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Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians
INTRODUCTION: Drexit (“Doctor‐Exit”) is the exponentially growing trend for junior doctors in the UK to walk away from their jobs in the National Health Service (NHS). Our objective was to identify the reasons why junior doctors in the UK leave their NHS training programs to train overseas. MATERIAL...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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John Wiley and Sons Inc.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499680/ https://www.ncbi.nlm.nih.gov/pubmed/34646946 http://dx.doi.org/10.1002/hsr2.419 |
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author | Wilson, Hannah C.P. Abrams, Sarah Simpkin Begin, Arabella |
author_facet | Wilson, Hannah C.P. Abrams, Sarah Simpkin Begin, Arabella |
author_sort | Wilson, Hannah C.P. |
collection | PubMed |
description | INTRODUCTION: Drexit (“Doctor‐Exit”) is the exponentially growing trend for junior doctors in the UK to walk away from their jobs in the National Health Service (NHS). Our objective was to identify the reasons why junior doctors in the UK leave their NHS training programs to train overseas. MATERIALS AND METHODS: A simultaneous and convergent mixed‐methods study was performed to analyze both an online survey and semi‐structured interviews from junior doctors who had left the NHS. Social media, online professional media, and networks of junior doctors were used to recruit doctors. All were UK medical school graduates who had left the NHS within the last 15 years (2003‐2018). RESULTS: 96.1% (149/155) of respondents reported not being offered an exit interview on leaving the NHS. 94.8% (147/155) of respondents did not regret quitting the NHS. Participants were more satisfied with their pay and work life balance in their overseas posts when compared to training in the NHS (P < 0.05). Burnout was variably defined and was prominent in doctors who left 53.8% (113/210) but was reversed when they practiced medicine overseas in 89.2% (74/83) of cases. Qualitative data identified four key themes which were categorized into push factors, which were lack of interest in retention and bleak outlook; and pull factors, which were financial vs social capital and things are different overseas. CONCLUSION: Listening to the frontline junior doctors' voices lend insights into a better understanding of the push and pull factors that appear to be exacerbating the exodus of junior doctors from the NHS. Our results indicate that exit interviews should be performed routinely. There needs to be a shift to focus on the training of doctors rather than service provision, with efforts to support, appreciate, and value junior doctors. Further exploration is needed to identify what is happening in training programs overseas to improve retention within the NHS. Furthermore, identifying issues perceived by junior doctors in the UK in the context of workforce planning may be applicable to healthcare systems across the globe. |
format | Online Article Text |
id | pubmed-8499680 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84996802021-10-12 Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians Wilson, Hannah C.P. Abrams, Sarah Simpkin Begin, Arabella Health Sci Rep Research Articles INTRODUCTION: Drexit (“Doctor‐Exit”) is the exponentially growing trend for junior doctors in the UK to walk away from their jobs in the National Health Service (NHS). Our objective was to identify the reasons why junior doctors in the UK leave their NHS training programs to train overseas. MATERIALS AND METHODS: A simultaneous and convergent mixed‐methods study was performed to analyze both an online survey and semi‐structured interviews from junior doctors who had left the NHS. Social media, online professional media, and networks of junior doctors were used to recruit doctors. All were UK medical school graduates who had left the NHS within the last 15 years (2003‐2018). RESULTS: 96.1% (149/155) of respondents reported not being offered an exit interview on leaving the NHS. 94.8% (147/155) of respondents did not regret quitting the NHS. Participants were more satisfied with their pay and work life balance in their overseas posts when compared to training in the NHS (P < 0.05). Burnout was variably defined and was prominent in doctors who left 53.8% (113/210) but was reversed when they practiced medicine overseas in 89.2% (74/83) of cases. Qualitative data identified four key themes which were categorized into push factors, which were lack of interest in retention and bleak outlook; and pull factors, which were financial vs social capital and things are different overseas. CONCLUSION: Listening to the frontline junior doctors' voices lend insights into a better understanding of the push and pull factors that appear to be exacerbating the exodus of junior doctors from the NHS. Our results indicate that exit interviews should be performed routinely. There needs to be a shift to focus on the training of doctors rather than service provision, with efforts to support, appreciate, and value junior doctors. Further exploration is needed to identify what is happening in training programs overseas to improve retention within the NHS. Furthermore, identifying issues perceived by junior doctors in the UK in the context of workforce planning may be applicable to healthcare systems across the globe. John Wiley and Sons Inc. 2021-10-08 /pmc/articles/PMC8499680/ /pubmed/34646946 http://dx.doi.org/10.1002/hsr2.419 Text en © 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles Wilson, Hannah C.P. Abrams, Sarah Simpkin Begin, Arabella Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title | Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title_full | Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title_fullStr | Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title_full_unstemmed | Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title_short | Drexit: Understanding why junior doctors leave their training programs to train overseas: An observational study of UK physicians |
title_sort | drexit: understanding why junior doctors leave their training programs to train overseas: an observational study of uk physicians |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499680/ https://www.ncbi.nlm.nih.gov/pubmed/34646946 http://dx.doi.org/10.1002/hsr2.419 |
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