Protocol for Thematic Synthesis of Differential Attainment in the Medical Profession - ‘Bridging the Gap’ Series Alliance for Equality in Health Professions

Main Article Content

Indranil Chakravorty MBBS PhD FRCP
Sunil Daga MBBS, PhD, MRCP
Subarna Chakravorty MBBS MRCPCH PhD FRCPath
JS Bamrah MD FRCPsych FIIOPM
Ramesh Mehta OBE MD FRCPCH

Abstract

Differential Attainment is a phenomenon, recognised globally, where certain cohorts of people tend to have poorer career outcomes based on factors other than capability, academic effort, or motivation. Although by no means unique to or exclusive to, it is indeed well described and monitored in the health education/ training, and affects professionals throughout their entire career journey from admission to retirement. It is a marker of an unfair system and affects individuals as well as organisations adversely. It is the responsibility of all organisations, policymakers and regulators to urgently understand the causes, find solutions, and support those that are disadvantaged as a result of this inequality. The British Association of Physicians of Indian Origin addressing its declared mission of achieving excellence through promoting equality and diversity, along with its collaborative partners and a panel of international experts has created an Alliance for Equality in Health Professions. This Alliance will spearhead a thematic analysis of the entire spectrum of differential attainment in medical professions. This paper describes the protocol for the thematic synthesis of evidence, the priority setting partnerships for undertaking a critical integrative analysis, and the process for combining evidence from experts with lived experiences of grassroots professionals to produce meaningful solutions, actions, and policy enablers. The output will be published as a series of papers in Sushruta and culminate in a seminal report in 2021 when BAPIO turns 25.

Article Details

How to Cite
Chakravorty, I., Daga, S., Chakravorty, S., Bamrah, J., & Mehta, R. (2020). Protocol for Thematic Synthesis of Differential Attainment in the Medical Profession - ‘Bridging the Gap’ Series : Alliance for Equality in Health Professions. Sushruta Journal of Health Policy & Opinion, 13(3). https://doi.org/10.38192/13.3.17
Section
Articles
Author Biographies

Indranil Chakravorty MBBS PhD FRCP, BAPIO Institute for Health Research, Bedford, UK

Consultant Physician, St Georges University Hospitals NHS Foundation Trust

Director of Medical Education

Hon Senior Lecturer, St George's University of London, UK

Hon Visiting Lecturer, University of Hertfordshire

Chair, BIHR

Editor, Sushruta Journal of Health Policy & Opinion

Sunil Daga MBBS, PhD, MRCP, BAPIO Institute for Health Research, Bedford, UK

Consultant Nephrologist, Leeds Teaching Hospitals

Secretary, BIHR

Subarna Chakravorty MBBS MRCPCH PhD FRCPath, BAPIO Institute for Health Research, Bedford, UK

Consultant Paediatric Haematologist, Kings College Hospital, London

Joint Secretary, BIHR

JS Bamrah MD FRCPsych FIIOPM, BAPIO Institute for Health Research, Bedford, UK

Consultant Psychiatrist, Central Manchester Mental Health Trust

Hon Chairman, BAPIO

Ramesh Mehta OBE MD FRCPCH, British Association of Physicians of Indian Origin, Bedford, UK

Consultant Paediatrician

President, BAPIO

References

1. Woolf K, Viney R, Rich A, Jayaweera H, Griffin A. Organisational perspectives on addressing differential attainment in postgraduate medical education: a qualitative study in the UK. BMJ Open [Internet]. 2018 Mar 9 [cited 2020 Jan 21];8(3). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855204/
2. General Medical Council (Great Britain). The state of medical education and practice in the UK, 2014. [Internet]. 2014 [cited 2020 Aug 1]. Available from: http://www.gmc-uk.org/SOMEP_2014_FINAL.pdf_58751753.pdf
3. Woolf K. Fair Training Pathways for All: Understanding Experiences of Progression - Final Report. :69.
4. Iacobucci G. Specialty training: ethnic minority doctors’ reduced chance of being appointed is “unacceptable”. BMJ [Internet]. 2020 Feb 12 [cited 2020 Aug 18];368. Available from: https://www.bmj.com/content/368/bmj.m479
5. Linton S. Taking the difference out of attainment. BMJ [Internet]. 2020 Feb 12 [cited 2020 Jul 8];368. Available from: https://www.bmj.com/content/368/bmj.m438
6. Why are more black and minority ethnic people dying from Covid-19 in hospital? – Race Equality Foundation [Internet]. [cited 2020 Aug 1]. Available from: https://raceequalityfoundation.org.uk/health-care/why-are-more-black-and-minority-ethnic-people-dying-from-covid-19-in-hospital/
7. Black Lives Matter. In: Wikipedia [Internet]. 2020 [cited 2020 Aug 6]. Available from: https://en.wikipedia.org/w/index.php?title=Black_Lives_Matter&oldid=971334380
8. R (BAPIO) v Royal College of General Practitioners & General Medical Council [2014] EWHC 1416 (Admin) [Internet]. Equally Ours. [cited 2020 Aug 18]. Available from: https://www.equallyours.org.uk/0033-r-bapio-v-royal-college-of-general-practitioners-general-medical-council-2014-ewhc-1416-admin/
9. The Physician- Academic Journal for Healthcare Professionals [Internet]. [cited 2020 Aug 18]. Available from: https://www.thephysician.uk/differential-attainment-themes-contribute
10. Chakravorty I, Bamrah JS, Mehta R. A Rainbow Paper - Tackling inequalities, a neo-liberal order in a world after Corona. Sushruta Journal of Health Policy & Opinion [Internet]. 2020 Aug 6 [cited 2020 Aug 18];13(3). Available from: http://sushrutajnl.net/index.php/sushruta/article/view/88
11. Campaigns [Internet]. BAPIO | British Association of Physicians of Indian Origin. [cited 2020 Aug 6]. Available from: https://www.bapio.co.uk/differential-attainment-in-healthcare-professionals/
12. Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews. 2015 Jan 1;4(1):1.
13. Critical interpretive synthesis: what it is and why it is needed | Colloquium Abstracts [Internet]. [cited 2020 Aug 18]. Available from: /2006-dublin/critical-interpretive-synthesis-what-it-and-why-it-needed
14. Beyea SC, Nicoll LH. Writing an integrative review. AORN Journal. 1998;67(4):877–80.
15. Ting DK, Boreskie P, Luckett-Gatopoulos S, Gysel L, Lanktree MB, Chan TM. Quality Appraisal and Assurance Techniques for Free Open Access Medical Education (FOAM) Resources: A Rapid Review. Seminars in Nephrology. 2020 May 1;40(3):309–19.
16. Nicholson E, Murphy T, Larkin P, Normand C, Guerin S. Protocol for a thematic synthesis to identify key themes and messages from a palliative care research network. BMC Res Notes [Internet]. 2016 Oct 21 [cited 2020 Aug 8];9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073737/
17. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008 Jul 10;8:45.
18. Patterson F, Roberts C, Hanson MD, Hampe W, Eva K, Ponnamperuma G, et al. 2018 Ottawa consensus statement: Selection and recruitment to the healthcare professions. Medical Teacher. 2018 Nov 2;40(11):1091–101.
19. Differential attainment [Internet]. [cited 2020 Aug 18]. Available from: https://www.gmc-uk.org/education/standards-guidance-and-curricula/projects/differential-attainment

Most read articles by the same author(s)