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Is there a national shortage of Paediatric Radiologists?Sophie Swinson and Imran Kasli
BSPR Junior ForumNovember 6th 2014
Introduction
• Is there a national shortage of Paediatric Radiologists?
• Several unfilled vacancies around the UK• Are posts not being advertised due to perceived
lack of applicants?• 2 parallel surveys– Department survey to assess the number of
potential jobs– Trainee survey to assess interested future applicants
Method
• Google Forms • Department survey– Distributed to BSPR members via email (74
responses)• Trainee survey– Email to BSPR junior forum members (9
responses)– Email to all trainees via RCR (320 responses)
BSPR job survey 2014
• 74 responses• 54 centres• 3 replied don’t know:
answers were provided by other colleagues
• Some discrepancy in answers within centres!
No 21
Maybe 9 Yes
24
Does your centre have any vacancies or potential vacancies in paediatric radiology?
No 21
Maybe 9 Yes
24No 21
Maybe 9 Yes
24
• 1 non UK / Ireland excluded (Melbourne Children’s)
• 23 centres in UK / Ireland• Total 33.5 jobs• Total 237 PAs
24 Replied YES we currently have a vacancy or a potential vacancy
16 Tertiary Paediatric Centres• Alder Hey• Brighton and Sussex• Bristol Children’s hospital• Leeds Children’s hospital• Nottingham University Hospital• Oxford University Hospital• RHSC Yorkhill, Glasgow• Royal Aberdeen Children’s Hospital• Royal Belfast Hospital for sick children• Royal Hospital for sick children
Edinburgh• Royal Manchester Childrens• Sheffield Children’s Hospital• St Georges London• UHW Cardiff• University Hospital Leicester• University Hospital Southampton
7 Non Tertiary Paediatric Centres• Colchester• Cwm Taf ,UHB• Dorset County Hospital• Harrogate Hospital• Hull and East Yorkshire• Medway maritime NHS trust• University Hospital of Coventry and
Warwickshire
23 centres with vacancies / potential vacancies in UK and Ireland
16 Tertiary Paediatric Centres• Alder Hey• Brighton and Sussex• Bristol Children’s hospital• Leeds Children’s hospital• Nottingham University Hospital• Oxford University Hospital• RHSC Yorkhill, Glasgow• Royal Aberdeen Children’s Hospital• Royal Belfast Hospital for sick children• Royal Hospital for sick children
Edinburgh• Royal Manchester Childrens• Sheffield Children’s Hospital• St Georges London• UHW Cardiff• University Hospital Leicester• University Hospital Southampton
7 Non Tertiary Paediatric Centres• Colchester• Cwm Taf ,UHB• Dorset County Hospital• Harrogate Hospital• Hull and East Yorkshire• Medway maritime NHS trust• University Hospital of Coventry and
Warwickshire
23 centres with vacancies / potential vacancies in UK and Ireland
Aberdeen
1
Alder Hey 2
Belfast 2Brighton 1.5Bristol 3Cardiff 1Edinburgh 1Glasgow 3Leicester 1.5Leeds 2Manchester (locum) 1Nottingham 1Oxford 1.5Sheffield 1Southampton 1St George’s, London 2
16 Tertiary centres with a current vacancy or potential vacancy
Number of jobs
– 25.5 jobs– 219 Pas– Average 8.5
paediatric PAs per job
Type of job in 16 tertiary paediatric centres
• Alder Hey• Royal Belfast Hospital for sick children• Bristol Children’s hospital• Royal Hospital for sick children Edinburgh• RHSC Yorkhill, Glasgow• Leeds Children’s hospital• Royal Manchester Childrens• Nottingham University Hospital• Oxford University Hospital• Sheffield Children’s Hospital• University Hospital Southampton
• Royal Aberdeen Children’s Hospital• UHW Cardiff• St Georges London
pure paediatric mix paediatric and other
both job types0
2
4
6
8
10
12
3 2
11
• Brighton and Sussex• University Hospital Leicester
yes no maybe0
2
4
6
8
10
12
31
12
• Alder Hey• Oxford University Hospital• UHW Cardiff
• Royal Aberdeen Children’s Hospital
• St Georges London• Royal Belfast Hospital for sick children• Bristol Children’s hospital• Royal Hospital for sick children Edinburgh• RHSC Yorkhill, Glasgow• Leeds Children’s hospital• Royal Manchester Childrens• Nottingham University Hospital• Sheffield Children’s Hospital• University Hospital Southampton• Brighton and Sussex• University Hospital Leicester16 Tertiary paediatric centres
Will the job(s) include paediatric intervention?
