Junior doctor-designed induction booklet to improve future junior doctor experience in a new post

Thomas, Nibu; McGrann, Eoin; Zammit, Louise; Eaton, Patrick; White, William D.; Lingam, Claire; Thompson, Charlotte; Morgan, Christopher G.; William, Linda; Davie, Philip; Shellien, Rachel; O’Neill, Ronan

doi:10.7861/futurehealth.6-2-s17

Cited by 5 publications

(2 citation statements)

References 1 publication

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“…Staff changeover is stressful and a source of significant anxiety for rotating clinicians and the wider team; paediatric rotations can be particularly unfamiliar 1–5. Departments take steps to mitigate this and to prepare staff for their role, by providing an induction programme.…”

Section: The Problemmentioning

confidence: 99%

Improving induction to support new junior paediatric staff through an electronic induction guide and buddy scheme

Wang,

Prendergast,

Butler

2023

Arch Dis Child Educ Pract Ed

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Section: The Problemmentioning

confidence: 99%

Improving induction to support new junior paediatric staff through an electronic induction guide and buddy scheme

Wang,

Prendergast,

Butler

2023

Arch Dis Child Educ Pract Ed

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“…Some have a SMART aim to improve the flow in the emergency department, 6 and others relate to the improvement of routines of doctors and nurses in the ward. [7][8][9] One QI study from the University Hospital Lewisham described how most patients have at least one routine task that would need completion by the on-call team over the weekend. To prevent this problem from occurring, they created a checklist prior to the weekend.…”

Section: Introductionmentioning

confidence: 99%

Reducing potentially avoidable tasks in a hyperacute stroke unit

Tireli

2021

BMJ Open Qual

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The workflow in a stroke unit can be very high, and this is especially noticeable during evening and night shifts, where staffing is reduced but the patient’s need for frequent and intensive care is not. The specialised and standardised settings in a stroke regime are constant and demanding for healthcare providers who, therefore, must work efficiently. Patient admissions, acute situations and routine tasks are major contributors to the burden of work during evening and night shifts for junior doctors on call. Thus, it is important to reduce the number of potentially avoidable tasks done by these junior doctors during night shifts so they have more time to perform tasks of high priority. The aim of this project was to reduce the potentially avoidable tasks occurring at night for the on-call junior doctor to only one per shift. We investigated the types of tasks that frequently occur for the on-call junior doctor during the night shift and improved our daily morning and evening rounds to reduce the number of tasks during the night shift. Using the plan–do–study–act method, we made improvements through education, knowledge sharing, checklists and feedback, and we reduced the number of potentially avoidable tasks for on-call junior doctors from a median of 11 to a median of 3 per week, demonstrating that the workload for the on-call junior doctor during the night shift can be reduced through a systematic approach to improving the work routines of doctors and nurses.

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An evaluation of the effectiveness of induction programmes on foundation doctor preparedness: a rapid review of the literature

Patel

2021

Ir J Med Sci

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There is an increase in mortality when medical graduates replace the previous cohort of foundation doctors. As of 2012, it is now mandatory for new doctors in the UK to participate in induction training in order to ease this transition and reduce the negative impact on patient outcomes. However, there is no guidance on how best to deliver these induction programmes. This review aims to evaluate the effectiveness of several induction programmes to provide insight on this. Medline and Scopus were searched for relevant literature using keywords. Duplicates were removed and inclusion criteria were created to screen the remaining literature. Five studies were included in this review and they were all quality appraised using the Medical Education Research Study Quality Instrument. Different hospital trusts utilised varying induction programmes. The most common method of assessing their effectiveness involved exploring preparedness in junior doctors post-induction through surveys. Patient outcome, anxiety levels and knowledge were also measured. Induction programmes play a vital role in preparing new foundation doctors for practice and thus improving patient outcomes. Although there may be trust-specific variation, some elements of the programme should be standardised to ensure basic requirements are met universally. New doctors should be assessed on aspects of the programme after completion to increase confidence and knowledge. Organisational considerations such as costs and staff availability need to be taken into account. The quality of future research papers could be improved through inclusion of baseline data, control groups, multi-centred studies and outcomes higher on Kirkpatrick’s hierarchy.

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Junior doctor-designed induction booklet to improve future junior doctor experience in a new post

Cited by 5 publications

References 1 publication

Improving induction to support new junior paediatric staff through an electronic induction guide and buddy scheme

Improving induction to support new junior paediatric staff through an electronic induction guide and buddy scheme

Reducing potentially avoidable tasks in a hyperacute stroke unit

An evaluation of the effectiveness of induction programmes on foundation doctor preparedness: a rapid review of the literature

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