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Radical changes to the UK Foundation Programme Office (UKFPO) application process: is this a student-centred decision or are students pawns amongst a wider system?
  1. Arjuna Thakker1,
  2. Pooja Devani2,
  3. Sanjeev Chaand Sharma3
  1. 1Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2Department of Paediatrics, University Hospitals of Leicester NHS Trust, Leciester, UK
  3. 3Department of Orthopaedics, Whittington Health NHS Trust, London, UK
  1. Correspondence to Dr Arjuna Thakker, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK; arjunathakker{at}

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With effect from 2023, supplemental degrees and publications will no longer be scored for additional points in the foundation application. Instead, students ranking will now be based on points gathered from medical school performance and the situational judgement test (SJT). This meritocratic change has garnered a sense of injustice across the country, with the best interests of this change questioned by students.1

As suggested in a recent letter by Ooi and Ooi,2 one reason for the change was the belief that access to additional achievements was unfairly disadvantaging students from poorer economic backgrounds, especially as the financial burden of an additional degree is well known.2 This change coaligns with more recent policies focused on widening access to medicine.3 …

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  • Contributors AT and PD contributed to the design of the work, and the acquisition, analysis and interpretation of data. AT and PD were involved in drafting the work. SCS was involved in revising it critically for important intellectual content and gave final approval before submission. AT submitted 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; internally peer reviewed.

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