Article Text

Download PDFPDF
Foundation rotations in medical training: is it love at first sight?
  1. Hannah Collins1,
  2. Catherine Eley2,
  3. George Kohler3,
  4. Holly Morgan4
  1. 1Surgery, Royal Gwent Hospital, Newport, UK
  2. 2General Surgery, Merthyr Tydfil Local Health Board, Abercynon, Rhondda Cynon Taf, UK
  3. 3Intensive Care Medicine, Cwm Taf Health Board, Abercynon, Rhondda Cynon Taf, UK
  4. 4Cardiology, St Thomas' Hospital, London, UK
  1. Correspondence to Dr Hannah Collins, OMFS, Royal Gwent Hospital, Newport NP20 2UB, UK; hannahlouisecollins91{at}


Purpose of study Factors influencing physician specialty choice is a prominent topic given the recruitment challenges faced by various specialties. We aimed to assess whether specialty exposure in the first foundation year was a positive predictive factor for permanent career choice.

Study design A questionnaire-based study was distributed online using a survey tool. Questions recorded the foundation rotations of participants as well as their chosen medical specialty.

Results 1181 responses were included in the analysis. 23% of respondents had undertaken a Foundation Year 1 (F1) rotation in their career specialty. Having undertaken a foundation rotation in anaesthetics, cardiology, emergency medicine, endocrinology, gastroenterology, genito-urinary medicine, intensive care, obstetrics and gynaecology, oncology, paediatrics, palliative care, psychiatry, radiology, respiratory and rheumatology was found to be statistically significantly linked to choosing that specialty as a career (p<0.01). There was a significant correlation between the second foundation rotation and career choice (p=0.02).

Conclusions For many specialties, direct experience within foundation training has a positive effect on later career choice.

  • medical education & training
  • education & training (see medical education & training)

Data availability statement

Data will be provided upon any reasonable request.

Statistics from

Data availability statement

Data will be provided upon any reasonable request.

View Full Text


  • Twitter @hollymorgs

  • Contributors HC, CE and HM conceived the study idea and designed the survey. All authors contributed to survey distribution. GK analysed the data. HC drafted the manuscript. CE, GK and HM reviewed and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.