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GM Baxter
- Dept. of Radiology
Trainee Retention in Scotland 2018 The Highland Clearing: Gonnae - - PowerPoint PPT Presentation
Trainee Retention in Scotland 2018 The Highland Clearing: Gonnae - - PowerPoint PPT Presentation
Trainee Retention in Scotland 2018 The Highland Clearing: Gonnae nae do that!! GM Baxter Dept. of Radiology Glasgow G11 6NT grant.baxter@ggc.scot.nhs.uk Trainee Retention in Scotland 2018 Why has this arisen?? Demand Chronic under
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DIAGNOSTIC IMAGING
CANCER V.T.E STROKE TRAUMA CLOSER TO HOME CARE
EMERGENCY AMBULATORY CARE
Core NHS activities dependent on clinical radiology PATIENT OUTCOMES SERVICE IMPROVEMENT PATIENT SAFETY CLINICAL RADIOLOGIST
VETTING JUSTIFY PROTOCOL
RADIATION PROTECTION TEACHING TRAINING
RESEARCH AUDIT QUALITY IMPROVEMENT
MANAGEMENT SERVICE DEVELOPMENT
ACQUIRING IMAGES
INTERVENTION
DIAGNOSTIC REPORTING
CONSULTATION
MDTM The role of the clinical radiologist
CANCER MDTMs
NEURO
SARCOMA
HEAD/ NECK ENT
LUNG
HAEM LYMPHOMA
G.U.
HEP BILIARY BREAST LOWER G.I. UPPER G.I. GYNAE PAEDS
Non-Cancer MDTMs
RHEUM NEURO CARE OF ELDERLY HEAD/ NECK RESPIRATORY RENAL/ VASCULAR ACCESS MSK/ TRAUMA
ENT BREAST
GASTRO CARDIAC
ENDOCRINE PAEDS
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It’s not that difficult??
Percentage growth in the number of whole time equivalent (WTE) consultant clinical radiologists and imaging examinations – Scotland, 2010–2022
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Are we the same specialty?
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fEVAR Carotid stenting Renal stents Vertebroplasty IVC filters Interventional
- ncology
Colonic stenting CCS VI Renal denervation SFA stents embolisation RF, Cryo
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Unfilled posts Retention young and old
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Trainee Retention in Scotland 2018 Potential solutions National Local Has anyone asked the trainees? Applications to radiology
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The most popular reason for working in Scotland is proximity to family and friends, followed by working conditions, lifestyle and on call frequency. All regions were popular enough to be considered for consultant post
Working in Scotland
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Scottish Consultant recruitment
76% felt a financial package may help attract them to a Scottish post; A group move of newly appointed consultants to one Health Board was felt by 87% to be an attractive option. Two most popular ways to attract to HB would be flexible working and remote working.
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Overseas Training
. If a high quality fellowship was available in Scotland, 75% said they were likely to consider it.
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End of career crystal ball Only 30.3% of trainees felt UK recruitment should
- remain. Almost 50% supported Scottish
recruitment. 80% felt Scottish recruitment would or may increase retention and increase number of trainees attaining a job in Scotland. Only 20% expect to retire at 60 years
- f age or less.
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So what do we do?? Appoint and retain staff Advertise outwith Scotland Use technology: reporting teaching ?Scottish Academy Boost trainee numbers big time Financial inducements Improve environment and employment conditions Tie trainees to Scotland for fixed period Scottish fellowships post CSST Flexible and home working Buy in from govt - this is important Radiology needs to speak up
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Outsourcing £5m/yr and climbing Cancer Strategy £10m for Imaging Locum and support costs £12m/yr Cost of extra 15 trainees/yr for 5 years £7.5m Future Savings with sensible investment
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Trainee Retention in Scotland 2018 Incentivisation Local National Environment and working conditions Financial Voluntary or enforced
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