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Diversity amongst new generation GPRs

Diversity amongst new generation GPRs. Dr. Nicola Gill Yorkshire. Aims. Our Group. Women. 1990 13% GPs 2003 38% GPs 75% URP working part time 2004 >50% medical school entry female 2012 >50% workforce will be female. Working hours. 1995 12% URP worked part time

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Diversity amongst new generation GPRs

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  1. Diversity amongst new generation GPRs • Dr. Nicola Gill • Yorkshire

  2. Aims

  3. Our Group

  4. Women • 1990 13% GPs • 2003 38% GPs • 75% URP working part time • 2004 >50% medical school entry female • 2012 >50% workforce will be female

  5. Working hours • 1995 12% URP worked part time • 2003 25% URP work part time • 1981 1% male URP worked part time • 2003 19% male URP work part time

  6. Cultural diversity GPs working as URP in UK 2003 Country of qualification -80% UK -15% Elsewhere -5% EEA

  7. Ourselves • Who am I? • How am I different/similar to the person next to me? • What is my work ethic?

  8. Nationality • Language- verbal, non verbal + paralinguistic • Gender • Race • Ethnicity • Sexual orientation • Social class • Religion • Health beliefs and expectations • Legal rules • Social norms • Intelligence • Wealth • Appearance • Politics • Age

  9. Ethnicity • The belonging to a common group often linked by race, nationality, and language often with a common cultural heritage.

  10. Race • A socially defined population that is derived from distinguishable characteristics that are genetically transmitted

  11. Culture • An individual’s character and belief system as influenced by their race, ethnicity, religion, gender, social status and environment.

  12. Ability to adjust to forever new combinations of values and behavioural patterns Awareness Knowledge Skill Experience Cultural competency

  13. Yorkshire GP Registrars Female 210 Male 150 White 58% Asian 29% Chinese 3% Black 3%

  14. Applications to Yorkshire Feb 2005 Gender • Female 177 • Male 434

  15. Ethnicity • 12 ethnic groups • 328 Indian • 138 Pakistani • 33 African • 28 British White • Total 611 (1 not stated , 24 unable to classify themselves)

  16. Country of Qualification Applicants to Yorkshire Feb 05 • Qualification Country Not stated 14Argentina1Bangladesh 13 Bulgaria 1Burma 5China 1Columbia 1Czech Republic 3 Egypt 6 Germany 6 Ghana1 India 309 Iran 2 Iraq 15 Kenya 1Libya 6 Nigeria 25 Pakistan 62 Poland 1 Romania 3 Russia 4 South Africa 1 Sri Lanka 6 Syria 1 The Netherlands 1 Turkey 1 Ukraine 5 Undefined 71 United Kingdom 45 • Grand Total • 611

  17. Group thinking • Discuss BMJ article • Share experiences concerns of working with GPs who are different to ourselves.

  18. Small groups

  19. A guide to how to advise, support and employ today’s GPs. It’s life but not as we know it!

  20. Life after GP training…..

  21. The workforce

  22. The GP ‘Presume not that I am the thing that I was before’

  23. Summary • Gender • Culture • Experience • Work/life balance • Expectations and concerns • Opportunities

  24. Experience • Is it a shared one?

  25. 1945-2005 • Baby boomers • Generation X • Post modern

  26. Young doctors’ concerns • Perceived rigid and inflexible career structures • Lack of careers advice • Lack of personal support • Poor work conditions • Erosion of core values

  27. Perception • General practice may not always be a first career choice. • Many move into the specialty as they perceive greater flexibility

  28. Changing expectations • Managers of change. • Team players not team leaders

  29. Summary • Workforce is becoming more female. • Greater diversity (cultural background, work ethic and expectation) • GPs want salaried posts • 86% female GPs and 56% of male GPs are interested in part time work. • Most GPs will retire before they reach 60. • 150 new GPs will need to be trained to replace 100 retiring GPs. • RCGP- Career patterns

  30. Daily Telegraph 3/8/2004 “Influx of women doctors ‘will harm medicine’” Prof Carol Black President RCP

  31. Implications • For the work force • For training • For GPs coming through the system

  32. GP Careers Advice • Information • Guidance • Counselling

  33. Career choices for GPRs

  34. Schemes with educational support Retainer Flexible Careers Career start R+R Salaried posts Locum work Partnership Options

  35. Resources for GPRs • YOU • ME • THEM • Careers information on the Deanery website. • Careers focus BMJ • Exit course and booklet • Books- Career Options in General Practice • Telephone help lines and websites

  36. Summary

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