Diversity amongst new generation GPRs

• Dr. Nicola Gill• Yorkshire

Aims

Our Group

Women

• 1990 13% GPs• 2003 38% GPs• 75% URP working

part time• 2004 >50% medical

school entry female• 2012 >50% workforce

will be female

Working hours

• 1995 12% URP worked part time

• 2003 25% URP work part time

• 1981 1% male URP worked part time

• 2003 19% male URP work part time

Cultural diversity

GPs working as URP in

UK 2003

Country of qualification

-80% UK

-15% Elsewhere

-5% EEA

Ourselves

• Who am I?• How am I

different/similar to the person next to me?

• What is my work ethic?

• Nationality• Language- verbal, non verbal +

paralinguistic• Gender• Race• Ethnicity• Sexual orientation• Social class• Religion• Health beliefs and expectations• Legal rules• Social norms• Intelligence• Wealth• Appearance• Politics• Age

Ethnicity

• The belonging to a common group often linked by race, nationality, and language often with a common cultural heritage.

Race

• A socially defined population that is derived from distinguishable characteristics that are genetically transmitted

Culture

• An individual’s character and belief system as influenced by their race, ethnicity, religion, gender, social status and environment.

Cultural competency

• Ability to adjust to forever new combinations of values and behavioural patterns

• Awareness• Knowledge• Skill• Experience

Yorkshire GP Registrars

Female 210

Male 150

White 58%

Asian 29%

Chinese 3%

Black 3%

Applications to Yorkshire Feb 2005

Gender

• Female 177

• Male 434

Ethnicity

• 12 ethnic groups

• 328 Indian• 138 Pakistani• 33 African• 28 British White

• Total 611 (1 not stated , 24 unable to classify themselves)

Country of Qualification Applicants to Yorkshire

Feb 05

• Qualification CountryNot stated 14 Argentina1 Bangladesh 13Bulgaria 1 Burma 5 China 1 Columbia 1 Czech Republic 3 Egypt 6 Germany 6 Ghana1 India 309 Iran 2 Iraq 15 Kenya 1Libya 6 Nigeria 25 Pakistan 62 Poland 1 Romania 3 Russia 4 South Africa 1 Sri Lanka 6 Syria 1 The Netherlands 1 Turkey 1 Ukraine 5 Undefined 71 United Kingdom 45

• Grand Total• 611

•  

Group thinking

• Discuss BMJ article• Share

experiences

concerns

of working with GPs who are different to ourselves.

Small groups

A guide to how to advise, support and employ today’s GPs.

It’s life but not as we know it!

Life after GP training…..

The workforce

The GP

‘Presume not that I am the thing that I was before’

Summary

• Gender• Culture• Experience• Work/life balance• Expectations and

concerns• Opportunities

Experience

• Is it a shared one?

1945-2005

• Baby boomers

• Generation X

• Post modern

Young doctors’ concerns

• Perceived rigid and inflexible career structures

• Lack of careers advice• Lack of personal

support• Poor work conditions• Erosion of core values

Perception

• General practice may not always be a first career choice.

• Many move into the specialty as they perceive greater flexibility

Changing expectations

• Managers of change.• Team players not team

leaders

Summary• Workforce is becoming more

female.• Greater diversity (cultural

background, workethic and expectation)

• GPs want salaried posts• 86% female GPs and 56% of male

GPs are interested in part time work.

• Most GPs will retire before they reach 60.

• 150 new GPs will need to be trained to replace 100 retiring GPs.

• RCGP- Career patterns

Daily Telegraph 3/8/2004

“Influx of women

doctors

‘will harm medicine’”

Prof Carol Black

President RCP

Implications

• For the work force• For training• For GPs coming

through the system

GP Careers Advice

• Information• Guidance • Counselling

Career choices for GPRs

Options

• Schemes with educational support

Retainer

Flexible Careers

Career start

R+R

• Salaried posts• Locum work• Partnership

Resources for GPRs

• YOU• ME• THEM• Careers information on the

Deanery website.• Careers focus BMJ• Exit course and booklet• Books- Career Options in

General Practice• Telephone help lines and

websites

Summary