Junior doctors across the UK are being warned the competition they will face this year for specialist training jobs in the NHS will be tougher than ever.
Junior doctors across the UK are being warned the competition they will face this year for specialist training jobs in the NHS will be tougher than ever.
As recruitment begins for August, the NHS employers body says there may be an average of three applicants per post.
As recruitment begins for August, the NHS employers body says there may be an average of three applicants per post.
Many applicants will be NHS doctors who qualified outside the EU, after the government failed in a 2007 legal bid to give UK medical graduates priority.
Many applicants will be NHS doctors who qualified outside the EU, after the government failed in a 2007 legal bid to give UK medical graduates priority.
Without a training post a junior doctor cannot become a consultant or GP.
Without a training post a junior doctor cannot become a consultant or GP.
It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live Sian ThomasNHS Employers
It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live Sian ThomasNHS Employers
After a computer fiasco and complaints of unfairness when a new system was introduced for 2007, the process for this year has been changed.
After a computer fiasco and complaints of unfairness when a new system was introduced for 2007, the process for this year has been changed.
The controversial system - known as the medical training application service (MTAS) - was shelved by ministers.
The controversial system - known as the medical training application service (MTAS) - was shelved by ministers.
Doctors complained about a lack of posts, poorly designed recruitment forms, and technical failures with the online application system.
Doctors complained about a lack of posts, poorly designed recruitment forms, and technical failures with the online application system.
There was also anger that all applications had to be made at the same time instead of allowing doctors to try for jobs as they came up, as under the old system.
There was also anger that all applications had to be made at the same time instead of allowing doctors to try for jobs as they came up, as under the old system.
In the wake of the controversy, BMA chairman James Johnson resigned amid accusations that he had failed to put across the feelings of doctors about the system.
In the wake of the controversy, BMA chairman James Johnson resigned amid accusations that he had failed to put across the feelings of doctors about the system.
Now, thousands of applications will be handled by local medical deaneries and there is no limit to the number of applications an individual doctor can make.
Now, thousands of applications will be handled by local medical deaneries and there is no limit to the number of applications an individual doctor can make.
In England there will be around 9,000 places on speciality training programmes and employers expect there may be as many as 23,000 applications.
In England there will be around 9,000 places on speciality training programmes and employers expect there may be as many as 23,000 applications.
Competition for posts is expected to be similarly intense in the other parts of the UK.
Competition for posts is expected to be similarly intense in the other parts of the UK.
Competition welcomed
Competition welcomed
Sian Thomas, from NHS Employers, said young doctors needed to make realistic decisions.
Sian Thomas, from NHS Employers, said young doctors needed to make realistic decisions.
In some popular specialities, such as surgery, there may be as many as 10 applications for each training post, she said.
In some popular specialities, such as surgery, there may be as many as 10 applications for each training post, she said.
"It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live."
"It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live."
She said the UK was now one of the few countries in the world with more than enough doctors.
She said the UK was now one of the few countries in the world with more than enough doctors.
"The US has a vacancy rate of around 20%, which is having a devastating impact on their ability to deliver health care in poorer areas."
"The US has a vacancy rate of around 20%, which is having a devastating impact on their ability to deliver health care in poorer areas."
One reason the competition for jobs is expected to be intense is the large number of overseas doctors who want specialist training in the UK.
One reason the competition for jobs is expected to be intense is the large number of overseas doctors who want specialist training in the UK.
Our concern is that without adequate planning, the levels of competition could result in a lottery Ram MoorthyBMA Junior Doctors Committee
Our concern is that without adequate planning, the levels of competition could result in a lottery Ram MoorthyBMA Junior Doctors Committee
In 2008 it is expected that doctors who qualified outside the EU may make up half the applications for training posts.
In 2008 it is expected that doctors who qualified outside the EU may make up half the applications for training posts.
Many have come to work in the health service under the highly skilled migrants programme - international recruitment has been a significant part of the increased number of doctors in the NHS.
Many have come to work in the health service under the highly skilled migrants programme - international recruitment has been a significant part of the increased number of doctors in the NHS.
But UK medical schools have also increased the number of doctors they are training, at an estimated cost to the taxpayer of £250,000 for every medical graduate.
But UK medical schools have also increased the number of doctors they are training, at an estimated cost to the taxpayer of £250,000 for every medical graduate.
Three new medical schools have been created in the last decade to meet the numbers needed for the health service in the future.
Three new medical schools have been created in the last decade to meet the numbers needed for the health service in the future.
It has all added up to many more doctors competing for jobs.
It has all added up to many more doctors competing for jobs.
Pressure group Remedy UK has launched a specialist website to help doctors with their job search.
Remedy UK's Chris McCullough said: "Our view is that the system is essentially appalling.
"Doctors aren't afraid of competition, but what we have this year is doctors facing a one-in-19 chance of getting a job in some areas.
"The system is disjointed and there's no fair competition. Patients should be warned that this system is not going to select the best doctors."
The Department of Health tried to give UK medical graduates priority in the recruitment process this year, but that was overturned after a legal challenge.
The Department of Health tried to give UK medical graduates priority in the recruitment process this year, but that was overturned after a legal challenge.
Now the government is appealing to the House of Lords but any decision will be too late to affect the rules for 2008.
Now the government is appealing to the House of Lords but any decision will be too late to affect the rules for 2008.
Fears of unfairness
Fears of unfairness
A Department of Health spokesman said: "Doctors from outside Europe have made and continue to make a huge contribution to the NHS.
A Department of Health spokesman said: "Doctors from outside Europe have made and continue to make a huge contribution to the NHS.
"The issue is not, and never has been, whether they can continue to work as NHS doctors - which they can - but whether the taxpayer should be investing in training them instead of UK medical graduates."
"The issue is not, and never has been, whether they can continue to work as NHS doctors - which they can - but whether the taxpayer should be investing in training them instead of UK medical graduates."
The British Medical Association is worried that the volume of applications this year could overwhelm medical deaneries.
The British Medical Association is worried that the volume of applications this year could overwhelm medical deaneries.
It said it would be monitoring the process to ensure fairness.
It said it would be monitoring the process to ensure fairness.
Ram Moorthy, chairman of the BMA junior doctors committee, said: "Our concern is that without adequate planning, the levels of competition could result in a lottery.
Ram Moorthy, chairman of the BMA junior doctors committee, said: "Our concern is that without adequate planning, the levels of competition could result in a lottery.
"Trusts need to get their recruitment practices in order, and start preparing now to ensure that there is no unfairness, and no negative impact on patient care."
"Trusts need to get their recruitment practices in order, and start preparing now to ensure that there is no unfairness, and no negative impact on patient care."
Are you affected by this story? Are you a junior doctor who will be applying for a training post this year? Have you struggled to find a job in the past? Send your comments using the form below
Are you affected by this story? Are you a junior doctor who will be applying for a training post this year? Have you struggled to find a job in the past? Send your comments using the form below
