2020 Thematic Series on Tackling Differential Attainment

Alliance for Equality in Health Professions

This project is inviting contributions from all interested parties- medical students, post-graduate students, doctors, organisation representatives and experts in joining or contributing to the Priority Setting Partnerships

BRIDGING the GAP

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2020 THEMATIC SERIES ON DIFFERENTIAL ATTAINMENT

Please complete the questionnaire to contribute your experience, opinion on the causes and potential solutions that may help tackle this unfair phenomenon. You can contribute anonymously or email us to join the workshop series. Here are the 6 themes to be explored by this project. You can read more about the project and our partners in the scoping summary document here. Please contact chair.bihr@bapio.co.uk with any questions

2020

Thematic Series

Tackling Differential Attainment in Medical Professions

YOUR OPINION

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Bridging the Gap Process Outline

CONCEPT

It is recognised that there is inherent inequality in many aspects of education, training, career progression or handling of human resource procedures/protocols and disparity in the experience of different cohorts of people within the health professions, based on factors which are beyond an individual’s ability, motivation or engagement. Differential Attainment (DA) is defined as the observed gap in the achievements of different cohorts of individuals based on factors beyond their individual ability. It exists globally, in both undergraduate and postgraduate contexts, across exam pass rates, recruitment and progression/ outcomes and can be an indicator that training and medical education may not be fair. These include differentials connected to age, gender, race, ethnicity of a particular group or other diverse characteristics and experiences. The UK General Medical Council and a ‘fair society’ standards require training pathways, assessment and opportunities to progress, should be fair for everyone.

Since 2014, when British Association of Physicians of Indian Origin (BAPIO) led a legal challenge against the Royal College of General Practitioners, there has been a seismic shift in transparency and reporting of differential attainment data for all examinations and specialty progression reports by the UK General Medical Council. Acting on the recommendations of the independent commission on DA, led by Professor Esmail, GMC, Association of Medical Royal Colleges (AoMRC), Medical Schools Council, Health Education England have undertaken a multi-pronged approach from reviewing of curricula, training of examiners/ surrogates, and investing in enablers within different regions for bridging the DA gap.

However, sequential data from 2015-2020 suggests that there is little progression achieved so far in bridging this gap. There are many areas of uncertainty and much more research is needed. There have been two major events in 2020, which have exposed the devastating impact of societal inequalities on both on lives and livelihoods (#COVID-19) and the persistence of disparities in society as a whole (#BlackLivesMatter). Five years on from the landmark ruling in 2014, BAPIO working with its alliance partners is keen to pursue its mission to achieve equality through bridging the gap DA Change Lab thematic series.

This project will start with focus on the medical professionals (doctors) and then we hope to expand our learning and solutions to encompass the full multiprofessional spectrum of healthcare professions. Through a series of roundtables and workshops, the ‘Alliance for equality in healthcare professions’ (AEHP) chaired by BAPIO will engage in exploring the achievements and challenges in implementing equality in medical education and training. The output will be a rainbow paper (Bridge the Gap) to be presented in 2021 when BAPIO celebrates 25 years of contributions to healthcare. This will include a comprehensive, systematic review of the evidence to date for causes and solutions and broad based consensus on recommendations for further research, policy enablers and actions for individual organisations.

Ramesh Mehta OBE

President,

British Association of Physicians of Indian Origin

01 Theme Leads

BAMRAH JS Hon National Chairman

MEHTA Ramesh Hon President

SINGHAL Parag Hon Secretary

CHAKRAVORTY Indranil Editor, Sushruta Journal of Health Policy

LAUNER, John Lead TPD for Educational Innovation in HEE Primary Care School

DAGA Sunil Coordinator Scoping teams

CHAKRAVORTY Subarna Coordinator Workshops

JADHAV, Vittal, Engagement with Priority Setting Partnerships

SIDDIQUI, Sarah, Grassroots engagement

FISCHER, Martin, Workshop Facilitation

SHARMA, Shivani (Focus groups)

Section I: Recruitment

BHATTI, Naureen

MAKANI Purva

MATHEIKEN shevonne

SRINIVAS Jyothi

Section II: Assessment

DAVE Subodh

RAMKISSON, Roshelle

SELVASEKAR, Chelliah R

Section III: Career Progression

DAGA Veena

DHELARIA, Anshoo

HOSDURGA Saraswati

SHAH Arvind

SHAH, Rupal

Section IV: Leadership

CHAUHAN Dev

JAINER Renu

MENON Geeta

NAYYAR Vijay

RAO, Sahana

Section V: Research & Academia

BHALA Neeraj

DAGA Sunil

PATEL, Rakesh

ROY, Anindita

Section VI: Professionalism

BAMRAH JS

BHATTI, Naureen

DAVE Ananta

GROVER Joydeep

MATHEW Satheesh

02 Partners

General Medical Council UK

Health Education England

Health Education England (Global Engagement)

