Jenson Cath M, Hutchins Alison J, Rowlands Gill
Educ Prim Care. 2006;17(3):218-226. doi: 10.1080/14739879.2006.11864065.
WHAT IS ALREADY KNOWN IN THIS AREA • Recruitment and retention et general practitioners (GPs) are topical issues in the modern NHS. • There is/a link between reduced stress/burnout in GPs and continuing medical education. • Sessional GPs are known to suffer from isolation and difficulty accessing educational support. • One previous study of retention of sessional GPs cites three key factors: a secure contract, mentoring support and a stimulating work environment with a culture of personal and professional development. WHAT THIS WORK ADDS • A primary care trust (PCT)-funded, peer-facilitated educational support group can be a key instrument in the recruitment and retention of sessional GPs, in particular by providing a network of supportive colleagues and help keeping up to date. • This is the first study examining this factor in the retention of sessional GPs. • Other modifiable factors influencing recruitment include type of post and contract. • Other modifiable factor influencing retention include financial factors. SUGGESTIONS FOR FUTURE RESEARCH • Calculation of retention rates of sessional GPs in PCTs (work in progress) will allow further studies assessing the-impact, including cost-benefit ratio, of interventions relating to specific factors influencing retention. • The association between educational support and retention should be studied for: other members of the primary care team, health professionals outside general practice and healthcare systems outside the NHS and the UK.
在现代英国国家医疗服务体系(NHS)中,全科医生(GPs)的招聘和留用是热门问题。
全科医生压力减轻/职业倦怠与继续医学教育之间存在联系。
兼职全科医生存在孤立感且难以获得教育支持。
之前一项关于兼职全科医生留用的研究提出三个关键因素:一份稳定的合同、导师支持以及一个具有个人和职业发展文化的激励性工作环境。
由初级医疗信托基金(PCT)资助、同伴促进的教育支持小组可以成为招聘和留住兼职全科医生的关键手段,特别是通过提供一个相互支持的同事网络并帮助跟上最新进展。
这是第一项研究兼职全科医生留用中这一因素的研究。
影响招聘的其他可改变因素包括职位类型和合同。
影响留用的其他可改变因素包括财务因素。
计算初级医疗信托基金中兼职全科医生的留用率(正在进行的工作)将有助于进一步研究评估与影响留用的特定因素相关的干预措施的影响,包括成本效益比。
应针对以下方面研究教育支持与留用之间的关联:初级医疗团队的其他成员、全科医疗以外的卫生专业人员以及英国国家医疗服务体系(NHS)和英国以外的医疗系统。