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Our workforce is undoubtedly changing.
The latest GMC workforce report shows a striking 18% increase in the number of licensed doctors on its register between 2018 and 2022. Numbers have increased by 46%, most markedly among SAS and Locally Employed Doctors (LEDs), which is almost entirely down to a marked increase in the latter. LEDs are a very heterogenous group, including doctors just after foundation training (‘F3’), doctors in posts between core and specialty training, locum consultants and post-training fellows seeking further subspecialty experience. The biggest contingent however are trust-grade doctors and clinical fellows who arrive with medical qualifications gained abroad. The GMC currently registers significantly more international medical graduates (IMGs) than UK graduates every year at present.
There are also notable changes in employment behaviours among this cohort. Recently, significantly more of these IMGs have stayed in the UK beyond the short-term and more have entered training than previously. Some will seek entry to the specialist register via the portfolio pathway, but many hope to enter training in our specialty, typically at ST4 level.
Returning to work following a prolonged period out of training is daunting, whether that be due to parental leave, sick leave, carer’s leave or for Out-of-Programme time.
Anaesthetists in training know all too well the stresses that come with frequently rotating between different hospitals and departments, with three- and six-monthly rotations being quite the norm in some deaneries.
Having a child is a life changing experience, and many would hope that their place of work remained constant throughout the beginnings of parenthood. Frequent job rotations with a diverse curriculum to work through means trainees are potentially carrying out their return to work in a new environment while juggling the stresses of childcare and pressures of getting back up-to-speed at work.