scholarly journals Building a local medical workforce in Tasmania: where are international fee-paying medical graduates likely to work?

2017 ◽  
Vol 17 (3) ◽  
Author(s):  
Colleen Cheek ◽  
Richard Hays ◽  
Penny Allen ◽  
Gary Walker ◽  
Lizzi Shires
Keyword(s):  
Medical Workforce ◽  
Medical Graduates

Achieving self-sufficiency: training Australia’s future medical workforce

2018 ◽  
Vol 42 (6) ◽  
pp. 640
Author(s):  
Brian Fernandes ◽  
Edward R. Scheffer Cliff ◽  
Amelia Chowdhury
Keyword(s):  
Vocational Training ◽  
Junior Doctors ◽  
International Medical Graduates ◽  
Medical Workforce ◽  
Rural And Remote ◽  
Remote Areas ◽  
Medical Graduates ◽  
Department Of Health ◽  
Self Sufficiency ◽  
Rural And Remote Areas

There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals.

scholarly journals Rural Work and Specialty Choices of International Students Graduating from Australian Medical Schools: Implications for Policy

2019 ◽  
Vol 16 (24) ◽  
pp. 5056 ◽  
Author(s):  
Matthew R. McGrail ◽  
Belinda G. O’Sullivan ◽  
Deborah J. Russell
Keyword(s):  
International Students ◽  
Medical Schools ◽  
Medical Workforce ◽  
Medical Work ◽  
Policy Makers ◽  
Logistic Regression Models ◽  
Medical Graduates ◽  
National Medical ◽  
Rural Work ◽  
Domestic Medical

Almost 500 international students graduate from Australian medical schools annually, with around 70% commencing medical work in Australia. If these Foreign Graduates of Accredited Medical Schools (FGAMS) wish to access Medicare benefits, they must initially work in Distribution Priority Areas (mainly rural). This study describes and compares the geographic and specialty distribution of FGAMS. Participants were 18,093 doctors responding to Medicine in Australia: Balancing Employment and Life national annual surveys, 2012–2017. Multiple logistic regression models explored location and specialty outcomes for three training groups (FGAMS; other Australian-trained (domestic) medical graduates (DMGs); and overseas-trained doctors (OTDs)). Only 19% of FGAMS worked rurally, whereas 29% of Australia’s population lives rurally. FGAMS had similar odds of working rurally as DMGs (OR 0.93, 0.77–1.13) and about half the odds of OTDs (OR 0.48, 0.39–0.59). FGAMS were more likely than DMGs to work as general practitioners (GPs) (OR 1.27, 1.03–1.57), but less likely than OTDs (OR 0.74, 0.59–0.92). The distribution of FGAMS, particularly geographically, is sub-optimal for improving Australia’s national medical workforce goals of adequate rural and generalist distribution. Opportunities remain for policy makers to expand current policies and develop a more comprehensive set of levers to promote rural and GP distribution from this group.

scholarly journals Adverse effects on health and wellbeing of working as a doctor: views of the UK medical graduates of 1974 and 1977 surveyed in 2014

2017 ◽  
Vol 110 (5) ◽  
pp. 198-207 ◽  
Author(s):  
Fay Smith ◽  
Michael J Goldacre ◽  
Trevor W Lambert
Keyword(s):  
Adverse Effects ◽  
Medical Workforce ◽  
Health Service Provision ◽  
Women Doctors ◽  
Medical Graduates ◽  
Health And Wellbeing ◽  
Need Support ◽  
Hospital Doctors ◽  
The Uk ◽  
Stress Work

Summary Objective To report on any adverse effects on health and wellbeing of working as a doctor, as described by senior doctors. Design Questionnaires sent in 2014 to all medical graduates of 1974 and 1977. Participants 3695 UK medical graduates. Setting United Kingdom. Main outcome measures Statements about adverse effects upon health, wellbeing and career. Results The aggregated response rate from contactable doctors was 84.6% (3695/4369). In response to the question ‘Do you feel that working as a doctor has had any adverse effects on your own health or wellbeing?’, 44% of doctors answered ‘yes’. More GPs (47%) than hospital doctors (42%) specified that this was the case. Three-quarters of doctors who answered ‘yes’ cited ‘stress/work–life balance/workload’ as an adverse effect, and 45% mentioned illness. In response to the statement ‘The NHS of today is a good employer when doctors become ill themselves’, 28% of doctors agreed, 29% neither agreed nor disagreed and 43% disagreed. More women doctors (49%) than men doctors (40%) disagreed with this statement. More general practitioners (49%) disagreed than hospital doctors (37%). Conclusions Chronic stress and illness, which these doctors attributed to their work, were widely reported. Although recent changes may have alleviated some of these issues, there are lessons for the present and future if the NHS is to ensure that its medical workforce receives the support which enables current doctors to enjoy a full and satisfying career and to contribute fully to health service provision in the UK. Older doctors, in particular, need support to be able to continue successfully in their careers.

