The vacancy has been open four months. HR has sent the position description to five recruiters. It is on Seek, on LinkedIn, and on the company careers page. The applications that arrive are from sales representatives, a few pharmacists, and nobody with an AHPRA registration. If you cannot fill clinical educator role vacancies after that much effort, the natural conclusion is that the market is tight and nurses do not want to leave hospitals.

In my experience that conclusion is wrong more often than it is right. Nurses want these roles. The problem is that the advert is in the wrong place, written in the wrong language, and screening for the wrong thing, so the right people never see it, and the few who do decide it is not for them. Here are the three reasons I find most often, and what to change.

Reason one: the position description does not describe the role

Read your PD as a nurse would. If it says "sales experience required", "key account management", "territory" and "pipeline", a registered nurse reads it as a sales job wearing a nurse's uniform, and closes the tab. That is not what the job is. A clinical educator or clinical specialist is a registered nurse who designs and delivers training on your device or programme, spends time in wards and theatres, and teaches people who did not want to attend the in-service. The value they bring is clinical credibility and the ability to change what a team does.

Say that. Describe a typical week in clinical terms: which hospitals, which procedures, who they train, who they report to, and what good looks like after a year. State plainly that sales experience is not required, because in most of these roles it is not, and that there is no personal quota if that is true. In my experience the roles that fill fastest are the ones whose PD a nurse could recognise as their own job, done full time and paid properly.

Reason two: it is listed where nurses never look

Most device and pharma clinical roles go up on Seek under Sales, or Science and Technology, or Healthcare with a non-nursing subcategory, because that is the classification the last sales role used. Nurses search under Nursing. They will never see it. The same thing happens on LinkedIn when the title is Territory Manager or Clinical Sales Specialist, because a nurse is not searching for either.

The fix is cheap. Title the role Clinical Educator, Clinical Specialist or Clinical Applications Specialist, and put "registered nurse" and "AHPRA" in the first two lines of the advert. List it under Nursing or Education and Training as well as wherever your template puts it. I wrote a companion piece for nurses on where non-bedside nursing jobs are advertised, and the frustration in it runs both ways. The nurses are looking. They are looking in the wrong aisle, because that is where you told them to look.

Reason three: you cannot fill clinical educator role vacancies by screening for sales

The screening questions are the quiet killer. "Do you have sales experience?" "Tell us about your biggest deal." "How have you managed a territory?" A clinical educator has never made a sale, and a good one will say so, and then be screened out by an HR process that was written for a different job. The nurses who get through are the ones willing to stretch the truth, which is the opposite of what you want in a clinical role.

Replace those questions with the three that predict success. Tell us about a time you taught something complex to people who did not want to learn it. Describe a change you introduced that did not work at first, and what you did next. How would you train a theatre team on a new instrument they will use on every case? Those questions have no right answer from a sales background and a rich answer from any senior nurse who has precepted graduates and run in-services. I go through what the interview itself should test in how to hire a clinical educator or clinical specialist.

What it looks like when all three are fixed

The PD describes a clinical job in clinical language. The advert is titled so a nurse recognises it and sits where a nurse would find it. The screen asks about teaching, problem solving and clinical judgement rather than deals. The interview panel includes at least one person who can assess clinical credibility, because a sales director cannot tell the difference between a nurse who will earn a surgeon's trust and one who will not.

Then you hire someone who can do the job. Clinical teams adopt the device because the person teaching them is one of them. Your sales team can sell into those hospitals because the adoption problem has already been solved by someone the ward listens to. That is the return on getting the hire right, and it is the reason experienced clinical educators and specialists in device and pharma are paid well into six figures. If your salary band is set at ward rates, that is a fourth reason, and I cover it in why medical device companies struggle to hire nurses.

Where a specialist search fits

You can fix all three of these yourself, and I would encourage you to. Where a specialist recruiter helps is when the role has been open long enough that the cost of the vacancy is now higher than the cost of the search, or when nobody on your side can assess a nurse's clinical background with confidence.

The way I work is an exclusive 21 day search. You give me the brief, I give you a shortlist of three to five registered nurses by a named date, with a written update every Friday in between. There is no engagement fee. The fee is 15% of first year salary, or 18% for executive roles, payable when the person starts. Every nurse on the shortlist has been through a proper conversation with me about the role, so nobody arrives at your interview thinking they are applying for a sales job. Why medical device companies struggle to hire nurses covers the wider pattern if this vacancy is not your first.

Questions hiring managers ask

Is there really a shortage of nurses willing to leave the bedside?

Not in my experience. There is a large group of experienced registered nurses who are already the unofficial educator on their ward, who want business hours and a salary that reflects their skill, and who do not know these roles exist. The shortage is of adverts they can find and recognise, not of nurses willing to apply.

Should we require experience with our specific device?

No. A nurse who has taught colleagues on three different infusion pumps will learn yours in a fortnight. Requiring product experience narrows the field to your competitors' staff and excludes the wider pool of senior clinical nurses. Ask instead which equipment they have trained others on, and how quickly they picked up the last new system on their ward.

How long should a properly run search take?

With a clear brief, an accurate PD and a decision maker available for interviews, a shortlist inside three weeks is realistic and an offer within six to eight weeks is common. Most delays I see come from the employer side, usually a panel that cannot find a shared date, rather than from a lack of candidates.

If your clinical educator or clinical specialist role has been open longer than it should, Send me the brief.

Michelle Mexted is the founder of Aussie Nurse Recruiters (ANR), a Melbourne recruitment agency that places Australian registered nurses into permanent roles beyond the bedside: clinical educator, clinical specialist, patient support programme, case management, nurse advisor and clinical governance roles with medical device, pharma, digital health and private healthcare employers. She has worked in recruitment for more than twenty years. About Michelle and ANR.

18