Background
Career stagnation and gap filling
Irish context
Methods
Data
Exclusion criteria
Inclusion criteria
Variable | Definition |
---|---|
Age | Age in years |
Sex | Male/Female |
Country of qualification | Broken down by the most commonly cited countries (Ireland, India, Nigeria, Pakistan, and Sudan) with the remainder categorised as ‘Other’ |
Year of qualification | Number of years since primary degree was obtained |
Clinical speciality | Based on first medical job and categorised into the five most commonly cited specialities: Medicine, Anaesthesia, Surgery, Paediatrics, Psychiatry, with the remainder categorised as ‘Other’ |
Irish citizenship status | This variable is coded as 'Yes', 'No' or 'Already hold citizenship' |
Applications for recognised training scheme | The responses are coded as ‘Yes’ or ‘No’ Note: ‘Yes’ is aggregated based on: Yes-unsuccessful, Yes-currently on scheme and Yes-completed |
Length of stay | Length of time in Irelanda
|
Results
n (%) | Mean (Median) | SD (Min/Max) | ||
---|---|---|---|---|
Age, years | 39.9 (38.0) | 8.7 (24/68) | ||
Sex | Male | 154 (67.5 | ||
Female | 74 (32.5) | |||
Country primary medical degree was obtained | Ireland | 50 (21.6) | ||
India | 32 (13.9) | |||
Nigeria | 32 (13.9) | |||
Pakistan | 51 (22.1) | |||
Sudan | 22 (9.5) | |||
Other | 44 (19.0) | |||
Years since qualification | 15.7 (14.0) | 9.1 (2/54) | ||
Clinical speciality | Medicine | 69 (30.4) | ||
Anaesthesia | 28 (12.3) | |||
Surgery | 39 (17.2) | |||
Paediatrics | 16 (7.0) | |||
Psychiatry | 36 (15.9) | |||
Other | 39 (17.2) | |||
Application for Irish citizenship | Yes | 58 (25.1) | ||
No | 99 (42.9) | |||
Already hold citizenship | 74 (32.0) | |||
Application for a place on a recognised training scheme | Yes | 188 (82.1) | ||
No | 41 (17.9) | |||
Length of stay in Ireland as a qualified doctor, years | 10.1 (9.0) | 6.9 (1/54) |
n (%) | |
---|---|
Limited career progression (no career progression or one level increase) | 129 (55.8) |
Substantial progression | 102 (44.2) |
Total | 231 (100) |
Country of qualification | Ireland | India | Nigeria | Pakistan | Sudan | Other | Total | |
---|---|---|---|---|---|---|---|---|
n (%) |
n (%) |
n (%) |
n (%) |
n (%) |
n (%) |
n (%) | ||
Intern | First grade | 46 (92) | 0 (0) | 2 (6) | 1 (2) | 1 (5) | 6 (14) | 56 (24) |
Current grade | 3 (6) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 4 (9) | 7 (3) | |
Senior House Officer | First grade | 2 (4) | 18 (56) | 29 (91) | 41 (80) | 17 (77) | 29 (66) | 136 (59) |
Current grade | 10 (20) | 3 (9) | 4 (13) | 7 (14) | 2 (9) | 12 (27) | 38 (16) | |
Registrar | First grade | 0 (0) | 11 (34) | 1 (3) | 8 (16) | 4 (18) | 8 (18) | 32 (14) |
Current grade | 15 (30) | 12 (38) | 19 (59) | 18 (35) | 14 (64) | 15 (34) | 93 (40) | |
Senior Registrar | First grade | 0 (0) | 2 (6) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 2 (1) |
Current grade | 3 (6) | 3 (9) | 5 (16) | 6 (12) | 4 (18) | 4 (9) | 25 (11) | |
Specialist Registrar | First grade | 2 (4) | 1 (3) | 0 (0) | 1 (2) | 0 (0) | 1 (2) | 5 (2) |
