LTFT TRAINING AND ICM QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW

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Doreen Flynn
5 years ago
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1 LTFT TRAINING AND ICM JACQUELINE MCCARTHY QUEEN ELIZABETH UNIVERSITY HOSPITAL, GLASGOW

6 Respondents by Country 0.9% 4.3% Training Grade 0.9% 8.8% 27.0% 32.5% 4.3% 63.5% 57.9% England Northern Ireland Scotland Wales Not recorded CT1-2 ST3-5 ST6-7 Not recorded

7 % LTFT 2.6% 3.5% Reasons for LTFT training 0.9% 2.7% 9.6% 29.6% 54.8% 96.4% 0.6/ / Not recorded Childcare / other caring responsibilities Health reasons Academic training

8 40 30 Have you experienced any of the following difficulties with ICM training as a result of being LTFT? extra-curricular activities Negative attitudes to LTFT Working pattern / hours None 1 Lack of continuity of care

In your experience, how do you feel LTFT trainees are perceived in the

5% How does this compare to perceptions of LTFT in the rest of your

1% More positively More negatively About equal Not applicable About the

9 In your experience, how do you feel LTFT trainees are perceived in the ICU as compared to FT counterparts? 0.9% 3.5% How does this compare to perceptions of LTFT in the rest of your anaesthesia training? 2.6% 4.3% 50.4% 45.2% 33.9% 59.1% More positively More negatively About equal Not applicable About the same My other training placements have been more accepting My other training placements have been less accepting Not applicable

Previous ICM training 3.2% Have you considered dual training in ICM? 4% 6.

2% LTFT FT prior to becoming LTFT trainee I have not yet completed any ICM

agreement Yes - I have considered dual training but decided against it I

10 Previous ICM training 3.2% Have you considered dual training in ICM? 4% 6.5% 3.5% 24.3% 46.8% 40.0% 39.5% 32.2% LTFT FT prior to becoming LTFT trainee I have not yet completed any ICM training FT mandated by employer / training committee FT by mutual agreement Yes - I have considered dual training but decided against it I have never planned to complete dual training Yes - I have a dual training number Yes - planning to apply for dual training

11 Reasons for not pursuing ICM training Work life balance Out of hours working and effect on childcare Concern regarding ability to work LTFT Change in interests Change in personal circumstances Length of training / additional exams Unsuccessful ICM applicant

12 I have been actively encouraged and supported to undertake ICM training as a LTFT ICM was my first rotation after returning as a new LTFT trainee. I think this was a useful rotation to return to after a period of time on maternity leave as ICU tends to be a well supported, protective environment I have had many positive experiences and feel that training can be better as a LTFT trainee. For example I see far more cases and develop a greater depth of experience There have been lots of advantages in addition to better work life balance including more time to complete lengthy projects or audit loops I think its very doable being LTFT in both specialities and I wish I'd applied sooner to ICM because I love it and am more fulfilled. I didn't because I was intimidated by the reputation but I shouldn't have been!

13 Attitudes to LTFT training...you re just being lazy / difficult / shouldn t have a training number* *I have personally heard all the above descriptions being used about other LTFT trainees in anaesthesia and ICM I was exposed to some very negative perceptions...i did find it hard to stomach some of the comments and implied criticism I got for not being in on days I was not contracted to work Real problem with culture on the shop floor though. Vastly outnumbered by men which I think leads to perception that women with families and ICM don't mix I have also had very difficult experiences with hostile consultants and other trainees, challenging my commitment to the specialty

14 Access to LTFT training in ICM I was asked to be available FT for ICM blocks but with some difficulty I have managed to organise block LTFT after some disagreement with health board I will not be doing my ICU training as a LTFT. I am an 80% trainee who by contract need to go full time for ICU and Obstretrics for service provision..it does not appear to be a very viable career choice. I was very interested in icm but felt I would not be appointable as a LTFT trainee I have applied for dual training twice but was not successful it became apparent that a LTFT would not have the time to do the extracurricular work necessary to obtain the points for the interview process

15 The Way Forward Technology - video/teleconferencing, social media Peer support Mentorship and role models Structured LTFT career pathways LTFT as a career extender - burn out

16 I fully believe that to make the specialty sustainable, part time working, whether long term of for shorter periods, needs to become a normal part of an ICU career. The specialty needs to be more honest about burn out and the prospects of ICU careers spanning 40+ years. I feel that ICM is a speciality that should be encouraging LTFT working both at trainee and consultant level, since being LTFT I was able to cope much better than my colleagues with the stresses of working on ICU (psychological, high intensity shifts, frequent out-of-hours working, etc). I think that this would help reduce burn-out in ICM trainees/consultants

18 References, credits and contacts FICM position paper of the workforce advisory group, January 2015 GMC national training survey 2014 Equality Analysis on the new contract for doctors and dentists in training in the NHS. Department of health, March 2016 Survey co-authors Dr Catriona Felderhof and Dr Catriona MacNeill Photo credits Dr Miriam Stephens and Anthony MacInnes Women and medical leadership infographics, The Kings fund I can be contacted at mccarthy67@doctors.org.uk, or

LTFT training: the state of play Emma #LTFTmatters

LTFT training: the state of play 2016 Emma Plunkett @emmaplunkett #LTFTmatters Why is LTFT important? Organisational benefits Retention of workforce Ensure continuation of training Individual benefits