The Acshpri: Shaping Surgical Workforce Policy Through Evidence-Based Analyses

2011 ◽  
Vol 93 (5) ◽  
pp. 1-5 ◽  
Author(s):  
Erin P Fraher ◽  
Stephanie T Poley ◽  
George F Sheldon ◽  
Thomas C Ricketts ◽  
Kristie W Thompson
Keyword(s):  
Royal College ◽  
Health Reform ◽  
Policy Research ◽  
Workforce Planning ◽  
Evidence Based ◽  
Surgical Workforce ◽  
The Us ◽  
American College Of Surgeons ◽  
Workforce Policy ◽  
The Uk

Editor's note: This article is being published jointly in the Bulletin of the American College of Surgeons and the Bulletin of The Royal College of Surgeons of England. With health reform underway in both countries, the issues confronting the surgical workforce in the US are strikingly similar to the challenges facing the surgical workforce in England. This article describes the American College of Surgeons (ACS) Health Policy Research Institute's (HPRI) role in collecting, analysing and disseminating information about the surgical workforce in the US and suggests that HPRI might serve as a model for The Royal College of Surgeons of England to assist the UK government in workforce planning.

Searching for the true attrition rate of UK paediatric trainees

2021 ◽  
pp. archdischild-2020-321415
Author(s):  
Melody Grace Redman ◽  
Davide Carzedda ◽  
Nicola Jay ◽  
Simon J Clark ◽  
Marie Rogers
Keyword(s):  
Geographical Area ◽  
Workforce Planning ◽  
Training Programme ◽  
Attrition Rate ◽  
Freedom Of Information ◽  
Evidence Based ◽  
Record Keeping ◽  
Retrospective Data Analysis ◽  
Level Of Training ◽  
The Uk

ObjectiveTo quantitatively analyse the number of doctors leaving the paediatric specialty training (ST) programme in the UK, to assist with evidence-based workforce planning.DesignData were sought on those leaving the UK paediatrics training programme between 2014 and 2019 from Heads of Schools of Paediatrics and Freedom of Information Act requests.SettingRetrospective data analysis.Outcome measuresOverall attrition rate, attrition rate across level of training, attrition rate across geographical area, recorded reason for leaving.ResultsAll results must be interpreted with caution due to limitations in record keeping and analysis. The annual attrition rate across all ST levels between 2014 and 2019 is estimated at 3.7%–4.2% (ie, 749–845 trainees may have left the paediatric training programme over 2014–2019). No reason for leaving was recorded for three-quarters of individuals, around 630 doctors. Of those leaving paediatrics, significantly more (χ², p=0.015) did so at ST3 (20.3%) versus the next highest training year, ST2 (13.6%).ConclusionsThis project seems to demonstrate worryingly poor record-keeping of the true attrition rate of paediatric trainees by organisations responsible for workforce planning, including Health Education England, the Royal College of Paediatrics and Child Health and individual paediatric schools across the UK. To allow evidence-based workforce planning for the benefit of UK children, it is vital that accurate records on trainees who leave the training programme are kept and shared across the UK.

scholarly journals Unemployment in an Underserviced Specialty?: The Need for Co-ordinated Workforce Planning in Canadian Neurosurgery

2006 ◽  
Vol 33 (2) ◽  
pp. 170-174 ◽  
Author(s):  
S.I. Woodrow ◽  
C. O'Kelly ◽  
S.J. Hamstra ◽  
M.C. Wallace
Keyword(s):  
Royal College ◽  
Patient Population ◽  
Current Practice ◽  
Workforce Planning ◽  
Employment Patterns ◽  
Practice Location ◽  
The Us

