supervising international doctors: challenges & opportunitiescmft.nhs.uk/media/1721305/sujesh...
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Supervising International doctors:
Challenges & Opportunities
Dr Sujesh Bansal
Trust International Tutor & Consultant Anaesthetist
Central Manchester University Hospitals
3rd Nov 2016
Central Manchester University Hospitals
CMFT ~ 70 – 80 international doctors recruited every year
New starters Nov 2013 - Oct 2014
All grades 283
British 171
non-British 112
Europe 49
outside Europe 63
Clinical Fellows 159
British 84
non-British 75
Europe 25
outside Europe 50
Robust Recruitment process
• Gap analysis of junior rota
• Identify educationally relevant posts
• Robust recruitment OSCE style process with multidisciplinary/multi-speciality involvement
Robust Recruitment process
• Gap analysis of junior rota
• Identify educationally relevant posts
• Robust recruitment OSCE style process with multidisciplinary/multi-speciality involvement
Robust Recruitment process
• Gap analysis of junior rota
• Identify educationally relevant posts
• Robust recruitment OSCE style process with multidisciplinary/multi-speciality involvement with learning gaps identified and appropriate rota tier identified
• Supernumerary Clinical Observership
• Enhanced induction
CF: Aspirations
Clinical Fellows/ EEA Fellows:
1st job in UK
Tertiary UK clinical experience
CV : for ST jobs / Consultant job
Specialist experience
Coasting…
Speciality experience:
Post-CCT experience
CESR
Education
MTI International Fellows:
UK experience, UK career
“lack of relevant information about legal, ethical and professional standards and guidance prior to registration…..”
Organise Enhanced Induction
• E-LfH Induction for International Doctors
• Corporate/ Clinical/ ANTT/ BLS/ Pain
• Trust Email i.d.
• IT software training & various passwords
• Transfer training (Inter/Intra)
• A&E session
• ITU session
• IMPACT/? ALERT / ALS
CLINICAL
Management & QI Projects
Research
Teaching
‘Online’ Induction
Supervisors
INCREASED SUPPORT
Peer ‘Buddy’
‘Online’ Induction
CMFT International Induction
Provide Enhanced Educational Supervision
• Aware of needs of International doctors
• Initial meeting / IAC
• Frequent meeting /Peer Buddy
• 3 - 6 monthly ES report (proactive/patient approach) – WPBA (CBD, DOPs, ACEX, ALMAT)
– MSF
– Logbook
– CPD matrix
– Encourage Study Leaves
– Audit/QI
Peer Buddy System
Encourage C P D • 10 to 30 days of study leave
• £805 / year
• Internal
– Audit & Clinical effectiveness day
– Journal club
– Morbidity & mortality meetings
– Local Exam Preparation Courses
– Free days organised by the Trust / Deanery / Locally
• External
– Specialist societies
**Annual Appraisal** • Trust Employees
– Concerns re. poor engagement
• 12 monthly appraisal (9-15 months)
• Agree on appraisal date on induction
– Birthday, Previous ARCP date, Pragmatic approach
• Contact for Equiniti portfolio ([email protected])
• Bespoke workshop on Equiniti portfolio
• Maintain portfolio (Online + Paper)
• All CS/ES paperwork
Management of CFs
• Use Trust policy
• Involve CS, ES, Tutors, CD, MD
• Advice from Postgraduate Medical Education Department
– Dr Mark Forrest, Dr Sujesh Bansal
• Might need to involve
– Human Resources
– Occupational Health
Examination & International Doctors
• Additional training for international medical graduates to enable their adaptation to the UK healthcare system.
• Diversity of examiners and actors, the type of cases included in the examination and the feedback given to candidates
• Deaneries: – Additional training support
– Rotation in proven stronger training hospitals
– Trainers are given additional support.
The Specialist Register - Equivalence
• 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
• In 2015 – 264 CESR (49.4%)
– 18 CEGPR (56.2%)
Know the Challenges/opportunities • What does IMG wishes to achieve over the next few years?
• What training or resources would this require?
• Would this need a change in their current job?
• Strengths?
• Weaknesses? why ?
resources, further training, personality, systemic, remedies?
• What guidance or help do they need? Who? How?
• Clinical/training/organisational.