Lee Kenneth, Cunningham David E
Medicine Directorate, NHS Education for Scotland , Glasgow , UK.
Educ Prim Care. 2019 Sep;30(5):295-300. doi: 10.1080/14739879.2019.1639554. Epub 2019 Jul 17.
The World Health Organisation reported that health-care systems worldwide have problems with the recruitment and retention of general practitioners (GPs) into clinical practice, particularly to rural and under-served areas. A recent survey of United Kingdom (UK) trainees found that they valued posts with good training conditions, were in desirable locations and gave opportunities for their partner. The Scottish Government has set a target to increase the number of GPs in Scotland by 800 in the next 10 years. In recent years, GP speciality training recruitment has been challenging with significant vacancies in some training programmes, primarily in rural areas, or urban areas with a history of poorer recruitment. Recruitment incentive schemes are in operation in different countries in the UK. The Scottish Government introduced a Targeted Enhanced Recruitment Scheme (TERS), offering a £20,000 payment to GPST trainees accepting a targeted post. This study aimed to evaluate awareness and influence of the TERS initiative on programme choice in Scotland in August 2017. A survey was developed and sent to GP trainees taking up a GPST post in August 2017. Ninety-five out of 245 doctors responded (response rate of 39%). Almost two-thirds (65.3%) were aware of TERS at the time of application and this was via word of mouth and from the National Recruitment Office website. Only 21% of GPSTs aware of TERS were influenced by it in their choice of training location. The locations of family, spouse or partner, and of pre-existing geographical preferences were more influential than TERS.
世界卫生组织报告称，全球医疗保健系统在招聘和留住全科医生以从事临床工作方面存在问题，尤其是在农村和服务不足的地区。最近一项针对英国实习生的调查发现，他们看重培训条件良好、地点理想且能为其伴侣提供机会的职位。苏格兰政府设定了一个目标，即在未来10年内将苏格兰的全科医生数量增加800名。近年来，全科医生专业培训的招聘工作颇具挑战性，一些培训项目存在大量空缺，主要在农村地区，或在招聘历史较差的城市地区。英国不同国家都在实施招聘激励计划。苏格兰政府推出了一项定向强化招聘计划（TERS），向接受定向职位的全科医生培训生支付2万英镑。本研究旨在评估2017年8月TERS计划在苏格兰对培训项目选择的知晓度和影响。开展了一项调查，并发送给2017年8月开始担任全科医生培训生职位的全科医生实习生。245名医生中有95人回复（回复率为39%）。近三分之二（65.3%）的人在申请时知晓TERS计划，这是通过口口相传和国家招聘办公室网站得知的。在知晓TERS计划的全科医生培训生中，只有21%的人在选择培训地点时受到了该计划的影响。家庭、配偶或伴侣的所在地以及先前存在的地理偏好比TERS计划更具影响力。
