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34-399: MTAS may refer to: Medical Training Application Service The railway company Malmtrafikk Ericsson 's Multimedia Application Server Ericsson MTAS Topics referred to by the same term [REDACTED] This disambiguation page lists articles associated with the title MTAS . If an internal link led you here, you may wish to change

68-506: A general feeling amongst those involved in the system that it was beyond repair and further efforts to do so constituted an example of ' irrational escalation ' . The British Medical Association (the largest trade union body representing doctors) pulled out of the review panel after their announcement that each doctor would only be given one interview. Organisations like the Royal College of Surgeons stated that they had lost confidence in

102-565: A monitoring role. A judicial review of MTAS was successfully called for by pressure group Remedy UK , who demanded that the appointments process should be scrapped altogether. The case was heard in the High Court from 16 to 17 May 2007, where the BMA sided with the government despite an overwhelming majority of their own membership opposing MTAS. On Wednesday 23 May 2007 Mr Justice Goldring ruled against Remedy UK, stating that "although far from ideal",

136-766: A non-CV based process." After the first round of interviews, there was a plan for a second round of applications. Candidates who were unsuccessful in both rounds would have no further opportunity to gain access to a training job in the UK for the year ahead, as MMC meant it was impossible to recruit junior doctors after the single specified start date. Application forms were released in February 2007, with two weeks to complete and submit. The first round of interviews were due to be carried out in February, March, and April 2007 with applicants finding out whether they were successful in May. The second round

170-505: A number of years, or not being registered with the UK General Medical Council ) were rejected at the 'longlisting' stage, with the 'shortlisting' stage designed to pick out the best applicants. The application form consisted of shortlisting questions with space for 150-word answers. One of the changes promoted by the new system was that little (25%) importance was given to past experience, achievements, or examinations passed in

204-478: The Pre-registration house officer or PRHO grade) could apply for posts as a Senior House Officer (SHO). They could apply for as many posts as they wished, and would be selected by their future employers based on their CV / application form and interview. They could devise their own training programme or apply to be part of a training rotation – usually entailing changing jobs every six months, but staying within

238-634: The MTAS crisis, however, "The Lost Tribe" was used to refer to doctors who were not able to proceed using the new computer system and as a result were left with no career at all, and so in a worse situation that the original "Lost Tribe" the system had been intended to help. Under MTAS, junior doctors who had completed the PRHO grade, and more recently the Foundation House Officer grades, along with those who already had up to several years of experience working at

272-613: The Medical School at University College London . Tooke was elected President of the Academy of Medical Sciences in November 2011. He stood down in December 2015 and was succeeded by Sir Robert Lechler . Tooke led the inquiry into Modernising Medical Careers (MMC), the new and current post-graduate training structure for medical doctors in the UK. MMC has become extremely unpopular amongst

306-555: The North Central London School of Anaesthesia noting "It is our professional duty as shortlisters to make sure that the appointment process is carried out correctly and that all candidates are considered equally and fairly. There have been a series of serious procedural errors during the process[...]There has been a general recognition that round 1 of MTAS has been unfair and ineffective." The interviews were again designed to be unbiased, in that, once selected for interview,

340-637: The Review Group's decision on amending the appointments process after the first round of interviews was "within the range of reasonable responses", and that the Review Group was "entitled to reach the decision it did given the circumstances facing it at the time". Although he ruled against invalidating the interviews that had already taken place, Mr Justice Goldring added that this judgement did not imply that junior doctors were not entitled to feel aggrieved, as "the premature introduction of MTAS has had disastrous consequences". Remedy UK have said they will not appeal

374-460: The applicant composed or copied the text and thus could not be used to exclude applicants. In addition, the word limit was felt to be too restrictive by many. Shortlisting was widely regarded as uneven and unfair, with the Tooke Report noting: "Some excellent candidates not shortlisted. Many very poor candidates were shortlisted." A number of local schools withdrew from the process in protest, with

