workshop m... · 2018. 9. 28. · dr sujesh bansal, trust international tutor...
TRANSCRIPT
![Page 1: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/1.jpg)
WorkshopInternational Medical Graduates:
Nurturing a new workforce
Dr Sujesh Bansal, Trust International Tutor
Manchester University NHS Foundation Trust
![Page 2: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/2.jpg)
Nurture: Care for and protect while they are growing
Educational Supervisor Peer Buddy
![Page 3: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/3.jpg)
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)
![Page 4: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/4.jpg)
Doctors added to the LRMP by World Region of PMQ for 2007 - 2016
![Page 5: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/5.jpg)
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
![Page 6: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/6.jpg)
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
![Page 7: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/7.jpg)
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”
![Page 8: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/8.jpg)
UK PMQ trainee
Mo
tivati
onE
xp
erie
nce
Image from Google
![Page 9: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/9.jpg)
IMG – Do not prejudge
Mo
tivati
on
En
gag
em
en
t
Image from Google
![Page 10: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/10.jpg)
Support Structure: Deanery trainee
ST trainee or
College Tutor
Speciality School
![Page 11: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/11.jpg)
International Doctors
![Page 12: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/12.jpg)
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
![Page 13: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/13.jpg)
How can we ensure that international doctors progress in
their professional career?
![Page 14: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/14.jpg)
Group Work
What are the aspirations of International Doctors working in your
department?
![Page 15: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/15.jpg)
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
![Page 16: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/16.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 17: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/17.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 18: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/18.jpg)
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/
![Page 19: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/19.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 20: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/20.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 21: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/21.jpg)
CLINICAL
Management & QI Projects
Research
Teaching
‘Online’ Induction
Supervisors
INCREASED SUPPORT
Peer ‘Buddy’
Induction
![Page 22: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/22.jpg)
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
![Page 23: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/23.jpg)
![Page 24: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/24.jpg)
![Page 25: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/25.jpg)
![Page 26: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/26.jpg)
![Page 27: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/27.jpg)
![Page 28: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/28.jpg)
Peer ‘Buddy’ Support System
![Page 29: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/29.jpg)
#lha14
![Page 30: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/30.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 31: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/31.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
![Page 32: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/32.jpg)
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)
![Page 33: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/33.jpg)
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
![Page 34: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/34.jpg)
CLINICAL
Management & QI Projects
Research
Teaching
CLINICAL
![Page 35: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/35.jpg)
CESR Fellowship Programme
![Page 36: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/36.jpg)
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
0
50
100
150
200
250
300
350
400
2009 2010 2011 2012 2013 2014 2015 2016
CESR
![Page 37: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/37.jpg)
for CESR trainees
HEE document
![Page 38: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/38.jpg)
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
![Page 39: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/39.jpg)
Enhanced Educational
Supervision & Appraisal to
develop relevant PDP
Enhanced Induction
& Support
Robust Recruitment
GIRFT
![Page 40: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/40.jpg)
International Doctors' / MTI Support Network: Recruit/Induce/Support/Manage/Train/Retain:
Recruiting & Supporting International Doctors
• Contact:
• Dr Sujesh Bansal
![Page 41: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/41.jpg)
![Page 42: Workshop M... · 2018. 9. 28. · Dr Sujesh Bansal, Trust International Tutor Sujesh.Bansal@mft.nhs.uk Manchester University NHS Foundation Trust. Nurture: Care for and protect while](https://reader036.vdocument.in/reader036/viewer/2022071001/5fbe66e209a3f244ac6ec8b8/html5/thumbnails/42.jpg)
International Doctors' / MTI Support Network: Recruit/Induce/Support/Manage/Train/Retain:
Recruiting & Supporting International Doctors
Contact:
Dr Sujesh Bansal