workshop m... · 2018. 9. 28. · dr sujesh bansal, trust international tutor...

WorkshopInternational Medical Graduates:

Nurturing a new workforce

Dr Sujesh Bansal, Trust International Tutor

Sujesh.Bansal@mft.nhs.uk

Manchester University NHS Foundation Trust

Nurture: Care for and protect while they are growing

Educational Supervisor Peer Buddy

Unused training

capacity & Rota Gaps

Unfilled ST posts

12%

Reduced ST posts

Mixed Messages for IMGs

Need for increasing

on-call cover

Post F2

‘gap’ year

(50.4% ST)

Doctors added to the LRMP by World Region of PMQ for 2007 - 2016

Trust can attract

UK Trainees Non-ST

Experienced IMG’s already

in the UK

New IMGs sponsored to

come to the UK

Trust Trainees/ Parallel Curriculum

Trust can attract

UK Trainees OOP

Experienced IMG’s already

in the UK

New IMGs sponsored to

come to the UK

Trust Trainees/ Parallel Curriculum

Research

Education

Experience

Exam

CESR

Fellowships(Senior Rota)

Rotational

Junior/Senior

CESR

RISK FACTORS (GMC)

“doctors with a PMQ from outside the UK were more likely to be referred to NCAS, or be excluded or suspended

from work (by NCAS), than UK medical graduates”

UK PMQ trainee

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IMG – Do not prejudge

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Support Structure: Deanery trainee

ST trainee or

College Tutor

Speciality School

International Doctors

Our experience: Issues

• Independent lists (worked as SAS)

• Not called for help in A&E (worked as SAS)

• Not understanding the work culture (NEW)

• No UK experience in transfer, A&E, solo (NEW)

• Attitude

• Motivation

• WPBA, CPD, Teaching

How can we ensure that international doctors progress in

their professional career?

Group Work

What are the aspirations of International Doctors working in your

department?

Aspirations

Clinical Fellows/ EEA Fellows:

Starting 1st job in UK

Wants Tertiary UK clinical experience

Wants to build their CV : for ST jobs / Consultant job

applications

Wants specific Specialist clinical experience

Coasting…

Speciality experience like:

Post-CCT experience

CESR

Education

MTI International Fellows:

UK experience, UK career

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

Advert

JD, PS, App

Pre-interview support:

Open communication

channel

Interview

Right person – Right Job

Post-interview

Support: HR & Visa,

Accommodation, Induction

Joining: Named

Supervisor, Enhanced Induction

ES Meetings

CPD/PDP

/Appraisal /

Career advice

Exam/

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

CLINICAL

Management & QI Projects

Research

Teaching

‘Online’ Induction

Supervisors

INCREASED SUPPORT

Peer ‘Buddy’

Induction

E-LfH Online Induction for International Doctorswww.e-LfH.org.uk

• Generic content– Ethical, Legal, Social, Professional & Patient Safety Aspects of UK Clinical Practice

– Suitable for all specialities and for all levels of International doctors

• Available for all employers in the UK

• Free to use

• Can be completed overseas by doctors

• Will act as trigger for further discussions at Local levels with the Educational Supervisor

Peer ‘Buddy’ Support System

#lha14

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

How can ES help?

• Professional Support (Educational Supervisor – enhanced)

• Enhanced induction

• Make daily working life easier

• Maximum out of daily learning opportunities

• Study leave / CME

• Royal College Examinations

• Appraisal / revalidation

• Strengthen human resources / medical staffing

• Social Peer buddy (Family support, network, settling in, shopping, transport)

Enhanced Educational Supervision

• Initial meeting with ES / IAC

• Frequent meeting with ES/Peer Buddy

• 3 - 6 monthly ES report

– WPBA (CBD, DOPs, ACEX, ALMAT)

– MSF

– Logbook

– CPD matrix

– Encourage Study Leaves

– Audit/QI

CLINICAL

Management & QI Projects

Research

Teaching

CLINICAL

CESR Fellowship Programme

The Specialist Register via Equivalence CESR / Article 14

• Non-UK trained doctors can also apply to join the specialist register

• They must demonstrate that their knowledge, skill and experience is equivalent to that of a CCT holder

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CESR

for CESR trainees

HEE document

To ensure International doctors get maximum out of their post

• Encourage

– Open attitude to learning & re-learning

– Self-awareness

– Reflective practice

– Awareness of impact of culture on performance

– Work under pressure

– Stress management

– Resilience

Enhanced Educational

Supervision & Appraisal to

develop relevant PDP

Enhanced Induction

& Support

Robust Recruitment

GIRFT

International Doctors' / MTI Support Network: Recruit/Induce/Support/Manage/Train/Retain:

Recruiting & Supporting International Doctors

• Contact:

• Dr Sujesh Bansal

• Sujesh.Bansal@mft.nhs.uk

International Doctors' / MTI Support Network: Recruit/Induce/Support/Manage/Train/Retain:

Recruiting & Supporting International Doctors

Contact:

Dr Sujesh Bansal

Sujesh.Bansal@mft.nhs.uk