Current grade | 14 (28) | 4 (13) | 0 (0) | 2 (4) | 1 (5) | 5 (11) | 26 (11) | |
Consultant | First grade | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Current grade | 5 (10) | 10 (31) | 4 (13) | 18 (35) | 1 (5) | 4 (9) | 42 (18) |
Country of primary qualification | ||||||
---|---|---|---|---|---|---|
Ireland | India | Nigeria | Pakistan | Sudan | Other | |
Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | |
Length of stay in Ireland as a qualified doctor, years | 9.2 (7.8) | 11.9 (6.3) | 10.1 (3.7) | 11.8 (8.1) | 8.6 (3.8) | 8.7 (7.5) |
Current age, years | 32.5 (4.5) | 44.5 (8.9) | 40.9 (5.2) | 42.8 (8.9) | 40.8 (7.5) | 40.2 (9.8) |
Age at arrival, years | 23.3 (6.9) | 32.6 (4.6) | 30.8 (3.4) | 30.9 (5.4) | 32.2 (5.3) | 31.5 (5.9) |
Variable | 0 (Limited career progression) | 1 (Substantial career progression) | Statistical significance (P value) | ||
---|---|---|---|---|---|
n (%) | Mean (SD) | n (%) | Mean (SD) | ||
Age | 38.01 (7.79) | 42.18 (9.26) | <0.01 | ||
Sex | |||||
Male | 86 (67.7) | 68 (67.3) | |||
Female | 41 (32.3) | 33 (33.3) | |||
Years since qualification | 13.55 (7.94) | 18.42 (9.67) | <0.01 | ||
Length of stay in Ireland as a qualified doctor | 7.40 (4.98) | 13.59 (7.53) | <0.01 | ||
Country of qualification | |||||
Ireland | 16 (12.4) | 34 (33.4) | <0.01 | ||
India | 17 (13.2) | 15 (14.7) | |||
Nigeria | 23 (17.8) | 9 (8.8) | <0.05 | ||
Pakistan | 24 (18.6) | 27 (26.5) | |||
Sudan | 16 (12.4) | 6 (5.9) | |||
Other | 33 (25.6) | 11 (10.8) | <0.01 | ||
Medical speciality | |||||
Medicine | 45 (35.7) | 24 (23.8) | |||
Anaesthesia | 10 (7.9) | 18 (17.8) | <0.05 | ||
Surgery | 26 (20.6) | 13 (12.9) | |||
Paediatrics | 9 (7.1) | 7 (6.9) | |||
Psychiatry | 20 (15.7) | 16 (15.8) | |||
Other | 16 (12.7) | 23 (22.8) | <0.05 | ||
Citizenship status | |||||
Applied | 27 (20.9) | 31 (30.4) | |||
No | 70 (53.8) | 29 (28.4) | <0.01 | ||
Already hold | 32 (25.4) | 42 (41.2) | <0.01 | ||
Training scheme status | |||||
Yes | 97 (76.4) | 91 (89.2) | <0.05 | ||
No | 30 (23.6) | 11 (10.8) | <0.05 |
Logistic regression model
Variable | Odds ratio (95 % confidence interval) |
P value |
---|---|---|
Age | 0.85 (0.70–1.05) | 0.127 |
Sex (Ref = Male) | 0.71 (0.29–1.77) | 0.468 |
Year of qualification | 1.07 (0.868–1.31) | 0.535 |
Length of stay in Ireland as a qualified doctor | 1.54 (1.27–1.86) | <0.001 |
Country of qualification (Ref = Ireland) | ||
India | 0.07 (0.01–0.38) | 0.002 |
Nigeria | 0.07 (0.01–0.36) | 0.002 |
Pakistan | 0.20 (0.04–0.93) | 0.04 |
Sudan | 0.07 (0.03–0.68) | 0.004 |
Other | 0.13 (0.03–0.68) | 0.015 |
Medical speciality (Ref = Medicine) | ||
Anaesthesia | 14.69 (3.33–64.84) | 0.001 |
Surgery | 1.18 (0.31–4.48) | 0.813 |
Paediatrics | 2.87 (0.68–12.07) | 0.15 |
Psychiatry | 1.38 (0.36–5.32) | 0.641 |
Other | 1.96 (0.61–6.23) | 0.256 |
Citizenship status (Ref = Citizen) | ||
No | 0.50 (0.18–1.35) | 0.131 |
Training scheme status (Ref = Applied) | ||
Have not applied for a training scheme | 0.11 (0.03–0.45) | 0.002 |
Constant | 17.19 | 0.307 |