Doctors And Nursing Training

[emmie]

seeing as how much it costs to train doctors, shouldn't they be
required to work in the NHS for a set period of time, or does that already
happen.

[EDDIE51]

It already happens emmie, not sure how long but there is set time they must work in the NHS.

[Sqad]

One is required to work for at least one year directly after qualification and after that.......you can work where you like.
Yes......many people think it IS a good idea with a minimum of 5 years working in the NHS.
The BMA (doctors union) ia against this, suggesting that it would deter students from reading Medicine and Surgery.
Me?...telling someone what they can and cannot do is in my opinion counterproductive and personally, I am against this.

[murraymints]

can I register at your practice Sqad ..my gp is pants !

[EDDIE51]

Sorry , It's part of the new rules for doctors that Hunt wants to introduce but I don't think it actually applies yet.
http://www.gponline.com/doctors-face-four-year-mandatory-nhs-service-jeremy-hunt-expands-medical-training/article/1410975

[Sqad]

Murray.....of course.......I am quite interested in "pants."

[murraymints]

lol xx

[emmie]

its just going on the money it costs to train, one wonders if they couldn't do more in the NHS, before going onto private practice, or moving abroad.

[emmie]

is this an initiative that is being put forward?

[Sqad]

emmie....quite and that is the argument.
It costs approx £300,000 to train a doctor.
Throwing money at the doctors whenever they want a pay rise is not the answer as clearly something is wrong with the conditions of service in the NHS.

[emmie]

so it would seem. Are nurses in the same position, they don't have to pay for their training?

[tamborine]

they pay for uni like other grads & practice abroad to avoid payback, am told?

[New Judge]

So we're back to the conundrum that I mentioned yesterday when it was stated that thousands of nurses from other EU countries work here in the UK. I wondered how it was that people in the UK think it is perfectly acceptable (and even vital) that countries such as Italy, Spain and Portugal see the nurses they have trained decamp on an industrial scale to work in the UK. Now we see a question which suggests those who have trained in the UK be tied to the UK. Surely what's sauce for the goose....

[Samjenko]

I wonder how long students have to ply their trade abroad before their student fees are written off.

[woofgang]

When I trained as an Occupational Therapist, at the college I went to, it was considered a moral expectation to work in the NHS (or local council) for a year for every year of grant received. the problem was, of course that undergraduates who read non practical subjects received the same benefits as us in terms of grants and fees and had no such moral expectation placed on them as there was no shortage of archeologists or history of art graduates to name but two.
Maybe the solution would be to offer two ways into such training? One where you pay your own way and assume responsibility for your own costs but at the end are free to do as you please, and the other a sponsored route where costs are fully or partially covered by the NHS but there is a contract to work within the NHS for a set term? Similar to Army sponsored degrees?

[youngmafbog]

Yes Doctors should be tied to a 5 year contract or financial penalties.

[cassa333]

I think Wolfgang has it. If you pay your own fees you can work wherever you like. If the fees are funded you work to pay it off.

I seem to remember that this 'tied work' was frowned on because it was seen as some sort of servitude or something.

[woofgang]

as I said, the army does it
https://www.army.mod.uk/documents/general/20140603-Army_Undergraduate_Bursary_Info_Sheet.pdf

[emmie]

so they do..

[Sqad]

The Army has always had bursaries for medical students, but the problem is, that they were never that popular, in fact in our year of 60 med students, nobody took it up.
Great idea, but not great if few want them.
A good idea also, to make a doctor pay his fees to release him after qualification.....but that would only appeal to the very rich and at a £1,000 a month, it would take him/her almost all the working life to pay it back..........that wouldn't have much appeal.

If the student was supported by state grants as almost all are one may well have disgruntled and unhappy doctors, "stuck and bogged down" in a system that they abhorred.....not too good for the patient.

The big question that needs addressing is why do UK trained doctors want to leave the NHS?

Solve that and you are almost there.

[EDDIE51]

I suppose I was no better, I left school at 17 with just O levels. I started work as a trainee laboratory technician with ICI doing 4 days a week at work and one day on day release at college. I continued doing day release for 9 years ending up with an LRIC (Licentiate of The Royal Institute of Chemistry) which is equal to a degree. But as soon as I got my degree I left the company to work in Zambia on the Copper mines laboratories.