Innovative recruitment and clinical orientation programme to manage NHS junior doctor shortfall: A district hospital experience.
作者信息
Quadery Syed Rehan, Roodbari Hamid, Pardeshi Pradeep, Shah Dilip, Ahmed Hira, Jain Seema, Saridis Jason, Rahman Shakil, Ratnasingam Nithiyananthan, Ebdon Caroline, Bogle Richard, Marsh James, Charlton Ruth, Lim Guan, Makanjoula David, Camp Daniel, Winn Simon
机构信息
Epsom and St Helier University Hospitals NHS Trust, Carshalton, UK.
University of Sheffield, Sheffield, UK.
出版信息
Future Healthc J. 2020 Jun;7(2):131-136. doi: 10.7861/fhj.2019-0047.
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.
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