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Recruiting to GP careers – a workshop to develop action Amanda Howe Professor of Primary Care, UEA Honorary Secretary RCGP
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Starter for 10 Who are you What do you do to assist recruitment? As an individual professional Within your organisation What are the opportunities at present? What are the problems / ‘threats’? Discuss and feed back
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The facts of the matter General practice as a speciality has insufficient suitable candidates to fill places, both at VTS selection and at exit. YearInitial Target Number Recruited Cumulative shortfall 20092,7002,519 181 20102,9002,782 299 20113,2002,787 712 20123,2002,678 1,234
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Factors involved Less people choose GP than are needed Lambert and Goldacre 2012 – 27% All studies last 10 years+ - 20-27% maximum Reasons (from literature) Lack of exposure / knowledge of GP as an option at u/g Poor role models Low status / stigmatised as ‘non- academic’ ‘soft option’ Difficulties in career structure and pathways [+ Positive placement / role models People orientation Family friendly / flexible career]
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Does it matter? 2022 consultation: ‘more GPs spending longer do more for their patients’ www.rcgp.org.uk/GP2022www.rcgp.org.uk/GP2022 Increasing need for GPs to play managerial and leadership roles Also many have / develop special interests Means that most F/T GPs (as for other specialities) do not work 11 sessions of clinical! And more people want to work part – time…. So tension between numbers needed and available Also tensions with other workforces ……..
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How common is a change of mind? Studies vary but …….. Around 20-25 % are pretty clear at entry and remain so Around 20-25% continue to swing and be uncertain after graduation This means there is a chance to change people towards GP!
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How can career choice be influenced? 7 factors: Perception of the career ahead Medical lifestyle Economics or politics (earnings, status) Ease of residency entry Influence of others Direct encouragement Positive clinical exposure Discouragement by a physician Personal capabilities competence or skills (likely professional strengths) N.B. significantly different effects on students who switched to family medicine than on students who switched out of family medicine….
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Who can help? GP departments in medical schools Deaneries RCGP and faculties Current GP teachers Current and recent trainees Patients Media Others?
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And what about global recruitment?
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So what needs to be done? Options SWOT analysis Discuss and feed back ………
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In conclusion Actions are needed at personal, local, regional, and national (also international) levels Immediate need to link up career efforts for GPs in medical schools, deaneries and RCGP Faculties Strategic input to LETBs is crucial but difficult Tension between increasing candidates and increasing capacity (including for extended training) MUST be addressed What will MEG do?
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