Syed Rehan Quadery1, Hamid Roodbari2, Pradeep Pardeshi1, Dilip Shah1, Hira Ahmed1, Seema Jain1, Jason Saridis1, Shakil Rahman1, Nithiyananthan Ratnasingam1, Caroline Ebdon1, Richard Bogle1, James Marsh1, Ruth Charlton1, Guan Lim1, David Makanjoula1, Daniel Camp1, Simon Winn1.
Abstract
BACKGROUND: International medical graduates (IMGs) contribute significantly towards the NHS care provision. No standardised clinical orientation programme (COP) for IMGs new to the NHS exists.
OBJECTIVE: Our objective was to describe recruitment and retention strategies for junior doctors (JDs) in general medicine and develop a framework to anticipate outcomes of these interventions using the realist evaluation methodology.
METHODS: We performed quality improvement interventions of recruitment and COP for new entrant IMGs in our organisation employed between December 2017 and April 2019.
RESULTS: Twenty-three IMGs were recruited, 96% successfully completed the COP with a mean contract duration of 13±5 months. From the academic year 2017/18 to 2018/19, mean JD post occupancy increased from 54±3 to 73±4 JDs (p<0.001) and JD locum spend fell by £1.9 million.
CONCLUSION: Our structured COP provides a stable, trained and financially sustainable JD workforce. Application in broader NHS settings is recommended. © Royal College of Physicians 2020. All rights reserved.
BACKGROUND: International medical graduates (IMGs) contribute significantly towards the NHS care provision. No standardised clinical orientation programme (COP) for IMGs new to the NHS exists.
OBJECTIVE: Our objective was to describe recruitment and retention strategies for junior doctors (JDs) in general medicine and develop a framework to anticipate outcomes of these interventions using the realist evaluation methodology.
METHODS: We performed quality improvement interventions of recruitment and COP for new entrant IMGs in our organisation employed between December 2017 and April 2019.
RESULTS: Twenty-three IMGs were recruited, 96% successfully completed the COP with a mean contract duration of 13±5 months. From the academic year 2017/18 to 2018/19, mean JD post occupancy increased from 54±3 to 73±4 JDs (p<0.001) and JD locum spend fell by £1.9 million.
CONCLUSION: Our structured COP provides a stable, trained and financially sustainable JD workforce. Application in broader NHS settings is recommended. © Royal College of Physicians 2020. All rights reserved.
Entities:
Keywords:
Health service research; clinical orientation programme; medical education; quality improvement; realist theory
Year: 2020
PMID： 32550280 PMCID： PMC7296587 DOI： 10.7861/fhj.2019-0047
Source DB: PubMed Journal: Future Healthc J ISSN： 2514-6645