Recruitment and retention in paediatrics: challenges, opportunities and practicalities

Jacob, Hannah; Shanmugalingam, S; Kingdon, Camilla

doi:10.1136/archdischild-2016-311390

Cited by 10 publications

(8 citation statements)

References 31 publications

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“…The landscape may be different, but staffing EDs is a problem worldwide. [7][8][9][10][11] Similar stories can be told across other specialties: psychiatry 12 13 ; paediatrics 14 and general practice 15 16 are examples. This issue also affects emergency nurses, the largest group working in EDs.…”

Section: Introductionmentioning

confidence: 99%

Retention of doctors in emergency medicine: a scoping review of the academic literature

et al. 2021

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IntroductionWorkforce issues prevail across healthcare; in emergency medicine (EM), previous work improved retention, but the staffing problem changed rather than improved. More experienced doctors provide higher quality and more cost-effective care, and turnover of these physicians is expensive. Research focusing on staff retention is an urgent priority.MethodsThis study is a scoping review of the academic literature relating to the retention of doctors in EM and describes current evidence about sustainable careers (focusing on factors influencing retention), as well as interventions to improve retention. The established and rigorous JBI scoping review methodology was followed. The data sources searched were MEDLINE, Embase, Cochrane, HMIC and PsycINFO, with papers published up to April 2020 included. Broad eligibility criteria were used to identify papers about retention or related terms, including turnover, sustainability, exodus, intention to quit and attrition, whose population included emergency physicians within the setting of the ED. Papers which solely measured the rate of one of these concepts were excluded.ResultsEighteen papers met the inclusion criteria. Multiple factors were identified as linked with retention, including perceptions about teamwork, excessive workloads, working conditions, errors, teaching and education, portfolio careers, physical and emotional strain, stress, burnout, debt, income, work–life balance and antisocial working patterns. Definitions of key terms were used inconsistently. No factors clearly dominated; studies of correlation between factors were common. There were minimal research reporting interventions.ConclusionMany factors have been linked to retention of doctors in EM, but the research lacks an appreciation of the complexity inherent in career decision-making. A broad approach, addressing multiple factors rather than focusing on single factors, may prove more informative.

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Section: Introductionmentioning

confidence: 99%

Retention of doctors in emergency medicine: a scoping review of the academic literature

et al. 2021

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“…17 Jacob advocates redesign of the current supervisor arrangement in the UK paediatric training scheme. 22 Figure 4 is an adapted model example suggested by the research team, which could be used more widely.…”

Section: Personal Mentorship Mentorship (Engage Retain and Champion)mentioning

confidence: 99%

“…Importantly, reflections from trainees who have left paediatric training programmes cited improved pastoral support and access to personalised career advice as key areas for change that might help retain trainees. 22…”

Section: Personal Mentorship Mentorship (Engage Retain and Champion)mentioning

confidence: 99%

Addressing recruitment and retention in paediatrics: a pipeline to a brighter future

Mallett¹,

Thompson²,

Bourke³

2021

Arch Dis Child Educ Pract Ed

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BackgroundIn the UK, the number of junior doctors completing foundation programme, and the number of trainees applying to paediatrics has been in decline in recent years. The NHS is at ‘breaking point’, exacerbated by workforce shortages, chronic underfunding, increasing service demand and poor job satisfaction within healthcare workers. Issues in recruitment and retention of paediatricians ‘threaten the safety of our children’s health’, according to the Royal College of Paediatrics and Child Health.AimTo explore what strategies have been described in the literature to enhance recruitment and retention in paediatrics.MethodsA scoping review methodology was conducted, employing a qualitative approach to review the literature. The studies included were English-language studies. 16 full-text articles were reviewed and analysed.Study findingsThere is a paucity of data in the literature that describes evidence-based approaches to enhancing retention and recruitment in paediatrics. The most important strategies employed to help are identified and grouped into six main themes. These include professional advocacy, workforce diversity, mentorship, improving working conditions, career flexibility and enhancing educational opportunities. The authors have created a ‘paediatric pipeline’ paradigm of ‘identify, engage, recruit, retain and champion’, which allow us to present these themes in a pragmatic way for paediatricians and policymakers.ConclusionsWhile some issues share similarities with other specialties in difficulty, much of the context and potential remedies within paediatrics are distinct. A strategic, multi-agency collaborative approach is required urgently to address the significant issues that face both paediatrics and the healthcare system.

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“…Retention in paediatrics remains a significant challenge, 3 and remote working offers potential to improve trainee experience and improve retention. It may facilitate training at home, reduce time spent commuting, improve challenges associated with arranging childcare and facilitate reintegration to training for those on return from maternity/out of programme.…”

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confidence: 99%

COVID-19, remote working and paediatric training: what can we learn?

Lythgoe

Pain

Cleary

2020

Arch Dis Child Educ Pract Ed

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Recruitment and retention in paediatrics: challenges, opportunities and practicalities

Cited by 10 publications

References 31 publications

Retention of doctors in emergency medicine: a scoping review of the academic literature

Retention of doctors in emergency medicine: a scoping review of the academic literature

Addressing recruitment and retention in paediatrics: a pipeline to a brighter future

COVID-19, remote working and paediatric training: what can we learn?

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