16 Tertiary Paediatric Centres• Alder Hey• Brighton and Sussex• Bristol Children’s hospital• Leeds Children’s hospital• Nottingham University Hospital• Oxford University Hospital• RHSC Yorkhill, Glasgow• Royal Aberdeen Children’s Hospital• Royal Belfast Hospital for sick children• Royal Hospital for sick children
Edinburgh• Royal Manchester Childrens• Sheffield Children’s Hospital• St Georges London• UHW Cardiff• University Hospital Leicester• University Hospital Southampton
7 Non Tertiary Paediatric Centres• Colchester• Cwm Taf ,UHB• Dorset County Hospital• Harrogate Hospital• Hull and East Yorkshire• Medway maritime NHS trust• University Hospital of Coventry and
Warwickshire
23 vacancies / potential vacancies in UK and Ireland
Colchester 1
Coventry 1
Cwm Taf 1
Dorset 1
Harrogate 1
Hull 2
Medway 1
7 Non tertiary paediatric centres with a current vacancy or potential vacancy
Number of jobs
• 8 jobs• Total of 18 PAs• Average 2.3 paediatric PAs per job• Mixed jobs to include some paediatric radiology
sessions• No paediatric intervention
Type of job in 7 non- tertiary paediatric centres
No 21
Maybe 9 Yes
24No 21
Maybe 9 Yes
24
• 4 Tertiary paediatric centres– Birmingham Children’s Hospital (2)– Evelina London Children’s Hospital (1)– Imperial College Healthcare (0.5)– OLCH Crumlin, Dublin (1)
• 5 other centres– Airdale (0.5)– Calderdale and Huddersfield (1)– Hampshire Hospitals NHS FT (1)– Pinderfields Hospital, Mid Yorkshire (1)– Victoria Hospital Blackpool (1)
9 Replied MAYBE we have a potential vacancy
Maybe 9 more jobs
9 centres replied maybe
4 tertiary paediatric centres
2 pure paediatric radiology jobs
1 paediatric intervention
2 jobs with mix of paediatric and other radiology
1 may include paediatric
intervention
5 other centres5 mix of
paediatric and other radiology
No paediatric intervention
Type of job in 9 centres replying ‘maybe’
Which hospitals are in a position to advertise?
11 centres which are currently advertising or in a position to advertise a post
Aberdeen 1
Alder Hey 2
Belfast 2
Brighton 1.5
Leicester 1.5
Leeds 2
Number of jobs
Manchester (locum) 1
Southampton 1
Coventry 1
Dorset 1
Medway 1
Total 15
We asked the other centres: Why are you not currently advertising?
awaiting approval
financial reasons
previous failure to
recruit
perceived lack of
applicants
waiting for retirement
waiting for applicants
0
1
2
3
4
5
6
7
8
Have you previously advertised and failed to appoint?
• 13 centres replied yes• Please give details
Repeated adverts. No applicants
Locum appointed
instead
Paediatric Cardiology Radiology Post. No suitable
applicants
Advertised all over Europe and the USA on several occasions
3 timesLocum cover for maternity leave
unappointed
No suitable applicants
BSPR trainee survey 2014
Do you have a sub-specialty interest in paediatric radiology?
Respondents (329)
Included (327)
Yes, definitely (47)
Yes, maybe (61)
Not decided - too early in my training (100)
No, definitely not (119)
Excluded (2)
Do you have a sub-specialty interest in paediatric radiology?