ABSTRACT:Background:A recent report suggested that newly trained Canadian neurosurgeons are experiencing difficulty finding employment in Canada. Such occurrences, in combination with recent certification restrictions imposed in the US, have resulted in increasing concern that we will shortly be seeing a surplus of graduating neurosurgeons in Canada. The purpose of this study was to develop a better understanding of training and employment patterns in the Canadian neurosurgical workforce.Methods:Using a database provided by the Royal College of Physicians and Surgeons of Canada, the current practice location of recent (1990-2002) neurosurgical certificants and a list of all neurosurgeons practicing in Canada were generated. From these data the number of surgeons per 100,000 patient population, and the number of residents required to maintain this workforce were determined.Results:Practice location could be identified for 183/189 individuals who passed their qualifying examination in neurosurgery during this time. Only 45% of them are currently practicing in Canada. The current service ratio for this specialty is 0.65 per 100,000 population overall. Although 14.6 residents/ year are being trained, only 6.5/ year are required to maintain the existing neurosurgical workforce.Conclusion:Our data supports the concern about an imminent employment crisis for young neurosurgeons in Canada with more than twice the required number of residents being trained. However, this shortfall of staff positions is at a time when the specialty may be underservicing the country's population. These results highlight the necessity for more cohesive workforce planning in Canada, and in particular, ensuring the appropriate balance between training and need.

Social Science and the Evidence-based Policy Movement

2002 ◽  
Vol 1 (3) ◽  
pp. 215-224 ◽  
Author(s):  
Ken Young ◽  
Deborah Ashby ◽  
Annette Boaz ◽  
Lesley Grayson
Keyword(s):  
Social Sciences ◽  
Gold Standard ◽  
Policy Making ◽  
Policy Research ◽  
Evidence Based ◽  
Policy Debate ◽  
Evidence Based Policy ◽  
The Social ◽  
The Uk ◽  
Effective Contribution

There is a growing interest in ‘evidence-based policy making’ in the UK. However, there remains some confusion about what evidence-based policy making actually means. This paper outlines some of the models used to understand how evidence is thought to shape or inform policy in order to explore the assumptions underlying ‘evidence-based policy making.’ By way of example, it considers the process of evidence seeking and in particular the systematic review as a presumed ‘gold standard’ of the EBP movement. It highlights some of the opportunities and challenges represented in this approach for policy research. The final part of the paper outlines some questions of capacity that need to be addressed if the social sciences are to make a more effective contribution to policy debate in Britain.

scholarly journals Association of British Neurologists: UK neurology workforce survey

2020 ◽  
Vol 20 (1) ◽  
pp. 28-32
Author(s):  
Arani Nitkunan ◽  
◽  
Joanne Lawrence ◽  
Mary M Reilly ◽  
◽  
...  
Keyword(s):  
Royal College ◽  
Geographical Variation ◽  
Workforce Planning ◽  
Clinical Work ◽  
Ethnic Representation ◽  
Gradual Shift ◽  
Potential Impact ◽  
The Uk ◽  
Calculated Number

A neurology workforce survey was conducted by the Association of British Neurologists and compared with the annual Royal College of Physicians census in November 2018-March 2019. 46% of consultants and 35% of trainees responded. Based on the clinical work contracted (excluding academic and other work), the calculated number of consultant neurologists was 1 per 91,175 of the population. There is significant geographical variation in the number of consultants throughout the UK. There is a gradual shift when comparing the trainee and consultant data towards better gender and ethnic representation in the former. The data highlights potential future workforce planning issues including the potential impact of the increasing number of female trainees.

scholarly journals Can we learn from our mistakes? A case study of problems in implementing evidence-based mental health policy.

2020 ◽  
Author(s):  
David Foreman
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Public Administration ◽  
Mental Health Policy ◽  
Policy Research ◽  
Evidence Based ◽  
Qualitative Synthesis ◽  
Services Research ◽  
Adequate Funding ◽  
The Uk

I examined the failure of the UK mental health framework policy NSF-9 to sustain the intended development in Child and Adolescent Mental Health Services (CAMHS) in England from its inception in 2003. NSF-9 used Evidence-Based Policy/Practice (EBP) with Key Performance Indicators (KPIs) derived from both research and expert practitioner advice. Adequate funding was provided, the workforce was engaged from the outset, and the KPIs were supported by dedicated data collection and dissemination systems, so failure was unexpected. I reviewed theories from the social sciences of Public Administration and Policy Research (PAPR) from the perspective of three questions. 1. Are there applicable Public Administration Theories (PATs) that can account for this unexpected outcome?2. Did the metrics used, or their delivery, have administrative or policy characteristics which undermined their expected impact?3. Are there organisational factors, separate from EBP commitment, which could have jeopardised the NSF model?I undertook a qualitative synthesis of the findings of several qualitative and quantitative datasets, using constant comparison between the datasets’ results and candidate PATs. I concluded that the currently accepted explanation; NSF-9’s failure was caused by inadequacies in culture and values was incomplete, as they resulted from weaknesses in the EBP model itself. When I applied relevant PATs to the data, it was clear NSF-9 had many faults as a policy within the NHS bureaucracy, which were not compensated within its design, and drove its eventual failure. I concluded that policy success without including evidence from PAPR is extremely uncertain, and is a continuing structural risk, as there is currently a disjunction between PAPR and Health Services Research. This needs urgent correction.

