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Induction programmes aim to ease the transition from medical student to doctor. The interim foundation year 1 (FiY1) placement, introduced in the first COVID-19 wave, provided experience in advance of the Foundation Year 1 (FY1) start in August; providing more time and enhanced responsibilities than traditional induction programmes. This study examines the effects of the FiY1 placement on anxiety levels and preparedness for FY1. This was a descriptive cross-sectional study using data from four cohorts of FY1s who completed the online National FY1 induction survey from 2017 to 2020 ( n  = 4766). Questions evaluated self-reported preparedness and anxiety levels. Differences in preparedness and anxiety levels of FiY1 and non-FiY1 participants in 2020, and the 2017–2019 participants (non-FiY1 controls), were evaluated. FiY1s in 2020 reported higher self-reported preparedness (79%) than non-FiY1s (54%) in 2020 ( p  = &lt;0.001) and the control 2017–2019 cohort (63.8%) ( p  &lt; 0.001). Fewer FiY1s experienced pathological anxiety (29.3% versus 40.8% for non-FiY1s;  p  = 0.001). Time spent in an FiY1 role is associated with an increase in self-perceptions of preparedness and a reduction in anxiety. These data indicate that time spent in an FiY1 role may have utility in further improving the transition period from medical school to FY1.

Interim Foundation Year One (FiY1) and preparedness for foundation year 1: A national survey of UK foundation doctors