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408-425: The application form would be ignored, and CVs would not be allowed at interview. Instead, defined questions with explicit marking schemes gave scores to the candidate's answers by looking for certain phrases and keywords. Again, the emphasis here was on removing possible bias due to a candidate's past achievements and experience, and focusing only on the performance at the standardised interview. As with other areas of

442-593: The bid for the development of the Peninsula Medical School and was appointed its Inaugural Dean in 2000. Tooke also successfully led the bid for the creation of the Peninsula Dental School , of which he was the inaugural Executive Dean until 2009. In June 2009 it was announced that Tooke would be taking up the position of Vice Provost (Health), Head of the School of Life & Medical Sciences and Head of

476-506: The fiasco. The MTAS website was suspended on 26 April 2007 after a Channel 4 News report stated that applicants had been able to see each other's files by changing two digits in the personalised web address given to each individual. At that point the Department of Health announced that this was a temporary suspension. Ms Hewitt made another apology on 1 May 2007 in the House of Commons after

510-534: The link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=MTAS&oldid=933005709 " Category : Disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Medical Training Application Service Prior to the introduction of Modernising Medical Careers (MMC), junior doctors who had completed their initial training after medical school (formerly

544-588: The majority of medical professionals in the UK, and as a result the Government set up an independent inquiry into the situation. Tooke's report strongly criticises the UK Government's handling of the MMC implementation. The "Tooke report" suggests scrapping MMC and starting with a new system which is based on extensive consultation with medical professional bodies and practitioners. Tooke's report has been uniformly welcomed by

578-553: The medical establishment, the majority of whom are keen to bury MMC. Despite the widespread acknowledgement that the Tooke report addresses several flaws in the government's reforms of medical training, the UK Department of Health 's response to the Tooke report suggests that the department does not want to see it fully implemented. The Department's response accepts only a quarter of the Tooke review's recommendations, and attempts to resist

612-427: The number of interviews they would have. This extra round of interviews was called Round 1B. Estimates are that there were 30,000 extra interviews requiring at least 15,000 consultant hours of interview time . The initial offers from Rounds 1 & 1B were made by 10 June 2007. Round 2 started on 22 June and was organised locally as the MTAS system was offline. Round 2 continued until 31 October 2007, three months after

646-606: The old SHO (next grade up) level, were invited to submit an electronic application form on the MTAS website. Applications could be made to one speciality in four geographic areas (called 'Units of Application' or UoAs), or to two specialties in two UoAs, or four specialties in one UoA. There were twelve geographical areas: one each for Scotland, Wales and Northern Ireland; one covering the whole of London, Kent, Surrey and Sussex; and eight others. The completed application forms were used for selection for interviews. Candidates who were not eligible (for example, not having practised medicine for

680-401: The problem but stated that "an apology isn't enough". Patricia Hewitt's apology was repeated to parliament on 16 April 2007, however she stated that, "the problems that have arisen relate in the main to the implementation process and not to the underlying principles of Modernising Medical Careers." Later that month Ms Hewitt was accused by the opposition of failing to express genuine regret over

714-403: The process include: The security of the system failed, with personal details including phone numbers, home addresses and sexual orientation of junior doctors publicly available for several hours to anyone with the right URL. The following day it was reported that applicants had been able to see each other's files by changing two digits in the personalised web address given to each individual, and

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748-521: The process should have been completed. The guidance from MMC indicated that any junior doctor in substantive employment on 31 July, and taking part in Round 2 will be guaranteed employment until the end of Round 2 in October, "Please note that all applicants who applied to MTAS who are in substantive NHS employment on 31 July will continue to have employment while they progress through Round 2". There was, however,

782-474: The profession is that it has lost confidence in the current recruitment system". On 3 April 2007, during an interview on BBC Radio 4 's Today programme, the Health Secretary Patricia Hewitt apologised to junior doctors over the crisis, saying that the application scheme had caused "needless anxiety and distress". The British Medical Association welcomed the government's acknowledgement of

