Junior doctors and overtime: the Queensland experience

Forbes, Malcolm; Arthur, Thomas; Manoharan, Bavahuna; Jones, Rhondda; Kay, Margaret

doi:10.1111/imj.13032

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…A recent study exploring psychological distress in interns identified similar stressors intrinsic to the job such as work overload, long hours and unpaid overtime 16. Australian research has shown that 70% of overtime worked is not claimed by junior doctors and one of the key reasons relates to hospital culture, including the real or perceived pressure to under-claim or not claim extra hours worked 17. This study highlights the significant cultural issues that sustain the factors that negatively impact on junior doctors’ health and well-being.…”

Section: Discussionmentioning

confidence: 99%

Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis

2019

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ObjectiveTo explore factors associated with the psychological well-being of junior doctors in Australia.DesignQualitative study using semistructured interviews.SettingThree teaching hospitals in Brisbane, Queensland, Australia.ParticipantsFifteen junior medical officers (postgraduate year 2 doctors) employed across three hospitals in Queensland participated in the study.Main outcome measuresFifteen de-identified interviews were analysed. Four key themes emerged—workplace issues impacting on health and well-being; experiences of bullying and harassment; strategies to improve health and well-being; and barriers to seeking healthcare.ConclusionUnderlying system and cultural factors affect the health of junior doctors. Self-stigma particularly affects junior doctors and impacts on their healthcare seeking behaviours.

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Section: Discussionmentioning

confidence: 99%

Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis

2019

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“…This is supported by a growing body of evidence that the majority of doctors-in-training claim substantially less overtime than they are entitled to, and that the amount of overtime paid is significantly less than that claimed. 1,2 Doctors-in-training are entitled to claim payment for all time worked beyond contracted hours, hereafter referred to as overtime. 3 Despite these concerns, there is a relative paucity of published data surrounding overtime claiming patterns among doctors-in-training.…”

Section: Introductionmentioning

confidence: 99%

Overtime claiming among Australian doctors-in-training

2022

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Objective To quantify patterns of overtime among doctors-in-training in New South Wales and to explore the reasons doctors-in-training cite for not claiming overtime worked. Methods A confidential online self-reporting survey was conducted of post-graduate doctors-in-training, working in hospitals in NSW, from post-graduate year 1 through to completion of specialist training. Questions sought to determine the average amount of overtime worked, overtime claiming patterns, and reasons why overtime was not claimed. Comparisons were made by level of training and specialty training pathway. Results A total of 1351 valid responses were received. Unrostered overtime was extremely common, as was underpayment for work completed. Though 73.5% of respondents reported working at least 5 h of unrostered overtime per fortnight, only 15.6% of respondents reported claiming all their unrostered overtime, and among those who did claim overtime, only 45.5% reported being paid the amount in full. Common reasons for not claiming overtime included workplace cultural expectations (37.0%), and overtime not falling under approved reasons (32.6%). There were statistically significant differences (P < 0.001) in all response categories between critical care, physician and surgical training pathways. Conclusions The survey data demonstrated a significant disconnect between expectations and reality of working hours among doctors-in-training. This is indicative of concerns regarding loss of income, impaired ability to plan workforce allocation due to hidden workload, and possibly impaired wellbeing.

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Junior doctors and overtime: the Queensland experience

Cited by 2 publications

References 5 publications

Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis

Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis

Overtime claiming among Australian doctors-in-training

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