Table 3

Indicative quotations: increasing fractional appointments

ParticipantIndicative quotation
#10, Male, ConsultantI think, that a big challenge for academic oncology is that the staff specialist positions for medical oncologists are disappearing. Also the idea of full-time salaried positions in public hospitals for medical oncologists is disappearing. They’re becoming more and more part-time.
#13, Female, Early CareerYou have to be just flexible if you want a job. So my viewpoint is if a fraction came up anywhere that I was going to interview for, it doesn't matter what tumour it is, I’d very happily take it. That’s how desperate we are for jobs.
#19, Female, ConsultantI think within medical oncology, there’s a huge job shortage at the moment and I can only see it becoming a bigger problem. I certainly see with my colleagues that it’s becoming more unusual for people to be appointed as a full-time position anymore. People are taking fractionated positions, doing some clinical work here, maybe some research there, different affiliations with the universities. So I think we’ve got a lot more fractional positions. We’ve probably got a lot more people working in part-time capacities… Yeah, there are a lot of people out there doing diverse things whilst waiting for that elusive job and when that job comes up, it’s very unusual that it’s going to be a full-time position. It may well be 0.4 doing this 0.6 here. I think it’s a lot more fractional now.
#21, Male, Early CareerThere are few opportunities in the public system for the good old full-time staff specialist thing. That doesn’t really exist anymore.
#16, Male, ConsultantSo what happens is that hospital appointments get fractionated. So someone who was on full-time capacity, when they retire they break their job into three positions, 0.4, 0.4 and 0.2… I can give you 20 names of people who’ve finished training and they don’t have a real [full time] job.