issues in surgical training 2011 royal college of surgeons in ireland
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Issues in Surgical Training Issues in Surgical Training
20112011
Royal College of Surgeons in Ireland
Surgical staffing 2011Surgical staffing 2011
Total = 1200
Consultants400
Training register NCHDs
400+
General register NCHDs
400
Figure 1
DynamicsDynamics
Consultants
Training register NCHDs
General register NCHDs
400
1. Average age at appointment – 38Vacancies – retirement, illness, resignation~ 20 / year
3 Training 12 years +Graduates 30-40/yearMatch depends on vacancies at the time
20
30-40
80
30+
2. BST intake 80/yearwithdrawals over years 1-4other specialities
?
?
4 very few doctors in non-training posts progress into Consultants posts (EU equivalence process, IMC)
5. some non-EU doctors do progress into BST posts numbers
Figure 2
Medical MigrationMedical Migration
National Geographic 2010
Figure 3
Staffing issues 2011Staffing issues 2011
Total = 1200
Consultants400
Training register NCHDs
400+
General register NCHDs
400
60-80 vacancies
Figure 4
World medical workforceWorld medical workforce
Inhabitants per doctorIreland 360 (includes all registered doctors)
Ireland 1,700Pakistan 1,400
http://goo.gl/7kavT http://goo.gl/YVRm5
Figure 5
RCSI WorldwideRCSI Worldwide
Figure 6
Surgical staffing 2011Surgical staffing 2011
Consultants
Training register NCHDs
Figure 7
Surgical staffing 2011Surgical staffing 2011
Consultants
Training register NCHDs
Specialists nurses
Physician assistants
Reconfiguration
Figure 8
Strategy, plan, executionStrategy, plan, execution
• Crisis in staffing has been addressed with a short term solution• More radical approach needed to prevent recurrence/progression• Rapid work by a high level group to report in a short time frame is
required• Opportunity and need to restructure medical workforce
– grow consultant numbers (consultant-provided care):– Increase training places (to accommodate growing numbers of Irish/EU
graduates , provide those consultants and create more stable workforce structure
• Rapid development and extension of the role of nurse specialists • Consider (quickly) creation of new roles such as physician
assistants• Reconfiguration of specialist services to provide critical mass and to
ensure that patients have access to services of high quality will be crucial to this process.
• Redeploy, reskill and/or retrain where necessary
Figure 9
