而,最终需要增加培训岗位的数量,以减少激烈的就业竞争,减轻现行制度的压力,并使其缺陷得到解决。
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引用次数: 0
Letter to the editor: 'Evaluation of the Bluetooth-enabled Scanbo device for point-of-care measurement of blood pressure and blood glucose: A cross-sectional pilot study in an urban slum of Bengaluru'. 致编辑的信:“评估用于即时测量血压和血糖的蓝牙Scanbo设备:在班加罗尔城市贫民窟进行的横断面试点研究”。
Pub Date : 2025-11-06 eCollection Date: 2025-12-01 DOI: 10.1016/j.fhj.2025.100481
Parth Aphale, Himanshu Shekhar, Shashank Dokania
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引用次数: 0
Maternal vaccination service provision in London and Liverpool: Organisation, recording of vaccinations and midwife training. 伦敦和利物浦的孕产妇疫苗接种服务:组织,疫苗接种和助产士培训的记录。
Pub Date : 2025-10-22 eCollection Date: 2025-12-01 DOI: 10.1016/j.fhj.2025.100479
Mohammad S Razai, Chelone Lee-Wo, Sima Berendes, Caroline Free, Pippa Oakeshott

Recommended vaccinations during pregnancy are safe and can prevent serious illness in both pregnant women and newborns. Despite this, uptake remains low in England. We explored maternal vaccination services at selected maternity sites in London and Liverpool, focusing on service delivery, vaccination recording and midwife training. Services included walk-in vaccination clinics, nurse-led rather than midwife-led vaccination, telephone and text reminders with links to online vaccination booking, multilingual leaflets, posters and digital apps with vaccine information links. However, practical barriers persist. These include poor integration between maternity and primary care data systems for recording vaccinations, limited and inconsistent midwife training, and logistical constraints on vaccine administration. Midwives reported difficulties accessing electronic vaccine records, and vaccination discussions with patients were often absent, particularly in group models of antenatal care. System-level improvements such as integrated data access, protected training time, clear documentation protocols and tailored outreach are needed to strengthen maternal vaccination services.

建议在怀孕期间接种疫苗是安全的,可以预防孕妇和新生儿的严重疾病。尽管如此,英格兰的使用率仍然很低。我们在伦敦和利物浦选定的产科地点探索了孕产妇疫苗接种服务,重点关注服务提供、疫苗接种记录和助产士培训。服务包括免预约疫苗接种诊所、由护士而非助产士领导的疫苗接种、带有在线疫苗预订链接的电话和短信提醒、多语种传单、海报和带有疫苗信息链接的数字应用程序。然而,实际障碍依然存在。这些问题包括记录疫苗接种的产妇和初级保健数据系统之间整合不良,助产士培训有限且不一致,以及疫苗管理方面的后勤限制。助产士报告说,很难获得电子疫苗记录,而且往往没有与患者讨论疫苗接种,特别是在产前护理的小组模式中。需要在系统层面进行改进,如综合数据获取、受保护的培训时间、明确的文件协议和有针对性的外展,以加强孕产妇疫苗接种服务。
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引用次数: 0
The all-encompassing vision of Future Healthcare Journal. 《未来医疗杂志》的全方位展望。
Pub Date : 2025-09-30 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100467
Andrew Duncombe
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引用次数: 0
Erratum regarding missing ethical approval and consent to participate statement in previously published article titled 'Using simulated bronchoscopy to improve training on intensive care units in a north London NHS trust'. 关于先前发表的题为“使用模拟支气管镜改善伦敦北部NHS信托重症监护病房培训”的文章中缺少伦理批准和同意参与声明的勘误。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100460

[This corrects the article DOI: 10.1016/j.fhj.2024.100186.].

[更正文章DOI: 10.1016/j.fhj.2024.100186.]。
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引用次数: 0
Erratum regarding missing ethical approval and consent to participate statement in previously published article titled 'Harnessing the force of post-F2 doctors - a medical clinical fellow post that transformed locally employed doctor recruitment'. 关于先前发表的题为“利用f2后医生的力量——一个改变当地雇用医生招聘的医学临床研究员职位”的文章中缺少伦理批准和同意参与声明的勘误。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100464

[This corrects the article DOI: 10.7861/fhj.2022-0043.].

[此更正文章DOI: 10.7861/fhj.2022-0043.]。
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引用次数: 0
Erratum regarding missing Declaration of Competing Interest Statements in previously published articles. 关于先前发表的文章中缺少竞争利益声明的勘误表。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100457

[This corrects the article DOI: 10.1016/j.fhj.2024.100131.].

[这更正了文章DOI: 10.1016/j.fhj.2024.100131.]。
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引用次数: 0
Erratum regarding missing Declaration of Competing Interest Statement in previously published article titled 'The Green Surgical Block 4.0: Automation of the operating theatre's climate conditions through a real-time patient-flow solution'. 关于之前发表的题为“绿色外科区块4.0:通过实时患者流解决方案实现手术室气候条件自动化”的文章中缺少竞争利益声明的勘误表。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100458

[This corrects the article DOI: 10.7861/fhj.2022-0142.].

[这更正了文章DOI: 10.7861/fhj.2022-0142]。
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引用次数: 0
Erratum regarding missing ethical approval and consent to participate statement in previously published article titled 'Making research everybody's business-Innovation to introduce Foundation doctors to research'. 在之前发表的题为“让研究成为每个人的事”的文章中,关于缺少伦理批准和同意参与声明的勘误。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100463

[This corrects the article DOI: 10.1016/j.fhj.2024.100020.].

[这更正了文章DOI: 10.1016/j.fhj.2024.100020.]。
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引用次数: 0
Erratum regarding missing ethical approval and consent to participate statement in previously published article titled 'Simulation as an effective means of preparing trainees for active participation in MDT meetings'. 关于先前发表的题为“模拟作为准备受训者积极参与MDT会议的有效手段”的文章中缺少伦理批准和同意参与声明的勘误。
Pub Date : 2025-09-05 eCollection Date: 2025-09-01 DOI: 10.1016/j.fhj.2025.100462

[This corrects the article DOI: 10.1016/j.fhj.2024.100017.].

[这更正了文章DOI: 10.1016/j.fhj.2024.100017.]。
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引用次数: 0
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Future healthcare journal
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