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Additional file 1.

A summary is given of the proceedings of a Special Study Institute which investigated the problem of identifying the preschool or the prenursery child with a hearing impairment as well as potential problem areas in educational programming for him. Considered are the healthy child, some of the deviant functioning of the impaired child, and identification and educational remediation, particularly in language and perception. Speeches and panel reports discuss the following topics: reasons for a special study institute, contemporary perspectives on the education of the deaf, acceptance and understanding in child growth and development, deviant functioning of the young child, language disorders in preschool children, and the dynamics of sensory motor experiences from infancy to 6 years. A summation is given of the conference proceedings. (WW)

Additional file 1: Table S1. All specialty categories collapsed into HSE NDTP specialty categories.

This report summarises original research findings on the scale and causes of outward migration of non-consultant hospital doctors (NCHDs1 ) from Ireland. It draws on findings from five mixed methods research studies undertaken by the Royal College of Surgeons in Ireland’s (RCSI’s) Health Workforce Research Group 2014-18, together with an analysis of routine data published since 2011 by Ireland Health Service Executive (HSE) National Doctor Training and Planning Unit (NDTP) and the Irish Medical Council (IMC). A consistent picture emerges of the factors that ‘push’ Irish and international medical graduates to leave Ireland, namely poor working conditions, and inadequate training and career opportunities. Research findings from 2018 show that, while trainees report improvements in mentoring and supervision of their training, they also report a worsening of work-related stress and staffing levels in Irish hospitals. Furthermore, there is evidence to suggest that shortages of consultants are contributing to NCHD emigration. This report starts with a summary of the Challenges and Responses that emerged from a policy dialogue of key national stakeholders conducted at the Royal College of Surgeons (RCSI) in November 2017. Each chapter summarises different dimensions of the evidence, ending with questions that were proposed and discussed at the policy dialogue, with a view to framing interventions to retain Ireland’s doctors, specifically NCHDs. Most of the focus of the report and much of the research has been on trainees, who are NCHDs in post-graduate training programmes. However, the report and some of the research and routine data also focus on non-trainees, on whom Ireland is increasingly reliant for the delivery of its health services. Most NCHDs in long-term non-training posts are international medical graduates (IMGs), who are recruited to non-training posts, to which Irish-trained doctors will not apply.

The RCSI Health Workforce Research Group held a policy dialogue in November 2017 at the Royal College of Surgeons in Ireland. The event was attended by senior staff of the Department of Health, the Health Service Executive, postgraduate medical training bodies, NCHD representatives and other national stakeholders with an interest in, or remit for, medical workforce strategy. Copies of the evidence pack, Retaining our Doctors, Medical Workforce Evidence, 2013-17, which forms the body of this report, were provided to attendees. The report, which we have updated with new 2018 research findings, incorporates a summary of research evidence on the intentions, migration patterns and reasons why many NCHDs leave Ireland to train and work abroad; and why they often do not return. A brief summary of the most recent findings, together with questions used to stimulate discussion, was presented at the November 2017 event. In order to assist and encourage free discussion, the meeting was held under the following interpretation of the Chatham House Rule: issues discussed in the meeting can be discussed outside of the meeting but ideas, views and any positions expressed in the meeting will not be attributed to either organisations or individuals attending the meeting. A summary of the Challenges and Responses that emerged during the stakeholder discussions was prepared and sent to those who participated, which engendered further feedback. It should be noted that nothing stated in the following summary can be attributed to any individual, agency or body that participated in the event.

This report summarises original research findings on the scale and causes of outward migration of non-consultant hospital doctors (NCHDs1 ) from Ireland. It draws on findings from five mixed methods research studies undertaken by the Royal College of Surgeons in Ireland’s (RCSI’s) Health Workforce Research Group 2014-18, together with an analysis of routine data published since 2011 by Ireland Health Service Executive (HSE) National Doctor Training and Planning Unit (NDTP) and the Irish Medical Council (IMC). A consistent picture emerges of the factors that ‘push’ Irish and international medical graduates to leave Ireland, namely poor working conditions, and inadequate training and career opportunities. Research findings from 2018 show that, while trainees report improvements in mentoring and supervision of their training, they also report a worsening of work-related stress and staffing levels in Irish hospitals. Furthermore, there is evidence to suggest that shortages of consultants are contributing to NCHD emigration. This report starts with a summary of the Challenges and Responses that emerged from a policy dialogue of key national stakeholders conducted at the Royal College of Surgeons (RCSI) in November 2017. Each chapter summarises different dimensions of the evidence, ending with questions that were proposed and discussed at the policy dialogue, with a view to framing interventions to retain Ireland’s doctors, specifically NCHDs. Most of the focus of the report and much of the research has been on trainees, who are NCHDs in post-graduate training programmes. However, the report and some of the research and routine data also focus on non-trainees, on whom Ireland is increasingly reliant for the delivery of its health services. Most NCHDs in long-term non-training posts are international medical graduates (IMGs), who are recruited to non-training posts, to which Irish-trained doctors will not apply.