Transcript Factors Influencing Recruitment and Retention of

FACTORS INFLUENCING
RECRUITMENT AND
RETENTION OF
FOUNDATION DOCTORS
IN GEOGRAPHICALLY
UNPOPULAR LOCATIONS
Dr Joanne Curran
Honorary Research Fellow
University Hospitals of Morecambe Bay Foundation
NHS Trust
OVERVIEW
 Foundation
Programme Applications
 Setting the scene
 North West Foundation School
 Project Outline
 Methods
 Results
 Conclusions
FOUNDATION PROGRAMME
OVERSUBSCRIPTION
Initial Oversubscription
Number allocated to a track via
reserve list
295
Withdrew from process before final
track allocation
269
235
215
180
169
81
75
26
11
2011
20
6
2012
2013
2014
UNIVERSITY HOSPITALS OF
MORECAMBE BAY FOUNDATION
NHS TRUST
Start
Foundation
Year 1
Foundation
Year 1
Vacancies
Start
Foundation
Year 2
Foundation
Year 2
Vacancies
Aug 2011
2
Aug 2012
3
Aug 2012
2
Aug 2013
3
Aug 2013
0
Aug 2014
1
Aug 2014
2
Aug 2015
-
1
2
3
4
PROJECT
Questionnaire and Focus Group
Final year medical students from Lancaster
Medical School
 Foundation Year 1 doctors from UHMBFT
 Foundation Year 2 doctors from UHMBFT
 Foundation Year 1 doctors from CMFT
 Foundation Year 2 doctors from CMFT

DOES FOUNDATION TRAINING
LOCATION HAVE A BEARING ON
SUCCESS IN SPECIALTY RECRUITMENT?
Unsure
13%
Yes
48%
No
39%
SUCCESS AT SPECIALTY
RECRUITMENT
No Appointed to First
Choice Clinical
Programme - 2014
% Appointed to First Choice
Clinical Programme
CMFT
29
87.88%
UHMBFT
17
94.44%
Trust
FOUNDATION INFORMATION
Websites
Word of Mouth
Friends
Own Experience
Foundation Fair
Medical School
Trust
Seniors
0
% Usage by Applicants
20
40
60
80
100
SPECIFIC WEBSITE USAGE
5%
3%
1%
UKFPO/FPAS
6%
Deanery
6%
Trust
43%
Google Maps/Local
Websites
Unofficial Foundation
Sites
36%
Academic Foundation
Website
Other - GMC/IMG
CHOICE OF TRAINING BOARD
100
90
80
70
60
50
40
30
20
10
0
% of Responses
CHOICE OF HOSPITAL TRUST
100
90
80
70
60
50
40
30
20
10
0
% of Responses
SUGGESTED INCENTIVES
Extra Annual Leave
Childcare Help
Gym Membership
Improved Dr's Mess
1yr DGH/1yr TH
FY2 Abroad
Travel Bursary
More Pay/Lump Sum
Specialised Track
Research
Additional Qualification
Free Accommodation/Parking
0
10
20
30
40
50
60
70
WHY INVEST IN INCENTIVES?
Number of Withdrawals from Programme After Full
Application Process
2011-2014
10
9
8
UHMBFT
7
6
CMFT
5
4
3
2
1
0
2011
2012
2013
2014
REASONS FOR WITHDRAWAL FROM
FPAS AFTER ALLOCATION 20112014 CMFT – TOTAL 5
No reason
20%
40%
20%
20%
Pursuing
PHD
Deferred
entry
Other
REASONS FOR WITHDRAWAL FROM FPAS
AFTER ALLOCATION 2011-2014
UHMBFT – TOTAL 30
Returned to
Home Country
7%
Extra Time
Required at
Medical
School, illness
etc
10%
Failed
Professional
Linguistics
Assessment
Board
10%
Other
7%
FST
3%
Failed Exams
33%
No Reason
30%
WHY INVEST IN INCENTIVES?
GM GM GM GM GM GM GM GM LC LC LC LC
RECOMMENDATIONS




Introduce free/heavily subsidised high quality group
accommodation near hospital sites
Offer all Foundation trainees the opportunity for
additional relevant qualifications such as Clinical
Leadership or Clinical Teaching
Offer access to Research and Development
opportunities in areas trainees are most interested
in
Improve their presence on their local Foundation
School website as well as ensuring their own trust
website advertises the unique incentives their trust
offers in comparison to the rest of the school
ACKNOWLEDGEMENTS

I would like to thank Professor Anne Garden, Professor Paul
Baker, Dr Rachel Isba, Dr Laura Machin, the Foundation
Programme and Research & Development Teams at both
UHMBFT and CMFT, Lancaster Medical School and Manchester
Medical School, without whom this project would not have been
possible.
ETHICAL APPROVAL
o Full ethical approval for this project was obtained from
Lancaster University’s Faculty of Health and Medicine Research
Ethics Committee. Research and Development approval was also
obtained from UHMBFT and CMFT.