scholarly journals Navigating the challenges of medical English education: a novel approach using computational linguistics

2016 ◽  
Author(s):  
Alberto A Gayle
Keyword(s):  
English Education ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Workforce ◽  
Prepositional Phrases ◽  
Medical Graduates ◽  
Medical Language ◽  
Medical English ◽  
Increased Risk ◽  
English Speaking

Recent studies have shown that International medical graduates (IMG) comprise a substantial and increasingly larger share of the medical workforce, internationally. IMGs wishing to work in English-speaking countries face many challenges. And overcoming such challenges plays an important role in ensuring a more comfortable transition and improved outcomes for patients. This study addresses one such area of concern: the efficient acquisition of advanced language competence for use in the medical workplace. This research also addresses the needs of medical students and practitioners in other countries, where English is not the primary language. Medical terminology and phrasing is based on a tradition spanning more than 2500 years—a tradition that cuts across typical linguistic and cultural boundaries. Indeed, as is commonly understood, the language required by doctors and other medical professionals varies substantially from the norm. In the present study, this dynamic is exploited to identify and characterize the language and patterns of usage specific to medical English, as it is used in practice and reporting. Overall, constructions comprised of preposition-dependent nouns, verbs and adjectives were found to be most prevalent (38%), followed by prepositional phrases (33%). The former includes constructions such as “present with”, “present to”, and “present in”; while constructions such as “of … patient”, “in … group”, and “with … disease” comprise the latter. Preposition-independent noun and verb-based constructions were far less prevalent overall (18% and 5%, respectively). Up to now, medical language reference and learning material has focused on relatively uncommon, but essential, Greek and Latin terminology. This research challenges this convention, by demonstrating that medical language fluency would be acquired more efficiently by focusing on prepositional phrases or preposition-dependent verbs, nouns, and adjectives in context. This work should be of high interest to anyone interested in improved communication competence within the English-speaking medical workplace and beyond. What is already known on this subject : * International medical graduates make up a substantial portion of the medical workforce * Imperfect medical English creates challenges for international medical graduates * Subideal language impacts credibility and has been associated with increased risk to patients What this paper adds : * Preposition-dependent terms, following Germanic usage patterns, dominate medical English * Complex terms derived from Greek and Latin are far less prevalent than assumed * Medical English learning expected to be expedited by focus on preposition-dependent terms

Local and regional workforce return on investment from sponsoring rural generalist-based training for medical students

2021 ◽  
Vol 45 (2) ◽  
pp. 230
Author(s):  
Scott Kitchener
Keyword(s):  
Health Service ◽  
Capital Investment ◽  
Clinical Training ◽  
Early Career ◽  
Health Facilities ◽  
Medical Workforce ◽  
Medical Graduates ◽  
Training Capacity ◽  
Medical Programs

The objective of this case study was to examine and evaluate the retention of medical graduates for a hospital and health service partnering with a university to deliver a rural medical program. Eight cohorts of the Griffith Rural Medical Longlook program were followed for workforce outcomes, including both rural and local workforce outcomes for the Darling Downs Hospital and Health Service (DDHHS) and the region. The DDHHS partnered with Griffith Health for capital investment in the region, creating three main campuses in rural generalist hospitals and augmented resources in other rural health facilities. Most (60%) medical graduates placed for a year or more on the Longlook program chose regional internships in Queensland, including 31% who chose internship in the DDHHS. Students spending 2 years on the program in the DDHHS were more likely to remain for local internship (odds ratio (OR) 5.7) and to be practicing locally after internship (OR 3.3). Local retention of medical graduates from the partnership between the Faculty of Health at Griffith University and the DDHHS to establish and conduct the Rural Medical Longlook Program includes resourcing and utilisation of spare training capacity in rural generalist hospitals and in addressing junior medical workforce recruitment. What is known about the topic?Rural medical programs improve choice of regional centres for early career placements. Rural longitudinal integrated clerkships (LICs) are effective in influencing regional choices for early medical career placements. What does this paper add?This was a case study on the local retention of medical graduates for health services sponsoring rural medical programs. LICs are sustainable in rural generalist hospitals to increase clinical training capacity. There is evidence for longer rural placements improving rural retention, specific for rural LICs. Longer LICs are more effective in influencing regional internship choices and regional retention, as well as local internship choice and local retention. What are the implications for practitioners?Investment in increasing clinical training capacity in rural generalist health facilities can produce significant retention of medical graduates for the junior medical workforce. Retaining students in the regional health service for longer periods increases the likelihood of retention upon graduation.

