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Diversity amongst new generation GPRs Dr. Nicola Gill Yorkshire.
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Transcript of Diversity amongst new generation GPRs Dr. Nicola Gill Yorkshire.
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
• 2003 25% URP work part time
• 1981 1% male URP worked part time
• 2003 19% male URP work part time
Cultural diversity
GPs working as URP in
UK 2003
Country of qualification
-80% UK
-15% Elsewhere
-5% EEA
Ourselves
• Who am I?• How am I
different/similar to the person next to me?
• What is my work ethic?
• 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
Ethnicity
• The belonging to a common group often linked by race, nationality, and language often with a common cultural heritage.
Race
• A socially defined population that is derived from distinguishable characteristics that are genetically transmitted
Culture
• An individual’s character and belief system as influenced by their race, ethnicity, religion, gender, social status and environment.
Cultural competency
• Ability to adjust to forever new combinations of values and behavioural patterns
• Awareness• Knowledge• Skill• Experience
Yorkshire GP Registrars
Female 210
Male 150
White 58%
Asian 29%
Chinese 3%
Black 3%
Applications to Yorkshire Feb 2005
Gender
• Female 177
• Male 434
Ethnicity
• 12 ethnic groups
• 328 Indian• 138 Pakistani• 33 African• 28 British White
• Total 611 (1 not stated , 24 unable to classify themselves)
Country of Qualification Applicants to Yorkshire
Feb 05
• Qualification CountryNot stated 14 Argentina1 Bangladesh 13Bulgaria 1 Burma 5 China 1 Columbia 1 Czech 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
•
Group thinking
• Discuss BMJ article• Share
experiences
concerns
of working with GPs who are different to ourselves.
Small groups
A guide to how to advise, support and employ today’s GPs.
It’s life but not as we know it!
Life after GP training…..
The workforce
The GP
‘Presume not that I am the thing that I was before’
Summary
• Gender• Culture• Experience• Work/life balance• Expectations and
concerns• Opportunities
Experience
• Is it a shared one?
1945-2005
• Baby boomers
• Generation X
• Post modern
Young doctors’ concerns
• Perceived rigid and inflexible career structures
• Lack of careers advice• Lack of personal
support• Poor work conditions• Erosion of core values
Perception
• General practice may not always be a first career choice.
• Many move into the specialty as they perceive greater flexibility
Changing expectations
• Managers of change.• Team players not team
leaders
Summary• Workforce is becoming more
female.• Greater diversity (cultural
background, workethic 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
Daily Telegraph 3/8/2004
“Influx of women
doctors
‘will harm medicine’”
Prof Carol Black
President RCP
Implications
• For the work force• For training• For GPs coming
through the system
GP Careers Advice
• Information• Guidance • Counselling
Career choices for GPRs
Options
• Schemes with educational support
Retainer
Flexible Careers
Career start
R+R
• Salaried posts• Locum work• Partnership
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
Summary