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Reasons for and perceived barriers to applying for cardiology training: the 2024 British Junior Cardiologists' Association starter survey.

Title: Reasons for and perceived barriers to applying for cardiology training: the 2024 British Junior Cardiologists' Association starter survey.
Authors: Gupta, Ankit; Lawson, Lucy; Bray, Jonathan J H; Brown, Oliver I; Drozd, Michael; Straw, Sam; Morgan, Holly
Source: Postgraduate Medical Journal; Dec2025, Vol. 101 Issue 1202, p1317-1323, 7p
Subject Terms: CARDIOLOGY; RESIDENTS (Medicine); QUESTIONNAIRES; PARTICIPATION; INCENTIVE (Psychology); GRADUATE medical education
Geographic Terms: UNITED Kingdom
Abstract: Background and aims Understanding the reasons for, and perceived barriers to, applying for cardiology training is vital to interpret current application trends and address modifiable barriers to entry. A cross-sectional survey was conducted on behalf of the British Junior Cardiologists' Association (BJCA) to assess the opinions of resident doctors interested in pursuing a career in cardiology. Methods Data were collected on six domains: demographic information, intention to pursue a career in cardiology, prior clinical and academic experiences, reasons for and perceived barriers to applying for cardiology training (assessed using a Likert scale from one to five), and the impact of the transition from core medical training to internal medicine training. Results Responses were received from 171 of 307 (56%) eligible BJCA members. Of 171 participants, 109 (63.7%) stated they would definitely, and 29 (17.0%) would probably, apply for cardiology training. Formal research training was limited; of those who had published research, 77 (45.0%) had published fewer than five articles. The primary motivating factor for applying was the opportunity to perform invasive procedures [mean 4.2 ± standard deviation (SD) 1.0]; competition was identified as the most significant barrier, on average (3.8 ± SD 1.2). The transition to internal medicine training was viewed by 111 respondents (64.9%) as primarily serving the purpose of service provision. Conclusions These data should allow potential applicants to make an informed decision as to their specialty of choice. Addressing modifiable barriers to entry may encourage a more diverse range of resident doctors to apply for cardiology training. Key messages What is already known on this topic? Cardiology is a highly competitive specialty in the UK, with limited data on what factors motivate or deter resident doctors from applying. Previous studies have not explored how recent changes to the structure of training have impacted application decisions. What this study adds? This study identifies key motivating factors such as procedural interest and prior exposure, as well as significant perceived barriers, including academic requirements and dual-accreditation. How this study might affect research, practice or policy? These findings may inform strategies to improve recruitment and retention in cardiology by addressing modifiable barriers, tailoring support, and reassessing the training pathway's structure and demands. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index