CareerProgression-workshop

TACKLING DIFFERENTIAL ATTAINMENT IN CAREER PROGRESSION 
FOR
THE MEDICAL PROFESSION

VIRTUAL ZOOM WORKSHOP 3 Feb 2021 2-5 pm (GMT)

AIMS

This workshop will bring together international experts, a range of stakeholders and medical professionals from all stages of training or career progression, to focus on the area of differential attainment/ award based on race, ethnicity, gender, disability and other protected characteristics 
  • To explore the pathways and progression of medical careers from undergraduate to the most senior roles
  • To discuss the causes, the impact and develop a consensus on solutions

WORKSHOP LEADS

  • PROJECT CHAIR - Ramesh Mehta OBE (President, BAPIO)
  • PROJECT LEAD - Indranil Chakravorty (Chair, BIHR)
  • COORDINATORS - Subarna Chakravorty (Kings College Hospital, London) & Sunil Daga (Leeds Teaching Hospital, Leeds, UK)
  • Project Team 
  • Veena Daga (Leeds Teaching Hospitals)
  • Rupal Shah (HEE London)
  • Anshoo Dhelaria (East & North Herts NHS Trust, Stevenage)
  • Saraswati Hosdurga (Sirona Care, Weston General Hospital)
  • Arvind Shah (North Middlesex Hospital)
  • Robert Morgan Blizzard (HEE York's & Humber)
  • Saba Hussein (Sirona Care & Health)
  • Spandana Madabhushi (East & North Herts)
  • Lambrini Theocharidou (Countess of Chester Hospital)
  • Geraldine Sawney (Lister Hospital, Stevenage)

PARTICIPANTS

Stakeholders
  • Baroness Dido Harding (National Institute for Health Protection)
  • Navina Evans (Chief Executive, Health Education England)
  • Geeta Menon (PG Dean, HEE S London)
  • Fiona Bishop (Associate Dean, HEE)
  • John Brecknell (ex-HOS Surgery, DME Queen's Hospital, Romford)
  • Mala Rao (NHS employer representative)  
  • Kate Rush (Medical Director, Bristol)
  • Nisha Nathwani (DME Luton and Dunstable Hospital)
  • Naureen Bhatti (HoS, HEE NC&E London, Primary Care)
  • Fiona O'Sullivan (HoS, Ophthalmology, HEE KSS)
  • Zoe Penn (Medical Director, NHS E/I London, Professional Standards)
  • Caroline Curtin (MEM, Barking, Havering & Redbridge University NHS Trust)
  • Pushpinder Mangat (MD Health Education & Improvement, Wales)
Expert  
  • Professor Monica Lakhanpaul, University College London
  • Katherine Woolf, University College London
  • Prof. Carol Woodhams, University of Surrey
  • Hilary Cass, ex-President of RCPCH
  • Blake Dobson, GMC UK
  • Rebecca Barnard, GMC UK
  • Shivani Sharma, U Herts
  • Robert Brunger, Mid-Essex NHS Trust (Change Management Specialist)
Grassroots  
  • Biju Simon, University of Leicester
  • Annapurna Pandravada (University of Glasgow)
  • S Gajanan (SAS Doctor)
  • Anthea Mowatt (Medical Women’s Federation, UK)
  • Atef El-Kholy (Egyptian Doctors Association, UK)
  • Ashok Poduval (Sherwood Forest Hospitals)
  • Rishika Sinha
  • Sunil Dasan (St George's University Hospital, London)
  • Sarah Siddiqui (HEE London, DA Fellow)
  • Cherian George (Consultant Radiologist, UHNM)
  • Tricia Barlow (Paeds SpR, Disability Lead)
  • Anushka Aubeelack specialty doctor (senior medical staff committee)
  • Yaa Achampong (ST5 trainee in O&G)

Programme

  • Facilitator | Martin Fischer 
  • 1400 - Introduction | Ramesh Mehta OBE
  • 1405 - Keynote | Dame Dido Harding
  • 1415 -  DA in Career Progression Overview | Veena Daga
  • 1430 - Breakout Session I - Meaningful data
  • 1500 - Feedback | Group Discussion
  • 1515 -  Break
  • 1525 - Breakout Session II - Solutions and system change
  • 1625 - Feedback | Group Discussion
  • 1650 - Sum up | Navina Evans
Session I Meaningful data to help identify solutions and analysis           
  • What data do we need to draw a meaningful analysis and ascertain impact of interventions to tackle Differential Attainment? 
  • How do we capture this data? 
  • Who should be accountable for this? 
Session II Solutions and System change 
  • Which interventions have made impact and should be prioritised?
  • What were the barriers experienced in implementation and how colleagues have overcome them? 
  • What are the remaining barriers or challenges?
  • What system/organisational changes are needed?
  • Who should be responsible for these changes to implement? 
  • How do we empower them? 

Abstract

Differential attainment in career progression in the NHS is a complex issue with many interplaying factors apart from individual protected characteristics. In this paper, we examine the attainment gap, causes for these disparities and some recommendations to reduce the gap.
Our review shows that there is significant DA between groups of doctors on the basis of gender, ethnicity, race and country of primary medical qualification. The likely causes are bias, lack of opportunity, poor supervision, mentorship, sponsorship, dichotomous treatment of doctors based on training or non-training status and cultural exclusion. Data is not monitored or reported and there is little organisational accountability. Solutions are likely to include transparent data on recruitment as well as progression for benchmarking, training support for all doctors, initiatives which are sensitive to gender, parental responsibility, cultural heritage, language and robust supervision including mentorship and sponsorship.
This scoping review forms part of the Alliance for Equality in Healthcare Professions project on Differential Attainment chaired by the British Association of Physicians of Indian Origin (BAPIO) and will be integrated into the Bridging the Gap project undertaken by BAPIO Institute for Health Research (BIHR). This work is part of six domains of doctors' careers in the NHS.

Differential Attainment in Career Progression for Doctors in the UK
Bridging the Gap - Thematic series on Tackling Differential Attainment in Medical Profession 2020

Daga, V., Blizzard, R., Dhelaria, A., Hosdurga, S., Hussein, S., Madabhushi, S., Sawney, G., Shah, A., Theocharidou, L., & Shah, R. (2020). Differential Attainment in Career Progression for Doctors in the UK: A Scoping Review.  Sushruta Journal of Health Policy & Opinion, 14(1), 1-10. https://doi.org/10.38192/14.1.8

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