816-400: The same speciality and hospital. Whilst training, an SHO would be encouraged to take professional exams to enable them to become a member of one of the medical royal colleges . Once this was achieved, they could apply for jobs as a specialist registrar . The lack of formal structure between the PRHO grade and the specialist registrar grade led to SHOs being labelled as a "lost tribe". During

850-511: The scheme, the interview process attracted several criticisms at independent review as they were "felt by many to be too formulaic and politically correct rather than sufficiently probing to demonstrate differences in competencies and abilities", they were frequently too short ("In many cases the time allocated to interviews was the minimum of 30 minutes which some interviewers felt was insufficient"), and they failed to reward those with high academic achievements, who "were particularly disadvantaged by

884-431: The specialties, while the majority of the weighting for selection was based on the 150-word answers in the electronic application form (75% weighting). This was in sharp contrast to the previous CV-led process where past experience, achievements and examinations passed in the specialties were used to shortlist candidates for interview. The questions on which the majority of the score was based were heavily criticised both at

918-403: The suspension of the MTAS website due to security breaches that she described as "utterly deplorable". On 3 May, Hewitt appeared on BBC Question Time where she faced hostile questioning from a junior doctor over MTAS failures. On 15 May 2007 MTAS was shelved by ministers due to security breaches. Patricia Hewitt said that after the first round of recruitment, the system would only fulfil

952-664: The system was suspended. The allegations of widespread execution problems led to a review and a rolling program of sweeping changes, leaving the junior doctors in the system unsure of where they stood for long periods. The review stated that everyone should be entitled to keep any previous interviews in hand and also have an interview for their first choice if this was in England, with Wales and Scotland deciding to interview all applicants for all posts. Applicants for English programmes were able to make any of their four initial choices into their new first choice if they wished, in order to maximise

986-588: The system. The BMA later rejoined the review and have since lent their support to the proposed changes ("Round 1B"). However, following an outcry by members and a controversial letter to The Times newspaper, Mr James Johnson, Chairman of the BMA resigned on 20 May 2007, citing his reasons for leaving as the contents of the letter. On 30 March 2007 Professor Alan Crockard resigned as National Director of Modernising Medical Careers. In his resignation letter he stated that he has "responsibility but less and less authority" and that "the overriding message coming back from

1020-465: The time by the medical professionals obliged to answer them and subsequently in the independent review of MMC led by Professor John Tooke . The report commented: "Free-text boxes encouraged plagiarism and commercial websites sold responses. Plagiarism was common but the promised plagiarism software did not function initially. Even when it did, plagiarism detection was relatively unhelpful as it could identify similar responses but could not identify whether

1054-585: The verdict, in order to avoid further uncertainty for junior doctors. The estimated cost of MTAS was £6.3m. John Tooke Sir John Edward Tooke (born 4 March 1949 ) is the Head of the School of Life & Medical Sciences at University College, London . He formerly worked at the Peninsula College of Medicine and Dentistry where he was the Inaugural Dean, and of the Peninsula Medical School which

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1088-409: The workload for consultants was hugely increased, as evidenced in several of the resignation letters prompted by the procedure: "The Consultants involved in shortlisting have all worked long hours, often at weekends or during half term holidays, and have done their utmost to cooperate[...]Most of us had 48 hours in which to carry out shortlisting of up to 650 applications.". Theoretical concerns behind

1122-778: Was its first constituent. He was President of the Academy of Medical Sciences from 2011 to 2015. Tooke graduated in Medicine from St John's College, Oxford in 1974 and went on to become a Wellcome Trust Senior Lecturer in Medicine and Physiology and Honorary Consultant Physician at Charing Cross and Westminster Medical School before moving to the Postgraduate Medical School of the University of Exeter in 1987. His clinical and research interests are in diabetes and vascular medicine , and he built an internationally recognized research team in these areas at Exeter. In 1998 he led

1156-402: Was to take place after this, finishing in late June 2007. In theory, the new application system centralised the application process, reducing the workload for consultants in shortlisting candidates for interview, and the workload of candidates applying multiple times for different posts. Unfortunately in practice the centralised system failed, with MTAS withdrawn after the matching process, and

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