47
61
100
119
Yes, definitely.Yes, maybe.Not decided - too early in my training.No, definitely not.
47
61
100
119
Yes, definitely.Yes, maybe.Not decided - too early in my training.No, definitely not.
47
61
100
119
Yes, definitely.Yes, maybe.Not decided - too early in my training.No, definitely not.
Not decided / Too early in my training (100 trainees)
ST4
ST3
ST2
ST1
0 10 20 30 40 50 60
1
10
39
50
47
61
100
119
Yes, definitely.Yes, maybe.Not decided - too early in my training.No, definitely not.
47
61
100
119
Yes, definitely.Yes, maybe.Not decided - too early in my training.No, definitely not.
Do you have a sub-specialty interest in paediatric radiology?
What type of hospital would you like to work in? (108 trainees)
Definitely
a teac
hing hosp
ital
Ideally a
teac
hing hosp
ital
Ideally a
DGH
Definitely
a DGH
Undecided
0
5
10
15
20
25
30
35
40
1019
126
11
17
21
3
9 Maybe interested in Paeds (61)Definitely interested in Paeds (47)
Where would you like to work? (108 trainees, 140 choices)
31
8
3
3
9
2
18
912
8
9
20
ScotlandNorthern IrelandNorth EastNorth WestYorkshire & Humber
WalesWest MidlandsEast Midlands
East of EnglandLondonSouth EastSouth West
Undecided 8
Would you be limited to a particular region or hospital? (108 trainees)
61
47
YesNo
Reason given for being limited to a particular region or hospital
Family reasons
Children at school
Would like to live close to family
I'd really like to be somewhere that
has paediatric cardiothoracics therefore rather
limited!
Need academic centre of
excellence
Due to husbands work, house, family and
childcare
Limited by partner’s job
Are you taking or intending to take a fellowship / other training?
43
47
18
YesMaybeNo
When is your CCT date? (108 trainees with a paediatric interest)
Withheld
2019 or later
2018
2017
2016
2015
2014 or earlier
0 5 10 15 20 25 30 35
1
16
18
30
14
23
6
Withheld
2019 or later
2018
2017
2016
2015
2014 or earlier
0 5 10 15 20 25 30 35
1
16
18
30
14
23
6
Senior trainees (29)
CCT 2015 or earlier (29)
Yes, definitely (21)
Teaching Hospital (14)
DGH (5)
Undecided (2)
Yes, maybe (8)
Teaching Hospital (4)
DGH (4)
Senior trainees - where would you like to work? (29 trainees, 40 choices)
ScotlandNorthern IrelandNorth EastNorth WestYorkshire & Humber
East of EnglandLondonSouth EastSouth West
2
2
1
3
0
4
35
2
3
5
10
WalesWest MidlandsEast Midlands
Undecided 0
7
YesNoGiven email with interest to join Not expressed interest to join
7
YesNoGiven email with interest to join Not expressed interest to join
Are you a BSPR member?7
YesNoGiven email with interest to join Not expressed interest to join
7
66
35
YesNoExpressed interest to join Not expressed interest to join
Conclusion
• Plenty of vacant posts (up to 42.5)– 33.5 vacancies or potential vacancies
– 9 centres may have future vacancies (9 posts)
• 11 centres are in a position to advertise (15 posts)
• Lots of potential applicants – 108 definitely/ maybe interested
– 29 with CCT prior to end 2015
Aberdeen 1
Alder Hey 2
Belfast 2
Brighton 1.5
Leicester 1.5
Leeds 2
Manchester 1
Southampton 1
Coventry 1
Dorset 1
Medway 1
15 Jobs ready for advertisement
2
2
1
3
0
4
35
2
3
5
10
29 Senior Trainees regional preferences
What Next?• How to help link the two groups?
• This survey to be posted on members only section of myBSPR website
• Information about potential jobs on the website.– Centres send job descriptions and contact details to BSPR
• Annual job survey via BSPR membership?
• Contact us for further details: [email protected]
• Meeting area tomorrow at coffee break 16:40-17:00 for potential applicants to meet people from centres with jobs