The following risks could be translated into poorer outcomes and differential attainment.
1. Poorer relationships with seniors and problems fitting in at work can lead to fewer learning opportunities, lower confidence and an increased chance of mental health problems.
2. Perception that unconscious bias in recruitment, ARCPs, and at work can lead to poorer outcomes, as can anxiety about potential bias.
3. Poorer performance in exams and recruitment can mean less autonomy in job choice, increased likelihood of being separated from family and support networks and an increased chance of mental health problems.
4. Failing exams can lower confidence, and resits can then interfere with workplace learning opportunities.
5. Fear of being labelled as ‘problematic’ can impede trainees reporting problems, including perceived racism.
6. Potential for lack of recognition from trainers regarding environmental stressors, especially because within medicine there is a belief that failure results from lack of ability or resilience.