workshop m... · 2018. 9. 28. · dr sujesh bansal, trust international tutor...
TRANSCRIPT
WorkshopInternational Medical Graduates:
Nurturing a new workforce
Dr Sujesh Bansal, Trust International Tutor
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
International Doctors' / MTI Support Network: Recruit/Induce/Support/Manage/Train/Retain:
Recruiting & Supporting International Doctors
Contact:
Dr Sujesh Bansal