Download - SAS DOCTORS IN 10 YEARS TIME
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SAS DOCTORS IN 10 YEARS TIME
Dr Ramana Alladi
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ROLE OF SAS DOCTORS
Large section of Medical work force in Anaesthetics
First line cover to ITU’s and Maternity departments
On-call and out of hours work District General Hospitals
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STATISTICS
RCOA CENSUS 2004Total Number of SAS doctors 1243
AAGBI Postal SurveySAS doctors 527
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SAS DOCTORS
Clinical Assistants
Associate Specialists
Staff Grade Doctors
Trust Grades
Hospital Practitioners
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CURRENT POSITION
30 % over 50 yrs of age 45 % between 40-50yrs of age
Large percentage will leave NHS in 10 yrs
Leaves a BIG GAP in the service
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INCREASING NUMBERS
Phasing out of SHO jobs Introduction of Foundation years Training De-recognition of Registrars’ jobs in DGHs Trainee hours are cut further Consultant hours are down to 10 sessions Foundation doctors fail to get on to the run
through the grade with MMC
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NEED FOR SAS IN NHS
To fulfil service needs To make up for shortage of
Consultant applicants To cope with increasing demands for
anaesthetic services
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WHO JOINS SAS GRADE?
By Choice Not keen on consultant responsibilities Not keen on post-graduate exams or
failed to get through Committed to the specialty and have
experience Wish to work part time
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WHO JOINS SAS GRADE?
Gap in service Too old and too experienced to join
SpR grade Not short listed Other interests in life and family
commitments
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SAS SURVEY 2005 AAGBI
40 % work 13 sessions 32 % work 11 sessions
65 % do 1 in 4 weekdays on-call50 % do 1 in 4 weekends on-call
A major part of work is cover for ITU and Maternity
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SAS SURVEY 2005 AAGBI
Many are performing consultant duties
70 % have post-graduate qualifications
50 % have > 10 yrs experience
43 % have English or Irish fellowships
75 % work full-time and 25 % part-time
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MAIN ISSUES FACING SAS DOCTORS Wide variation in job plans with no
guidelines for sessional allocation No pathways for Career Progression No established mechanism for up-
grading from Staff grade to Associate Specialist
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AMBITION FOR FUTURE
30 % - Will be in the same job
20 % - Will re-enter training programme to become a consultant
25 % - Up-grade to Associate Specialist
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IMPLICATIONS
There is a need for this grade There is a need for improvement of
working conditions There is a need for incentive and
recognition of work and increasing work load
Can cause disillusion among SAS doctors
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SAS ISSUES
Carrying out independent work but no independence
Work commitment is not commensurate with age, qualifications and experience
Foundation Drs fail to get on to the run through grade
Not experienced enough to qualify as Staff Grades
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SUGGESTIONS
Definite guidelines on job plans specific to Anaesthetics
Establishment of career pathways for completion of CCST Supernumery jobs, day release courses, in-
job training and assessment,allocation of jobs for SAS doctors exclusively
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SUGGESTIONS
Creation of a Specialist grade e.g. Europe Limited or modular accreditation to be a
specialist through assessment of competency
Increasing involvement in teaching and training
Creation of single spine with a two-tier system
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Role of AAGBI and Linkman SAS Committee and representation
AAGBI Glossy on Guidelines for SAS doctors
Guidance on contractual and educational issues
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Role of Linkman Encourage SAS colleagues to join the
Association Be sensitive to the needs and problems of
SAS members of the department Involve them in all the departmental
activities e.g., teaching, audit and training Identify SAS doctors that are enthusiastic
and encourage and assist to complete CCST
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FUTURE
PMETB New Contracts Availability of training and training
jobs for SAS doctors Changes in accreditation Dependant on Resources!
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Finally
There is a need
There is a demand
There is a pool
So the numbers will definitely increase
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IN 10 YEARS !?
Two-tier structure to make career progression easierincreased moralebetter motivationbetter reward for skilled work
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IN 10 YEARS !?
Work of staff grades better recognised
Foundation years trainees do not diminish the role of SAS doctors
Allow to transfer to the appropriate point for those who wish to return to training
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IN 10 YEARS ?!
New ContractEnhanced status of SAS group of
doctorsImprovement in payImprovement in terms and conditionsImplementation in April 2006A national contractTackle discrimination
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Thank you
Dr Ramana Alladi
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19%
49%
15%
1%
16%
Yes, compulsory Yes, compulsory
Yes, non-compulsory Yes, non-compulsory
No No
Don’t know Don’t know
Not applicable Not applicable
attend divisional meetings?attend divisional meetings?Do SAS doctors in your department Do SAS doctors in your department
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27%
2%
39%
16%
2%
14%
1.1. Yes, in theatre Yes, in theatre
2.2. Yes, out of Theatre (Lectures and Tutorials) Yes, out of Theatre (Lectures and Tutorials)
3.3. Yes, in and out of Theatre Yes, in and out of Theatre
4.4. No No
5.5. Don’t know Don’t know
6.6. Not applicable Not applicable
involved in teaching trainees? involved in teaching trainees? Are any of the SAS doctors in your department Are any of the SAS doctors in your department
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25%
51%
24%
1.1. With Consultant cover With Consultant cover
2.2. Without Consultant cover Without Consultant cover
3.3. Not applicable Not applicable
anaesthetiseanaesthetiseDo Associate Specialists in your department Do Associate Specialists in your department