Quadery, SR;
Roodbari, H;
Pardeshi, P;
Shah, D;
Ahmed, H;
Jain, S;
Saridis, J;
Rahman, S;
Ratnasingam, N;
Ebdon, C;
et al.
Quadery, SR; Roodbari, H; Pardeshi, P; Shah, D; Ahmed, H; Jain, S; Saridis, J; Rahman, S; Ratnasingam, N; Ebdon, C; Bogle, R; Marsh, J; Charlton, R; Lim, G; Makanjoula, D; Camp, D; Winn, S
(2020)
Innovative recruitment and clinical orientation programme to manage NHS junior doctor shortfall: A district hospital experience.
Future Healthc J, 7 (2).
pp. 131-136.
ISSN 2514-6645
https://doi.org/10.7861/fhj.2019-0047
SGUL Authors: Bogle, Richard
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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.
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