Recruitment & Education in Orthopedics Survey among EBOT members Niels Wisbech Pedersen Denmark
21 of 25 (84%) of the listed members from 16 countries have answered There is still a chance to participate https://www.surveymonkey.com/s/6DJTPWL
Why do this survey? Impression from European colleagues that there are problems with recruitment Impression that there is a problem recruiting female doctors in Orthopedics Is there a connection between recruitment and education/working conditions/ recruitment initiatives? If possible make a catalogue on recruitment initiatives
Recruitment is not a widespread national problem! Germany Denmark Croatia
Recruitment is a common regional problem!
Recruitment problems – why? Too few students Low payment Working hours restriction Attraction of other health branches and administration Trainees in orthopedics have a heavy on call duty nights and weekends Bad reputation mainly among females, orthopedics considered hard, long on calls, rough atmosphere Only 3-4 weeks of education during the surgical term Long training period, low salary In fact, recruitment is not a problem but the fact that after or during residency a higher and higher percentage of them leave the country Many applicants don’t want to leave the capital area Socio-cultural differences between regions are major problems in recruiting residents to orthopedic departments in those areas Small hospitals in isolated areas without bigger cities
Some countries solve recruitment problems with foreign candidates Between 0 and 25 % of trainee positions are occupied by applicants from other countries
Exam is often needed – research is not a requirement
Are other qualifications evaluated for trainee positions Only formal requirements are medical school, internship, 21 months and license to practice Orthopedic residents are matched to orthopedic programs according to their performance and ranking in the general ''specialist training entrance exam'' 360 degree evaluation, cooporation Languages Individual after application in hospitals with accreditations for orthopedic training. Depends on the head of program whom he chooses The above are not mandatory but will gain points with scoring systems for short-listing before interview. Research, previous experience The trainee is chosen after a personal interview Graduated medical school
Most appointment procedures are performed at the hospitals
Individual job interviews are common
Most countries have a national competence based curriculum
Average working week for trainees: 48 hours
Almost all trainees have a supervisor
Most departments have a Education Responsible Doctor
Almost all have exams during trainee position
Most countries have specialist exams
Most have evaluation of knowledge and surgical skills during trainee position
Other evaluations of competences 360 evaluation and all 7 doctors competences evaluated (medical expert, academical, professional, health provider, leader and administrator, communicator, cooperator Log book for evaluation of skills in other medical fields and overview of per- formed or assisted surgeries. CME points from orthopedic meetings PBA (ankle fracture, prox. femur fracture, arthroscopy) Evaluations are not formalized and vary between hospitals Teaching Lecture presentations Tests after courses
Most have evaluation of knowledge, surgical skills and research before becoming a specialist
Other evaluations of competences These are optional but the majority of UK trainees will do some sort of fellowship training in a sub-speciality e.g. revision arthroplasty. This is done after passing the exam (FRCS T&O) and usually before CCT. Some trainees may do such a fellowship after CCT and before taking up a consultant position. You must either publish a paper in an orthopedic journal or write a theses on a specific orthopedic topic. Board exam with board from members of Universities, orthopedic society and Czech medical chamber 360 degree evaluation of doctors competences
Female doctors in Orthopedics
Female doctors in Orthopaedics
There seems to be a problem recruiting female doctors in Orthopaedics
Few countries accept part time work for female trainees - Few precautions following maternity leave - Little acceptance of leaving early to collect children from nursery school
Recruitment initiatives Medical students Basic doctors Trainees
Recruitment initiatives Medical students Presentations/meetings
Recruitment initiatives Medical students Workshops
Recruitment initiatives Basic doctors Presentations/meetings
Recruitment initiatives Basic doctors Workshops
Reduced fee Membership National Orthopedic Society
Other recruitment initiatives for basic doctors Residential positions in Universities Regional meetings for all trainees in one region with both scientific and social programs Locums during summer breaks in medical school Hands-on courses, cadaver courses, basic science summer schools Student information, summer school Meetings, workshops, website
Most countries have a National Board of Education
Half the countries have a National Board for Younger Doctors
Less than half have a website to facilitate recruitment
Recruitment doesn’t seem to be at significant national problem There are recruitment problems in regional areas in most countries The survey gives no explanation to regional recruitment problems
There are recruitment problems among female doctors Few precautions during pregnancy Few precautions following maternity leave Part time work among female doctors is not common The survey gives no other obvious explanations to recruitment problems
Most countries have exams on several educational levels Other competences seem to be of less importance except for surgical skills and to some extent research competences Most countries have taken several recruitment initiatives
Thank you for your help