+ All Categories
Home > Documents > 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th...

1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th...

Date post: 18-Jan-2016
Category:
Upload: susanna-snow
View: 214 times
Download: 2 times
Share this document with a friend
20
1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015
Transcript
Page 1: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

1

Building and Sustaining an Appropriate Workforce

Professor David A Watters

RACS President

26th October 2015

Page 2: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

2

Building and sustaining an appropriate workforce

● What is the situation today?

● What do we want to achieve?

● How are we going to achieve it?

● What is appropriate?● How will we sustain

the workforce?

Photo: Katherine Edyvane

Page 3: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

3

Proportion of population without access to surgery

Page 4: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

4

An Appropriate Workforce Must Deliver

● Capability and Capacity

● Safety

● Affordability

● Timeliness 64% 40%58%

Three Bellwether Procedures

Page 5: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

5

Min 20 Surgery, Anaesthesia Obstetric Providers by 2030

Page 6: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

6

PNG - Anaesthesia Obstetric Providers by 2030

● Population – 8m● Surgeons (93 + 25)

■ 70 surgeons alive and working

■ 12 ENT, 11 Eye, 2 OMS

● Anaesthesia■ 25 Anaesthesiologists■ 20-25 Nurse anaesthetists

(ATO’s)

● Obstetricians: ■ 30 Diplomates■ 40 - MMed Specialists

PNG = 2.5-3.0 per 100,000

Page 7: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

7

Surgical Workforce in ANZ

Australia New Zealand

Poopulation 23.1m 4.3m

Registered Surgical Practitioners

5570 (4963) 859 (771)

Registered Anaesthetists

4627 (4163) 759 ( 624)

Registered O & G 1871 (1678) 289 (267)

Total trained SAO’s

12068 (10804) 1907 (1662)

SAO’s / 100,000 52.2 (46.7) 44.3 (38.6)

Page 8: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

8

Perioperative Mortality - Australia

  2009/10 2010/11 2011/12 2012/13

Australian Population*

22,031,750 22,340,024 22,728,254 23,129,299

Separations following surgical procedure 

902,582 921,072 944,308 952,993

Procedures per 100,000

4096.7 4123.0 4154.8 4120.3

Surgical mortalities

3,802 3,618 3,475 3,395

POMR (%) 0.421 0.393 0.368 0.356

Perioperative Mortality is death before discharge from HospitalNumber of patients who died after an admission episode (including day surgery) involving a procedure in an OR

Page 9: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

9

Training models for the SAO workforce

Page 10: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

10

The apprenticeship model – time based training

Time in Training plus a high stakes exit examination

Page 11: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

11

COMPETENCIES

Developed 2001, Trademarked 2005, Revised 2015

Page 12: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

12

9 competencies■ Medical Expertise■ Clinical Decision Making■ Technical Expertise■ Professionalism & Ethics■ Health Advocacy■ Communication■ Collaboration & Teamwork■ Management & Leadership■ Scholar and Teacher

RACS Competency Framework

Page 13: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

13

Competency Based Training

Multiple Workplace based Assessments – formativeSummative Assessments of Some Competencies- Decision Making and Clinical Expertise

Novice Intermediate ? Competent

Page 14: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

14

Is it Fit for Purpose?

Agree Standards Measure & Report Progress

Page 15: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

15

Training other health workers

● Extending scope of practice● Nurse anaesthetists – support anaesthetic and

surgical care in many countries of this region● Clinical officers in Sub-Saharan Africa are

trained to do surgical procedures● Medical Officers trained to do Caesarean

Sections and other procedures● Training doctors and others for rural or remote

practice

Page 16: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

16

Six Principles for Extended Scope of Practice

Phil Carson & RACS 2015

Page 17: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

17

Brain Drain – The Push and Pull Factors

Page 18: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

18

Brain Drain – Your country needs you?

But do they make you feel it and look after you?

Page 19: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

19

3R’s for Sustaining the Workforce

● Renewal: Engaging them in life-long learning as a principle of practice

● Recognition – career opportunities and recognition within the health system

● Reward – A salary structure that rewards the healthworkforce

Page 20: 1 Building and Sustaining an Appropriate Workforce Professor David A Watters RACS President 26 th October 2015.

20

Universal access to safe, affordable surgical & anesthesia carewhen needed


Recommended