Overseas GP recruitment: comparing international GP training with the UK and ensuring that registration standards and patient safety are maintained.

General practice Licensing Postgraduate education Primary heath care Research methods (other) Workforce appraisal & revalidation

Journal

BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 05 11 2018
accepted: 10 12 2018
entrez: 2 8 2019
pubmed: 2 8 2019
medline: 2 8 2019
Statut: epublish

Résumé

Ambitious overseas recruitment targets have been set by the UK government to help alleviate the current GP shortage. European Economic Area (EEA) doctors can join the UK's GP register under European law. Non-EEA doctors must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained doctors. CEGPR applications can be time-consuming and burdensome. To meet overseas recruitment targets, it is important to facilitate the most efficient route into UK general practice while maintaining registration standards and patient safety. To develop a methodology to map postgraduate GP training and healthcare contextual data from an overseas country to the UK. Desk-based research and stakeholder interviews. Four stages were undertaken: 1) developing a data collection template; 2) conducting a case study (using Australia as a test case); 3) refining the data collection template; and 4) creating a mapping framework. The case study used the 2016 curricula for the UK and Australia. Five 'domains' were identified: healthcare context, training pathway, curriculum, assessment, and continuing professional development (CPD) and revalidation. The final data collection template comprised 49 mapping items across the domains. The methodology incorporated the application of a red, amber, or green (RAG) rating to indicate similarity of data across the five domains. Australia was rated 'green' for training pathway, curriculum, and assessment, and 'amber' for healthcare context and CPD and revalidation. The overall rating was 'green'. Implementing this systematic methodology for mapping GP training between countries may support the UK's ambitions to recruit more GPs, and alleviate current GP workforce pressures.

Sections du résumé

BACKGROUND BACKGROUND
Ambitious overseas recruitment targets have been set by the UK government to help alleviate the current GP shortage. European Economic Area (EEA) doctors can join the UK's GP register under European law. Non-EEA doctors must obtain a Certificate of Eligibility for General Practice Registration (CEGPR), demonstrating equivalence to UK-trained doctors. CEGPR applications can be time-consuming and burdensome. To meet overseas recruitment targets, it is important to facilitate the most efficient route into UK general practice while maintaining registration standards and patient safety.
AIM OBJECTIVE
To develop a methodology to map postgraduate GP training and healthcare contextual data from an overseas country to the UK.
DESIGN & SETTING METHODS
Desk-based research and stakeholder interviews.
METHOD METHODS
Four stages were undertaken: 1) developing a data collection template; 2) conducting a case study (using Australia as a test case); 3) refining the data collection template; and 4) creating a mapping framework. The case study used the 2016 curricula for the UK and Australia.
RESULTS RESULTS
Five 'domains' were identified: healthcare context, training pathway, curriculum, assessment, and continuing professional development (CPD) and revalidation. The final data collection template comprised 49 mapping items across the domains. The methodology incorporated the application of a red, amber, or green (RAG) rating to indicate similarity of data across the five domains. Australia was rated 'green' for training pathway, curriculum, and assessment, and 'amber' for healthcare context and CPD and revalidation. The overall rating was 'green'.
CONCLUSION CONCLUSIONS
Implementing this systematic methodology for mapping GP training between countries may support the UK's ambitions to recruit more GPs, and alleviate current GP workforce pressures.

Identifiants

pubmed: 31366671
pii: bjgpopen18X101640
doi: 10.3399/bjgpopen18X101640
pmc: PMC6662875
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2019, The Authors.

Références

JAMA. 2018 Mar 13;319(10):1024-1039
pubmed: 29536101

Auteurs

Emily Fletcher (E)

Research Fellow, College Of Medicine And Health, University of Exeter Medical School, St Luke's Campus, Exeter, UK E.Fletcher@exeter.ac.uk.

Anna Sansom (A)

Research Fellow, College Of Medicine And Health, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Emma Pitchforth (E)

Senior Lecturer and Senior Research Fellow, College Of Medicine And Health, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Gerens Curnow (G)

Medical Student, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Adrian Freeman (A)

Professor of Medical Education, College Of Medicine And Health, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Kamila Hawthorne (K)

Vice Chair (Professional Development), Royal College of General Practitioners, London, UK.

John Campbell (J)

Professor of General Practice and Primary Care, College Of Medicine And Health, University of Exeter Medical School, St Luke's Campus>, Exeter, UK.

Classifications MeSH