Training less than full-time in surgery

2008 ◽  
Vol 90 (4) ◽  
pp. 122-124
Author(s):  
Janet Walls
Keyword(s):  
Annual Report ◽  
Poor Quality ◽  
Career Progression ◽  
Work Life ◽  
Full Time ◽  
Medical Workforce ◽  
Life Balance ◽  
Medical Graduates ◽  
Individual Rate

To quote the chapter on 'Women in Medicine' in the chief medical officer's annual report, 'Today the problem is not access to medical school but rather how we ensure that the female medical workforce is able to fulfil its potential once in employment.' I would go further than this and extend the premise to all medical graduates entering a career in surgery. One of the main obstacles to career progression in surgery is the perceived poor quality of life while training. More latterly and more worryingly, this has extended to the belief that life as a consultant surgeon in the future will afford horizons no further than the theatre walls within which we work. One of the possible ways to try and improve work–life balance is to extend the period of time taken for training, such that surgical competency is achieved at an individual rate.

scholarly journals Navigating the challenges of medical English education: a novel approach using computational linguistics

2016 ◽  
Author(s):  
Alberto A Gayle
Keyword(s):  
English Education ◽  
International Medical ◽  
International Medical Graduates ◽  
Medical Workforce ◽  
Prepositional Phrases ◽  
Medical Graduates ◽  
Medical Language ◽  
Medical English ◽  
Increased Risk ◽  
English Speaking

Recent studies have shown that International medical graduates (IMG) comprise a substantial and increasingly larger share of the medical workforce, internationally. IMGs wishing to work in English-speaking countries face many challenges. And overcoming such challenges plays an important role in ensuring a more comfortable transition and improved outcomes for patients. This study addresses one such area of concern: the efficient acquisition of advanced language competence for use in the medical workplace. This research also addresses the needs of medical students and practitioners in other countries, where English is not the primary language. Medical terminology and phrasing is based on a tradition spanning more than 2500 years—a tradition that cuts across typical linguistic and cultural boundaries. Indeed, as is commonly understood, the language required by doctors and other medical professionals varies substantially from the norm. In the present study, this dynamic is exploited to identify and characterize the language and patterns of usage specific to medical English, as it is used in practice and reporting. Overall, constructions comprised of preposition-dependent nouns, verbs and adjectives were found to be most prevalent (38%), followed by prepositional phrases (33%). The former includes constructions such as “present with”, “present to”, and “present in”; while constructions such as “of … patient”, “in … group”, and “with … disease” comprise the latter. Preposition-independent noun and verb-based constructions were far less prevalent overall (18% and 5%, respectively). Up to now, medical language reference and learning material has focused on relatively uncommon, but essential, Greek and Latin terminology. This research challenges this convention, by demonstrating that medical language fluency would be acquired more efficiently by focusing on prepositional phrases or preposition-dependent verbs, nouns, and adjectives in context. This work should be of high interest to anyone interested in improved communication competence within the English-speaking medical workplace and beyond. What is already known on this subject : * International medical graduates make up a substantial portion of the medical workforce * Imperfect medical English creates challenges for international medical graduates * Subideal language impacts credibility and has been associated with increased risk to patients What this paper adds : * Preposition-dependent terms, following Germanic usage patterns, dominate medical English * Complex terms derived from Greek and Latin are far less prevalent than assumed * Medical English learning expected to be expedited by focus on preposition-dependent terms

scholarly journals International Medical Graduates - Asset or Liability?

2020 ◽  
Vol 14 (1) ◽  
pp. 1-6
Author(s):  
Shailja Chaturvedi
Keyword(s):  
Developing Countries ◽  
Host Country ◽  
Western World ◽  
International Medical Graduates ◽  
Highly Qualified ◽  
Medical Workforce ◽  
Scarce Resources ◽  
Osmotic Effect ◽  
Medical Graduates ◽  
Medical Manpower

One of the gains of globalisation is its osmotic effect of equalisation motivating all the countries to reach their potential. Human resource especially, medical manpower, determines the health of the nation. Developing countries are becoming increasingly aware, of using their scarce resources to train a doctor, only to lose it to the Western world. The article highlights the exploitation, and possible wastage of highly qualified medical workforce who, are accommodated to suit the needs of the host country irrespective of their previous qualifications and experience. The article also makes suggestions to recover and retain the talents of the country.

THE INVISIBLE WOMEN IN MEDICAL WORKFORCE: TIME FOR ACTION

2019 ◽  
Author(s):  
Zarrin Seema Siddiqui
Keyword(s):  
Social Media ◽  
Medical Doctors ◽  
Medical Workforce ◽  
Medical Graduates ◽  
The Invisible

With the advent of social media, a number of platforms are available for medical graduates to connect with each other in order to engage in formal and informal discussions related to the profession. There are many close groups managed by associations, institutions as well as there are ones privately managed by individuals and teams. Among privately created groups what stands out for me are the ones for female medical doctors from Pakistan.

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