scholarly journals Section 12 approval: fit for purpose?

2019 ◽  
Vol 43 (6) ◽  
pp. 251-254 ◽  
Author(s):  
David Rigby ◽  
Lynsey McAlpine
Keyword(s):  
Mental Health ◽  
Royal College ◽  
Summative Assessment ◽  
Learning Objectives ◽  
Evidence Based ◽  
Knowledge And Skills ◽  
Mental Health Act ◽  
Fit For Purpose ◽  
Educational Perspective ◽  
The Uk

SummaryIn light of the increasing numbers of detentions of mentally unwell patients in the UK and the recent review of the Mental Health Act, this editorial seeks to analyse the process of Section 12 approval of doctors from a medical educational perspective. We compare the approval mechanisms with assessments in other specialities and suggest evidence-based improvements. We believe that a rethinking of the Royal College of Psychiatrists' learning objectives for Section 12 approval and the introduction of a summative assessment would improve the knowledge and skills of clinicians performing an important and scrutinised role within our society.

scholarly journals Surgical Workforce: Planning Today for the Workforce of the Future

2011 ◽  
Vol 93 (2) ◽  
pp. 48-49
Author(s):  
Katerina Sarafidou ◽  
Robert Greatorex
Keyword(s):  
Northern Ireland ◽  
Patient Care ◽  
Royal College ◽  
Planning Process ◽  
Workforce Planning ◽  
Surgical Specialty ◽  
Surgical Practice ◽  
Surgical Workforce ◽  
The Future ◽  
Comprehensive Survey

The Royal College of Surgeons in collaboration with the surgical specialty associations has just published the results of the first comprehensive survey of the surgical workforce in England, Wales and Northern Ireland. As part of our commitment to maintain the highest standards of surgical practice and patient care, we aim to support a dynamic workforce planning process for delivering the best possible care for the population.

scholarly journals Evidence and Education: The Braided Roles of Research, Policy and Practice in New Zealand

2007 ◽  
Author(s):  
Noeline Alcorn
Keyword(s):  
New Zealand ◽  
Educational Research ◽  
Research Policy ◽  
Research Community ◽  
Evidence Based ◽  
Policy And Practice ◽  
Policy Makers ◽  
The Us ◽  
The Uk ◽  
The Impact

Calls for educational policy and practice to be evidence-based have become insistent, yet there is ongoing contestation of the purpose and value of educational research. This paper addresses criticism of research from practitioners, politicians and policy makers and from within the research community itself. It examines the impact of the PBRF in New Zealand and the call for evidence-based practice here, in the UK and the US. It draws attention to research studies that are possible models for a principled and methodologically inclusive way forward and develops a set of principles for guiding future development in teacher education and educational research.

Education, monitoring, and research

2014 ◽  
pp. 59-86
Author(s):  
Chantal Simon ◽  
Hazel Everitt ◽  
Françoise van Dorp ◽  
Matt Burkes
Keyword(s):  
Primary Care ◽  
Royal College ◽  
Evidence Based Medicine ◽  
Clinical Governance ◽  
Evidence Based ◽  
Care Pathways ◽  
Integrated Care Pathways ◽  
The Uk ◽  
Career Options ◽  
Based Medicine

Education in primary care Foundation doctors in primary care Becoming a GP in the UK Membership of the Royal College of GPs Appraisal and revalidation Career options for GPs Clinical governance and CQC Evidence-based medicine Glossary of terms used in evidence-based medicine Clinical guidelines, protocols, and integrated care pathways...

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