MedReg+1 Introduction
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This document discusses the challenges women doctors face when returning to clinical practice after parental leave. It notes that women now make up over half of medical students and the majority of doctors in training, but are underrepresented in leadership positions and academic roles. It states that around half of doctors have their first child while in training positions requiring long hours, which can make reconciling parenthood and medicine difficult. Upon returning from maternity leave, some trainees feel a loss of competence, confidence, and familiarity in an unfamiliar work environment. The document explores the practical challenges of arranging childcare, dealing with on-call schedules, and maintaining work-life balance after parental leave for medical trainees.
MedReg+1 Introduction
- 1. Developing people for health and healthcare MedReg+1: relaunching into clinical practice after parental leave London School of Medicine July 24th 2014
- 2. Developing people for health and healthcare • Women make up approximately 40% of all medical doctors in the UK and 28% of medical consultants • The majority of doctors in training are women • Women are under-represented • as Heads of Department • at all levels of NHS Management and Leadership • as Clinical researchers and as full time academics Background
- 3. Developing people for health and healthcare slide 4 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 Male and female intake into UK medical schools(1960–2007) 1960 20071977 1987 19971967 Female share Percent 1960 2007 24 56 Male Female
- 4. Developing people for health and healthcare
- 5. Developing people for health and healthcare slide 20 Percent of female consultants working part-time, by specialty (General Practice) Paediatrics Public Health Obstetrics and gynaecology Pathology Radiology A&E Anaesthetics 48 30 38 44 35 24 37 17 28 20 16 (NHS England, 2007) (Opthalmology) 36 * 2005 More People Oriented More Technology Oriented More Unpredictable More ‘Plan-able’ * Psychiatry Medical group Surgical group
- 6. Developing people for health and healthcare Parental leave and postgraduate training • Postgraduate training is linear long and arduous • 48% of women and 52% men have their first child while a Registrar or in SpR training posts • Parenthood is no doubt life changing and hugely rewarding but reconciling parenthood and medicine can be challenging • Some trainees feel a loss of momentum and describe isolation, frustration and stress in navigating their ‘relaunch’ into clinical practice
- 7. Developing people for health and healthcare Why is the relaunch challenging? • Higher specialty trainees have a perceived lack of competence on returning to work after maternity leave • Some report a loss of confidence • Acute on call commitments often mean working out of hours and without direct supervision • Registrars commonly return to an unfamiliar working environment and potentially a new working arrangement • Lack of time and funding may be constraints for maintaining specialty skills or educational activities during maternity leave
- 8. Developing people for health and healthcare Returning to clinical practice Work life balance Change in self identity Restoring a sense of value “I’ve been a doctor longer than I’ve been a mum…… I’m ready to get back in the saddle”
- 9. Developing people for health and healthcare The practicalities Childcare Attitudes GeographySupport Work pattern On call rotas
- 10. Developing people for health and healthcare Today is all about Questions…. • What’s new in Neurology? • What are childcare vouchers? • How many shocks do I give again? • How am I going to make this work • Am I the only one thinking this? • Is that vomit, Weetabix or banana in my hair today? • Why are all newborn clothes white? • Why didn’t I wear scrubs for the whole of my maternity leave?……they are just so comfy and versatile
- 11. Developing people for health and healthcare Reasons Medical Registrars make good parents Predict disaster Familiar with self sacrifice Some experience of out of hours Know basic first aid Reasons parents make good Medical Registrars Self fulfilled Broader perspective Comprehensibility Reciprocity Nurture and support Resourcefulness Problem solving Prioritisation Time management