job satisfaction and the current job market for hospital based doctors in the uk dr celia gregson...
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![Page 1: Job satisfaction and the current job market for hospital based doctors in the UK Dr Celia Gregson Specialist Registrar in Elderly and Internal Medicine](https://reader036.vdocuments.us/reader036/viewer/2022070210/551914ca55034626428b4958/html5/thumbnails/1.jpg)
Job satisfaction and the current job market for hospital based doctors in the UK
Dr Celia Gregson
Specialist Registrar in Elderly and Internal MedicineFrenchay Hospital, Bristol
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The Current Job Market
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2005 Consultants and GP Numbers in the UK
GPs – 35,944
Consultants – 31,427
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2005 UK Consultants - Medicine
Cardiology 740Clinical oncology 417Medical oncology 217Endocrinology & DM 551Gastroenterology 702GUM 327Geriatric medicine 920Haematology 647Infectious diseases 111Neurology 468Palliative medicine 195Renal medicine 345Respiratory 625Rheumatology 507
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2005 UK Consultants - Surgery
General surgery 1,681Cardiothoracic surgery 231Plastic surgery 253Trauma and orthopaedic 1,569Urology 502Otolaryngology 530Oral & maxillo facial surgery 283Neurosurgery 180Opthalmology 815
O & G 1,446
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2005 UK Consultants - Others
Paediatrics 1,893
Histopathology 1,090Medical microbiology & virology 445Clinical radiology 1,967Public health medicine 681Dermatology 453
General Psychiatry 2,004Child and adolescent 595Old age psychiatry 521
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The Information Centre for health and social care Vacancies Survey, March 2006Vacancies in NHS Trusts - all staff groups
Table 1: Comparison of 2005 and 2006 data for main staff groups1,2,3
Number4 Rate Number4 Rate
Total Medical and dental staff (excluding training grades) 1,230 3.1% 730 1.8% Consultants 970 3.3% 560 1.9%
Other doctors and dentists (excluding training grades) 260 2.6% 160 1.7%
GPs (estimated rates) .. 2.4% .. 1.1%
March 2006March 2005
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Consultant Vacancies Survey, March 2006
All Consultants A&E Anaesthetics Oncology Dental
General Medicine O&G Paediatrics
Pathology group
PHM & CHS
group Psychiatry Radiology Surgery
England 564 27 37 7 12 109 9 33 72 8 141 51 57
North East 52 1 3 - - 11 1 3 4 - 16 4 9
North West 120 8 5 2 - 18 2 11 22 - 28 16 9
Yorkshire & Humber 70 1 9 1 3 15 1 1 8 1 15 5 11
East Midlands 43 2 3 - 3 6 - 4 3 - 15 4 3
West Midlands 43 2 8 1 1 6 1 1 2 3 8 6 4
East Of England 63 6 3 2 3 14 1 2 12 0 6 8 8
London 91 4 4 - 1 17 3 8 9 1 31 6 7
South East Coast 28 - 2 1 - 8 - 2 4 0 4 1 6
South Central 18 - - - - 3 - 1 3 1 8 1 1
South West 31 4 - - 1 11 - - 3 - 11 1 -
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Sept 2005: Numbers of Doctors in all grades in UK
Consultant 31,993
Associate Specialist 2,554
Staff Grade 5,527
SpR 18,006
SHO 21,642
HO/F1 4,663
All Staff 90,630
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NHS; The Information Centre www.ic.nhs.uk/statistics-and-data-coll
ections/workforce
Organisation for Economic Co-operation and Development www.oecd.org
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Postal questionnaire4221 Drs, qualified in 1999Surveyed towards end of first year2727 respondents, of whom 1326 codable
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65.2% ‘did not definitely intend to practise medicine in the UK’
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Considering leaving the UKWomen Men Total
Considering leaving the UKAll not definitely intending to practise medicine in the UK: (n=587) (n=460) (n=1047)
Working conditions 214 (36.5) 219 (47.6) 433 (41.4)
Lifestyle choices 412 (70.2) 270 (58.7) 682 (65.1)Work related purpose 124 (21.1) 60 (13.0) 184 (17.6)Other 5 (0.9) 7 (1.5) 12 (1.1)
Probably or definitely leaving: (n=100) (n=69) (n=169)
Working conditions 30 (30.0) 24 (34.8) 54 (32.0)
Lifestyle choices 80 (80.0) 52 (75.4) 132 (78.1)
Work related purpose 12 (12.0) 3 (4.3) 15 (8.9)
Other 2 (2.0) 7 (10.1) 9 (5.3)
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Considering leaving Medicine
Considering leaving medicine
All not definitely intending to practise medicine in the UK: (n=157) (n=121) (n=279)
Working conditions 114 (72.6) 96 (79.3) 210 (75.3)
Lifestyle choices 47 (29.9) 16 (13.2) 63 (22.6)Work related purpose 16 (10.2) 8 (6.6) 24 (8.6)Other 8 (5.1) 7 (5.8) 15 (5.4)
Probably or definitely leaving: (n=22) (n=20) (n=42)
Working conditions 16 (72.7) 12 (60.0) 28 (66.7)Lifestyle choices 8 (36.4) 6 (30.0) 14 (33.3)
Other 1 (4.5) 3 (15.0) 4 (9.5)
Women Men Total
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Reasons: UK working conditions
Poor working conditionsPoor state of NHSPoor working environmentBetter payShorter working hoursLack of respect / appreciationDemoralisedTaxes
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Reasons: Lifestyle choicesBetter QOLBetter standard of livingOutdoor lifeExperiencing other countries and culturesChange of sceneTravel & AdventureDesire to help developing worldFamily & Friends abroadBetter weather
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The Numbers Now?
Presently >30,000 Drs have applied for 20,000 training posts through MTAS
Up to 11,400 of these Drs may have qualified outside of EEA (may be working in UK) 7700 SHOs & 3700 Staff Grades Immigration rules….
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Medical school expansions….
6000 of applicants are F2 applying for ST1 – result of medical school expansion
Last 6 years – yearly medical graduates increased from < 4000 to 6000 a year in UK
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Who is applying for the 20 000 training posts across the UK?
Doctors in F2 posts: 6000 SHOs in England: 18 200 SHOs in Scotland, Wales, and NI: 4000 Doctors in staff grade posts in UK (out of a total of >6000): Not known Doctors working outside the European Economic Area (EEA): 2000 Doctors currently working inside
the EEA (but outside UK): Not known
Total: >30 200
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Number of available training posts?
BMA: 18 500
DoH: 23 000
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To Conclude…..