1 / 15

Enhancing Transition into NHS: Pilot Shadowing Programme for Overseas Doctors

This study explores a pilot programme aimed at facilitating the transition of overseas doctors into the NHS. The programme addresses various issues identified in previous studies, including professionalism, ethics, communication, cultural differences, team working, and practicalities. The evaluation of the programme shows positive feedback from participants, with improvements observed in knowledge, skills, and practice. The programme is now embedded within the Trust and future plans include further sessions and expansion.

freddief
Download Presentation

Enhancing Transition into NHS: Pilot Shadowing Programme for Overseas Doctors

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Easing Transition into Working in the NHS: Piloting an Enhanced Shadowing Programme for Overseas Doctors J Metcalf#, H Woodun*, N Pierce#, J Golla#, D Basu#, D Cross~, A Smalldridge~, M Sykes~, M Keaney~, J Illing^ *3rd Year Medical Student, Newcastle University # North Tees and Hartlepool NHS Foundation Trust ~REACHE North West (Refugee and Asylum Seekers Centre for Healthcare Professionals Education) ^Durham University

  2. Aim and Background • Aim to facilitate transition to working in the NHS • 37% of NHS Doctors qualified overseas1 • GMC/DoHcommissioned reports identified issues: • Professionalism2,3 • Ethics4,5 • Communication/cultural differences4,5 • Team working4,5 • Practicalities4,5 • Trust funded pilot programme for overseas junior doctors

  3. Methods • 5 day programme pre FY shadowing July 2013 • Informed by literature and discussions with overseas doctors and supervisors within trust • Included NHS and Trust specific sessions • Engaged with REACHE to deliver sessions

  4. Week before Foundation ShadowingJuly 2013

  5. Methods: Evaluation • Ethical approval not required (by NRES) • Anonymised pre and post Likert scale questionnaires including • Knowledge of the structure of NHS • Awareness of communication issues/cultural diversity • Patient centred approach/team working • Ethical framework eg consent and confidentiality • Analysed using paired T-tests • Semi structured individual interviews and participant observation • Participants’ expectations • FAQs during sessions • Concerns/suggestions • Evaluation questionnaires for each session looking for themes

  6. Results • 7 participants • 3 foundation doctors • 2 international medical students • 1 refugee doctor • 1 clinical attaché • Response rates • Pre and post Questionnaires: 100% • Session Evaluations: 93.8% • Overall programme rated ‘very good’ (highest rating) by 100% of respondents

  7. Significant results *P=0.042 *P=0.011

  8. Verbal feedback

  9. Changes to practice

  10. Comments/Improvements

  11. Discussion: Strengths and Limitations • Strengths: • Valued by participants and Trust • Targeted, flexible and responsive training • REACHE highly skilled • Full evaluation underway • Limitations: • Small numbers/mixed group • Observer bias as evaluation by participant • Stigma • Time to release trainees • Measuring outcomes difficult as looking at whole career

  12. Discussion • Programme addressed issues identified by studies • Responsiveness to individuals was crucial • Participants identify on-going benefits: • One participant passed PLAB and now employed by Trust • Key identified improvements: • Patient centredness • Communication skills • Professionalism • Seeking help • Future programmes influenced by feedback • How to generalise locally, regionally, nationally?

  13. Future plans • Trust funded PhD student undertaking realistic evaluation • Follow up on 2nd/3rd July 2014 informed by feedback • More role plays for communication skills • Clinical simulation including human factors • 2nd programme May 2014 (2 days only) for juniors in Trust including clinical attachés and refugee docs • 3rd programme (full week) Autumn 2014 for new cohort

  14. Conclusion • Targeted programme to overseas doctors • Perceived Benefits for participants and Trust • Addressed issues around • NHS cultural values • Professionalism • Patient Safety • Ethics and communication skills • Practicalities • Now embedded (and funded) within Trust

  15. References • 1. http://www.gmc-uk.org/Primary_Medical_Qualification_2010.pdf_45103170.pdf • 2. NCAS 2011: UK National Patient Safety Agency. National Clinical Assessment Service: Concerns about professional practice and associations with age, gender, place of qualification and ethnicity - 2009/10 data (February 2011). http://www.ncas.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=95145 • 3. UK House of Commons Health Committee. Fourth report. Revalidation of Doctors. London: House of Commons, 2011. http://http//www.publications.parliament.uk/pa/cm201011/cmselect/cmhealth/557/55702.htm • 4. Illing, J et al. The experiences of UK,EU and non-EU medical graduates making the transition to the UK workplace: Full Research Report, ESRC End of Award Report. RES-153-25-0097. Swindon: ESRC 2009 • 5. Slowther A, Lewando Hundt GA, Purkis J, Taylor R. Experiences of non-K-qualified doctors working within the UK regulatory framework: a qualitative study. J R Soc Med 2012; 105:157-165.

More Related