1. Are you medical:
-- please select yes or no --
Yes
No
2. If medical, what level:
-- please select one --
Consultant
Junior
GP
Student
Career Grade
Other
Not applicable
3. If Junior what grade:
-- please select one --
FY1
FY2
SHO
Trust Fellow
SpR
Other
4. Do you belong to a College:
-- please select one --
Phys
Surg
O&G
Path
Psych
Radiol
GP
Anaesthetists
Other
Not applicable
5. Are you a Member or a Fellow:
-- please select one --
Member
Fellow
Not applicable
6. Surname:
7. Forename:
8. Middle Initials:
9. D.O.B. (optional):
10. GMC number (optional):
Please note we may not be able to use entries without one or both of D.O.B. and GMC number, if we are required to demonstrate authenticity of
submissions.
11. Email (optional):
12. Current Post: e.g. Consultant Physician at St. Excellent Hospital, Wondertown
13. Have you applied for a post under MTAS:
-- please select yes or no --
Yes
No
If No to question 13, please skip to question 27.
14. How many specialties did you apply for:
-- please select one --
N/A
1
2
3
4
15. How many locations did you apply for:
-- please select one --
N/A
1
2
3
4
16. For what level did you apply:
-- please select one --
N/A
1
2
3
4
17. How many interviews did you have in round 1a:
-- please select one --
N/A
0
1
2
3
4
18. What was your first-choice specialty: please spell out in full from MMC list (free text, 100 letters)
19. What was your first choice location: please spell out in full from MMC list (free text, 100 letters)
20. Have you had an interview in round 1b:
-- please select one --
N/A
0
1
2
3
4
21. How many offers of posts have you received:
-- please select one --
N/A
0
1
2
3
4
If you have received an offer, please answer the following:
a. Is this ST or FTSTA:
-- please select one --
N/A
ST
FTSTA
b. Do you think this was re-cycled - received after June 8th:
-- please select one --
N/A
Yes
No
c. Have you accepted the offer:
-- please select yes or no --
N/A
Yes
No
If you have not received an offer, please tell us:
d. Have you been informed by Deaneries where you were interviewed that you were unsuccessful:
-- please select one --
N/A
0
1
2
3
4
e. Were you informed by email, or by your telephoning:
-- please select one --
N/A
email
telephone
other
22. If your top offer was not in your first choice specialty or location, please enter below:
Specialty:
Location:
23. If you have been unsuccessful, which of the following is your most likely plan at present:
-- please select one --
N/A
Re-apply in round 2
Seek medical work abroad
Leave medicine
Other
24. If you have been unsuccessful, do you consider the result was:
-- please select Fair, Unfair or N/A --
Fair
Unfair
N/A
25. If unfair, please select from the following reasons (NO limit on number):
a. Method of Short-listing:
-- please select yes or no --
Yes No
b. Number of interviews
-- please select yes or no --
Yes
No
c. Conduct of interviews:
-- please select yes or no --
Yes
No
Please give some detail if (c) a strong reason (max 100 words)
26. Which of the following apply to your CV (please answer whether or not you have had an offer):
a. 1st class in BSc (or equivalent degree):
-- please select yes or no --
Yes
No
b. Distinction in finals:
-- please select yes or no --
Yes
No
c. PhD:
-- please select yes or no --
Yes
No
d. Papers in good journals:
-- please choose one of 0-3 --
N/A
0
1
2
3
3
e. Likely to have glowing references:
-- please select yes or no --
Yes
No
Other - please describe
27. Which of the following would be an acceptable solution to the unemployment in August of good applicants:
a. Posts to be re-advertised after 1 year:
-- please select yes or no --
Yes
No
if 'Yes', what proportion of posts to be re-advertised:
-- please choose one --
25%
50%
75%
100%
b. No run-through:
-- please select yes or no --
Yes
No
c. Freedom to re-apply next year:
-- please select yes or no --
Yes
No
d. Appeal procedure, with guaranteed FTSTA for 1 year:
-- please select yes or no --
Yes
No
e. This year's round to be declared invalid by PMETB, all doctors to remain in post until re-run with valid procedures, new FY1s to be compensated while waiting to start (or shadowing existing FY1s):
-- please select yes or no --
Yes
No
f. Other - please describe
28. In question 27, which is your preferred option:
-- please choose one of a-f --
a
b
c
d
e
f
29. In the future, do you think appointments should be done locally (through Deaneries) or nationally for:
ST1/2:
-- please select locally or nationally --
Locally
Nationally
ST3/4:
-- please select locally or nationally --
Locally
Nationally
30. Do you think MMC-style run-through training will be an improvement upon:
i. SHO posts
-- please select yes or no --
Yes
No
ii. SpR posts
-- please select yes or no --
Yes
No
31. Do you regard the BMA or RemedyUK as the more representative voice of Junior Doctors:
a. In the last 3 months
-- please select BMA or RemedyUK --
BMA
RemedyUK
b. During the next 12 months
-- please select BMA or RemedyUK --
BMA
RemedyUK
32. Out of 1-5 (1=miserable, 5 = excellent), how would you score the performance during introduction of MMC/MTAS of:
i. Your College:
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
ii. The Academy of Medical Royal Colleges
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
iii. Your Deanery:
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
iv. Your Trust
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
v. Review Body
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
vi. BMA
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
vii. PMETB
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
viii. DoH
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
ix. RemedyUK
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
x. Patricia Hewitt
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
xi. Liam Donaldson
-- on a scale of 1-5 (1= Miserable, 5 = Excellent) --
N/A
1
2
3
4
5
33. Other suggestions (optional, 100 words)
34. Your personal experience as an applicant or assessor (optional, 100 words)
35. Other suggested questions we might ask (optional, 100 words)
36. May we contact you if necessary for further information?
-- please select yes or no --
Yes
No
37. Are you willing for your answers to be used anonymously in providing summative information to support changes?
-- please select yes or no --
Yes
No
Thank you for completing this form.