SAS doctors’ perceptions of their role in the NHS

Phazey, Gillian; Agius, Steven; Hayden, Jacky

doi:10.1136/bmj.e2819

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Given that they are outside of the mainstream medical training pathways, they are typically marginalized and given less priority than those if formal training pathways, and are often described as the "hidden heroes" of the UK National Health Service. 22 Twenty (4.0%) doctors were on the specialist register, working across 7 different specialty areas, and 36 (7.2%) were on the GP register. Given that inclusion on these registers occurs at the end of postgraduate training, the comparatively low numbers are likely to be explained by the different age profile of this group of doctors.…”

Section: Resultsmentioning

confidence: 99%

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English Language Medical Schools in China: An Analysis of International Medical Graduates Practicing in the UK

Rashid

Smith

Mayberry

2023

Journal of Medical Education and Curricular Development

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OBJECTIVES From 2006, the Ministry of Education in China has approved universities to provide undergraduate medical training in English, targeting fee-paying international students. Students on these courses can face challenges in their clinical training, particularly in the domains of communication and professionalism. This study examines the proportion of doctors qualified from such medical schools who are currently listed on the UK medical register. METHODS The UK General Medical Council register of medical practitioners was searched to identify doctors qualified from 33 Chinese medical schools who provide education in the English language. RESULTS As of February 2022, 502 doctors whose primary medical qualification is from a university offering English language education in China were registered on the UK medical register. Four hundred twenty-five (84.7%) of these doctors were aged 39 and under, approximately double the proportion of doctors in this age bracket overall. Three hundred forty nine (69.5%) were staff grade and associate specialist doctors, 109 (21.7%) were doctors in training, 36 (7.2%) were on the General Practitioner (GP) register, and 20 (4.0%) were on the specialist register. Among doctors in training, the most common specialty areas were in general practice and psychiatry that are both facing recruitment shortages in the UK at present. CONCLUSION A small but significant number of graduates whose medical training was in the English language in China are practicing medicine in the UK. These doctors are in younger age groups than the overall medical workforce, and are less likely to be in training, and specialist or GP posts. Among those in training, a high proportion are in GP and psychiatry training and could contribute to alleviating UK medical workforce shortages. Policymakers and educators should be mindful of the growing numbers of doctors qualified from these schools, and the additional support they may require considering the unique training environments they have encountered.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

English Language Medical Schools in China: An Analysis of International Medical Graduates Practicing in the UK

Rashid

Smith

Mayberry

2023

Journal of Medical Education and Curricular Development

View full text Add to dashboard Cite

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“…In terms of comparison with previous literature, it seems that those SAS doctors in Scotland who were interviewed feel more supported and valued than their English counterparts. 4,[6][7][8][9] This might be associated with different demographics, 11 (anecdotal) cultural differences between the NHS in Scotland and England and/or feeling valued because of benefiting from the Fund. A limitation of this study is that we did not Low priority and limited opportunities 'With SAS Doctors, it's more you're expected to cover the service, and you get opportunities for continuous professional development, but that is just limited to your choice, and perhaps the service needs, rather than your overall professional development'.…”

Section: Discussionmentioning

confidence: 99%

“…The literature highlights a recurring theme of difficulties faced by these doctors in terms of career progression and advice, 1 access to educational and development opportunities, 2,3 professional support, 4 continuing professional development 5 and overwhelmingly, morale. 4,[6][7][8][9] However, the landscape for these doctors has changed. With the new Specialty Doctor contract in 2008 (http://bma.org.uk/practical-support-at-work/contracts/ sas-contracts/introduction-new-contract) time for appraisal and Continuing Professional Development (CPD) was formally recognised for SAS doctors.…”

Section: Introductionmentioning

confidence: 99%

“…In England, the Department of Health provided significant additional funding for SAS doctors' CPD, shortly after the introduction of the new contract. Unfortunately, studies which looked at the training needs, career goals and perceptions of SAS doctors since this time again identified issues with accessing training, career progression [9][10][11] and a lack of awareness of CPD opportunities. 12,13 Although these studies may be biased, as most were carried out by SAS doctors themselves, 14 there is probably sufficient data to conclude that, even with this funding, support and systems for SAS doctor professional development remain inconsistent in England.…”

Section: Introductionmentioning

confidence: 99%

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