Research Department of Medical Education, University College London

Royal College of Physicians of London

EXPERT PANEL

ADEBOWALE, Victor Lord (tbc) Chair, NHS Confederation

AHLUWALIA, Sanjiv Regional Dean, Health Education England, London

BHATTI, Naureen, Head of School of Primary Care, NCE London

BICE, Justin University of Leicester (Psychometrics)

BUTT, Jabeer Race Equality Foundation, UK

BYRNE, Ged MBE Director, Health Education England, Global Engagement

COGHILL, Yvonne Director – WRES Implementation in NHS England, Dy president RCN

DACRE, Jane DBE School of Medicine, University College London

ESMAIL, Aneez Primary Care, University of Manchester

GABRIEL, Marie CBE (tbc) Chair, NHS Race and Health Observatory

GHOSH, Sanjukta South Asia Institute of Oriental & African Studies

GRIFFIN, Ann Director, Research Dept. of Medical education, UCL

GRIFFITHS, Marianne DBE (tbc) CEO, Brighton and Sussex Uni. Hospitals NHS Trust

HARDING, Dido Baroness Chair, National Institute for Health Protection

HOOD, Stuart Associate Medical Director, MRCPUK

JOHNS, Alison CEO, Advance Health Education

KUMAR, Parveen DBE Queen Mary's University of London

LAMBERT, Schuwirth Finders University, Australia

LAUNER, John Lead TPD for Edu. Innovation, HEE Primary Care School

MELVILLE, Colin, General Medical Council, UK

MODI, Neena President, Medical Women’s Federation

NAIR, Balakrishnan (Kichu) R School of Medicine and Public Health, Newcastle, Australia

NAQVI, Habib Director NHS Race and Health Observatory

NAYAR, Vijay Director of Postgraduate GP Education, COPMeD

NORCINI, John J FAIMER, Philadelphia, USA

PARVATHY, Usha Director School of Medical Practice, U of Newcastle, Australia

POWYS, Stephen, Medical Director, NHS England

RAO, Mala OBE Imperial College London

REID, Wendy (tbc) Interim Chair, Health Education England

ROBERTS, Laura Health Education England, Diversity & Inclusion Lead

SANDHU, Davinder Past PG Dean, University of Bristol

SHAH, Rupal Associate Dean, Professional Development Unit, HEE London

SINGH, Iqbal OBE Chair, Centre of Excellence & Safety of Older People

SMITH, Geoff PG Dean, HEE South West (Recruitment)

STEPHENSON, Terence Sir Past Chair, General Medical Council

STOKES-LAMPARD, Helen Chair, Academy of Medical Royal Colleges

THACKER, Julie Clinical Director BMBS, University of Exeter (Medical Schools Council)

VIG, Stella Royal College of Surgeons, London

WOOLF, Katherine Associate Professor in Medical Education, UCL Medical School

03 Stakeholders

GRASSROOT Organisations

Association of Pakistani Physicians of Northern Europe (APPNE)

Black Medical Society

British Arab Medical Association

British Indian Psychiatrists Association (BIPA)

British International Doctors Association (BIDA)

British Islamic Medical Association (BIMA)

British Medical Association (BMA)

British Sikh Doctors Organisation (BSDO)

BME Medics

BAME Health Matters

Doctors Association of United Kingdom (DAUK)

Global Association of Physicians of Indian Origin (GAPIO)

Medical Association of Nigerians Across Great Britain (MANSAG)

Medical Women’s Federation

Melanin Medics

Nepali Doctors Association

ESTABLISHMENT

Academy of Medical Royal Colleges

General Pharmaceutical Council

Medical Schools Council

Medical Defence Shield

Medical Defence Union

NHS England & Improvement

Nursing & Midwifery Council

Royal College of Anaesthetists

Royal College of Emergency Medicine

Royal College of General Practitioners

Royal College of Nursing & Midwifery

Royal College of Obstetrics & Gynaecology

Royal College of Ophthalmologists

Royal College of Paediatrics and Child Health

Royal College of Pathologists

Royal College of Physicians of Edinburgh

Royal College of Psychiatrists

Royal College of Surgeons

Royal Pharmaceutical Society

Royal Society of Medicine

School of Oriental & Asian Studies, University of London

University College London (Institute of Education)

Workforce Race Equality Standards Agency

Alliance for Equality in Medical Professions

Process Map

01

Review

Rapid Review

Engage with Priority Setting Partnerships

Scoping Document

02

Workshop

Discuss and Deliberate with Stakeholders

03

Write

Write and peer review with PSPs and expert panellists

04

Publish

Peer review and publish report

Bridging the GAP

Download the Executive Summary document

v01.10.2020

Protocol for Thematic Synthesis

The protocol for the thematic synthesis of evidence, priority setting partnerships, development of consensus is described here.