Differential-Attainment

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

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

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

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 
 


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

01

Workshop Wed 31 Mar 2021

02

Workshop Wed 11 Nov 2020

03

Workshop Wed 03 Feb 2021

04

Workshop Wed 9 Dec 2020

05

   Workshop Wed 25 Nov 2020

06

    Workshop Wed 3 Mar 2021

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