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Innovative recruitment and clinical orientation programme to manage NHS junior doctor shortfall: A district hospital
Syed Rehan Quadery1, Hamid Roodbari2, Pradeep Pardeshi1
1Epsom and St Helier University Hospitals NHS Trust, Carshalton, UK.
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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