Trainee Retention in Scotland 2018 The Highland Clearing: Gonnae nae do that!! GM Baxter Dept. of Radiology Glasgow G11 6NT grant.baxter@ggc.scot.nhs.uk
Trainee Retention in Scotland 2018 Why has this arisen?? Demand Chronic under investment in radiology numbers Consultant issues Trainee issues Working environment – times change, is Scotland attractive? The world is small and radiologists are in demand
The role of the clinical radiologist Core NHS activities dependent on clinical radiology VETTING JUSTIFY PROTOCOL RADIATION CANCER PATIENT PATIENT MDTM PROTECTION OUTCOMES SAFETY EMERGENCY AMBULATORY V.T.E CARE TEACHING CONSULTATION TRAINING DIAGNOSTIC CLINICAL IMAGING RADIOLOGIST CLOSER TO RESEARCH AUDIT DIAGNOSTIC QUALITY HOME STROKE REPORTING IMPROVEMENT CARE TRAUMA SERVICE MANAGEMENT IMPROVEMENT INTERVENTION SERVICE DEVELOPMENT ACQUIRING IMAGES NEURO RHEUM PAEDS SARCOMA PAEDS NEURO HEAD/ CARE OF ENDOCRINE NECK ELDERLY GYNAE ENT HEAD/ CANCER CARDIAC NECK Non-Cancer UPPER LUNG G.I. MDTMs MDTMs GASTRO RESPIRATORY LOWER HAEM G.I. LYMPHOMA RENAL/ BREAST VASCULAR ACCESS G.U. BREAST MSK/ HEP ENT TRAUMA BILIARY
Percentage growth in the number of whole time equivalent (WTE) consultant clinical radiologists and imaging examinations – Scotland, 2010–2022 It’s not that difficult??
Are we the same specialty?
Interventional oncology embolisation fEVAR Renal denervation SFA stents Carotid stenting RF, Cryo Colonic stenting Renal stents Vertebroplasty CCS IVC filters VI
Unfilled posts Retention young and old
Trainee Retention in Scotland 2018 Potential solutions National Local Has anyone asked the trainees? Applications to radiology
Working in Scotland The most popular reason for working in Scotland is proximity to family and friends, followed by working conditions, lifestyle and on call frequency. All regions were popular enough to be considered for consultant post
Scottish Consultant recruitment 76% felt a financial package may help attract them to a Scottish post; A group move of newly appointed consultants to one Health Board was felt by 87% to be an attractive option. Two most popular ways to attract to HB would be flexible working and remote working.
Overseas Training . If a high quality fellowship was available in Scotland, 75% said they were likely to consider it.
End of career crystal ball Only 30.3% of trainees felt UK recruitment should remain. Almost 50% supported Scottish recruitment. 80% felt Scottish recruitment would or may increase retention and increase number of trainees attaining a job in Scotland. Only 20% expect to retire at 60 years of age or less.
So what do we do?? Appoint and retain staff Advertise outwith Scotland Use technology: reporting teaching ?Scottish Academy Boost trainee numbers big time Financial inducements Improve environment and employment conditions Tie trainees to Scotland for fixed period Scottish fellowships post CSST Flexible and home working Buy in from govt - this is important Radiology needs to speak up
Locum and Outsourcing support costs £5m/yr and £12m/yr climbing Future Savings with Cancer sensible Strategy investment £10m for Cost of extra Imaging 15 trainees/yr for 5 years £7.5m
Trainee Retention in Scotland 2018 Incentivisation Local National Environment and working conditions Financial Voluntary or enforced
Trainee Retention in Scotland 2018 Is it too late Discussion Scottish recruitment Scottish Fellowships Regional on call What about intervention Govt investment – is the desire there?? Incentives Tie in to Scotland post training
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