RT Journal Article
SR Electronic
T1 Innovative recruitment and clinical orientation programme to manage NHS junior doctor shortfall: A district hospital experience
JF Future Healthcare Journal
JO Future Healthc J
FD Royal College of Physicians
SP 131
OP 136
DO 10.7861/fhj.2019-0047
VO 7
IS 2
A1 Syed Rehan Quadery
A1 Hamid Roodbari
A1 Pradeep Pardeshi
A1 Dilip Shah
A1 Hira Ahmed
A1 Seema Jain
A1 Jason Saridis
A1 Shakil Rahman
A1 Nithiyananthan Ratnasingam
A1 Caroline Ebdon
A1 Richard Bogle
A1 James Marsh
A1 Ruth Charlton
A1 Guan Lim
A1 David Makanjoula
A1 Daniel Camp
A1 Simon Winn
YR 2020
UL http://www.rcpjournals.org/content/7/2/131.abstract
AB 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.