Background: International medical graduates (IMGs) contribute significantly towards the NHS care provision. No standardised clinical orientation programme (COP) for IMGs new to the NHS exists.
Objective: Our objective was to describe recruitment and retention strategies for junior doctors (JDs) in general medicine and develop a framework to anticipate outcomes of these interventions using the realist evaluation methodology.
Methods: We performed quality improvement interventions of recruitment and COP for new entrant IMGs in our organisation employed between December 2017 and April 2019.
Results: Twenty-three IMGs were recruited, 96% successfully completed the COP with a mean contract duration of 13±5 months. From the academic year 2017/18 to 2018/19, mean JD post occupancy increased from 54±3 to 73±4 JDs (p<0.001) and JD locum spend fell by £1.9 million.
Conclusion: Our structured COP provides a stable, trained and financially sustainable JD workforce. Application in broader NHS settings is recommended.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296587 | PMC |
| http://dx.doi.org/10.7861/fhj.2019-0047 | DOI Listing |
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