Trainee satisfaction before and after the Calman reforms of specialist training: questionnaire survey

Objectives To evaluate the impact of the Calman reforms of higher specialis t training on trainee satisfaction. Design Questionnaire surveys using portable electronic survey units, two ye ars apart. Setting Postgraduate, teaching, district general, and community NHS trusts in North Thames. North Thames deanery includes London north of the Thames, Essex. and Hertfordshire. Participants Trainees in all grades and all specialties: 3078 took part in the first survey and 3517 in the second survey. Main outcome measures Trainees' satisfaction with training in their current post, including educational objectives, training agreements, induction, co nsultant feedback, hands on experience acquired use of log hooks, consultan t supervision, and overall satisfaction with the post. Results In the second survey respondents were more likely to have discussed educational objectives with their consultant, used a log book, and had use ful feedback fr-om their consultant. They were more likely to give high rat ings to induction, consultant supervision, and hands on experience acquired in the post. Each of these elements was associated with increased satisfac tion with the post overall. Improvements were most noticeable at the level of specialist registrar, but changes in the same direction were also seen i n more junior grades. Conclusions After the reforms of specialist training, trainees in ail grade s reported greater satisfaction with their current posts. The changes requi red extra training time and effort from consultants.