Paediatics, Royal Belfast Hospital for Sick Children, Belfast, N.Ireland
Paediatics, Royal Belfast Hospital for Sick Children, Belfast, N.Ireland.
Arch Dis Child Educ Pract Ed. 2022 Feb;107(1):57-63. doi: 10.1136/archdischild-2020-319696. Epub 2021 Mar 3.
In the UK, the number of junior doctors completing foundation programme, and the number of trainees applying to paediatrics has been in decline in recent years. The NHS is at 'breaking point', exacerbated by workforce shortages, chronic underfunding, increasing service demand and poor job satisfaction within healthcare workers. Issues in recruitment and retention of paediatricians 'threaten the safety of our children's health', according to the Royal College of Paediatrics and Child Health.
To explore what strategies have been described in the literature to enhance recruitment and retention in paediatrics.
A scoping review methodology was conducted, employing a qualitative approach to review the literature. The studies included were English-language studies. 16 full-text articles were reviewed and analysed.
There is a paucity of data in the literature that describes evidence-based approaches to enhancing retention and recruitment in paediatrics. The most important strategies employed to help are identified and grouped into six main themes. These include professional advocacy, workforce diversity, mentorship, improving working conditions, career flexibility and enhancing educational opportunities. The authors have created a 'paediatric pipeline' paradigm of 'identify, engage, recruit, retain and champion', which allow us to present these themes in a pragmatic way for paediatricians and policymakers.
While some issues share similarities with other specialties in difficulty, much of the context and potential remedies within paediatrics are distinct. A strategic, multi-agency collaborative approach is required urgently to address the significant issues that face both paediatrics and the healthcare system.
在英国，近年来完成基础培训计划的初级医生人数和申请儿科培训的人数都有所下降。由于劳动力短缺、长期资金不足、服务需求不断增加以及医疗保健工作者工作满意度低，国民保健制度正处于“崩溃的边缘”。根据皇家儿科学会的数据，儿科医生招聘和留用方面的问题“威胁到儿童健康的安全”。
探讨文献中描述了哪些策略来加强儿科的招聘和留用。
采用范围综述方法，采用定性方法对文献进行综述。纳入的研究为英文研究。共回顾和分析了 16 篇全文文章。
文献中描述了许多有助于提高儿科留用和招聘的循证方法的数据很少。确定并将最重要的策略分为六个主要主题。这些主题包括专业倡导、劳动力多样性、指导、改善工作条件、职业灵活性和增强教育机会。作者创建了一个“儿科人才管道”模式，即“识别、参与、招聘、留用和支持”，使我们能够以一种务实的方式向儿科医生和政策制定者展示这些主题。
虽然一些问题与其他专业的困难有相似之处，但儿科的许多背景和潜在的补救措施是独特的。需要采取战略性的、多机构合作的方法来解决儿科和医疗保健系统面临的重大问题。
