Junior doctors need training in sickness certification

Walters, Gareth; Blakey, Kate; Dobson, Chris

doi:10.1093/occmed/kqp182

Cited by 15 publications

(14 citation statements)

References 3 publications

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“…Although previous research has reported that physicians request more competence and training in how to handle sickness certification (Krohne & Brage 2007;Swartling et al 2008;Löfgren et al 2010) and studies have shown insufficient familiarity among physicians regarding the social insurance system (Gerner & Alexanderson 2009;Roope et al 2009;Walters et al 2010), the participants in this study did not report a strong need for more such competence.…”

Section: Oncology and Sickness Certificationcontrasting

confidence: 55%

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Sickness certification at oncology clinics: perceived problems, support, need for education and reasons for certifying unnecessarily long sickness absences

Bränström

Arrelöv

Gustavsson

et al. 2013

Eur J Cancer Care (Engl)

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Physicians' work with sickness certifications is an understudied field. The aims of this study were to gain knowledge of experiences concerning the sickness certification process among physicians working at oncology clinics. In 2008, all physicians working in Sweden (n = 36 898) were sent a questionnaire concerning sick-listing practices. All respondents working at an oncology clinic (n = 428) were included in the current study. Most of the physicians had sickness certification consultations at least weekly (91.3%). More than one fifth (22.3%) reported that they worked at a clinic with a workplace policy regarding the handling of sickness certification and 61.1% reported receiving at least some support in such cases from their immediate manager. Issuing unnecessary long sickness certificates were related to experiencing delicate interactions with patients and to lack of time. To a moderate degree, further competence was requested regarding: different types of compensation in the social insurance system, responsibilities of the Social Insurance Agency and employers, and sickness insurance rules. The large majority of physicians working in oncology reported regularly having consultations involving sickness certification. Overall, they reported few problems, low level of need for more competence regarding sickness certification, and low frequency of issuing sickness absences for longer periods than necessary.

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Section: Oncology and Sickness Certificationcontrasting

confidence: 55%

“…; Walters et al . ), the participants in this study did not report a strong need for more such competence.…”

Section: Discussionmentioning

confidence: 51%

Sickness certification at oncology clinics: perceived problems, support, need for education and reasons for certifying unnecessarily long sickness absences

Bränström

Arrelöv

Gustavsson

et al. 2013

Eur J Cancer Care (Engl)

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“…25 27 28 36–39 41–43 50 51 64 81 Most studies providing evidence of graduates' preparedness also provide evidence of graduates' unpreparedness (only four do not); such studies include different cohorts of graduates (eg, new vs old curricula) or differing perspectives (eg, trainee vs trainer) 2541 64 81 Similarly, the studies mapping to the doctor as professional show more contributing evidence to suggest graduates unprepared27 36–39 41 42 51 52 60 62 66 69 79 than prepared,27 36–39 41 42 51 69 78 with only one study contributing data purely suggesting graduates are prepared 78…”

Section: Resultsmentioning

confidence: 99%

How prepared are UK medical graduates for practice? A rapid review of the literature 2009–2014

et al. 2017

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ObjectiveTo understand how prepared UK medical graduates are for practice and the effectiveness of workplace transition interventions.DesignA rapid review of the literature (registration #CRD42013005305).Data sourcesNine major databases (and key websites) were searched in two timeframes (July–September 2013; updated May–June 2014): CINAHL, Embase, Educational Resources Information Centre, Health Management Information Consortium, MEDLINE, MEDLINE in Process, PsycINFO, Scopus and Web of Knowledge.Eligibility criteria for selecting studiesPrimary research or studies reporting UK medical graduates' preparedness between 2009 and 2014: manuscripts in English; all study types; participants who are final-year medical students, medical graduates, clinical educators, patients or NHS employers and all outcome measures.Data extractionAt time 1, three researchers screened manuscripts (for duplicates, exclusion/inclusion criteria and quality). Remaining 81 manuscripts were coded. At time 2, one researcher repeated the process for 2013–2014 (adding six manuscripts). Data were analysed using a narrative synthesis and mapped against Tomorrow's Doctors (2009) graduate outcomes.ResultsMost studies comprised junior doctors' self-reports (65/87, 75%), few defined preparedness and a programmatic approach was lacking. Six themes were highlighted: individual skills/knowledge, interactional competence, systemic/technological competence, personal preparedness, demographic factors and transitional interventions. Graduates appear prepared for history taking, physical examinations and some clinical skills, but unprepared for other aspects, including prescribing, clinical reasoning/diagnoses, emergency management, multidisciplinary team-working, handover, error/safety incidents, understanding ethical/legal issues and ward environment familiarity. Shadowing and induction smooth transition into practice, but there is a paucity of evidence around assistantship efficacy.ConclusionsEducational interventions are needed to address areas of unpreparedness (eg, multidisciplinary team-working, prescribing and clinical reasoning). Future research in areas we are unsure about should adopt a programmatic and rigorous approach, with clear definitions of preparedness, multiple stakeholder perspectives along with multisite and longitudinal research designs to achieve a joined-up, systematic, approach to understanding future educational requirements for junior doctors.

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“…That is probably related partly to the need for such guidelines that was expressed among physicians,19 partly to the nationwide launch of these recommendations and partly to the support of them from different stakeholders, including the medical associations. It has been shown that many young physicians are concerned about their lack of knowledge in sickness certification,27 and hence use of the guidelines is probably a way of developing such proficiency. However, others13 have observed extensive use of sickness certification guidelines among GPs with higher qualifications, as have we.…”

Section: Discussionmentioning

confidence: 99%

Use and usefulness of guidelines for sickness certification: results from a national survey of all general practitioners in Sweden

et al. 2011

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ObjectivesDiagnoses-specific sickness certification guidelines were recently introduced in Sweden. The aim of this study was to investigate to which extent general practitioners (GPs) used these guidelines and how useful they found them, 1 year after introduction.DesignA cross-sectional questionnaire study. A comprehensive questionnaire about sickness certification practices in 2008 was sent to all physicians living and working in Sweden (n=36 898, response rate 60.6%). In all, 19.7% (n=4394) of the responders worked as GPs.SettingPrimary healthcare in all Sweden.ParticipantsThe participating GPs who had consultations concerning sickness certification at least a few times a year (n=4278, 97%).Main outcome measuresDescriptive statistics and prevalence ratios for the 11 questionnaire items about the use and usefulness of the sickness certification guidelines.ResultsA majority (76.2%) of the GPs reported that they used the guidelines. In addition, 65.4% and 43.5% of those GPs reported that the guidelines had facilitated their contacts with patients and social insurance officers, respectively. The guidelines also helped nearly one-third (31.5%) of the GPs to develop their competence and improve the quality of their management of sickness certification consultations (33.5%). About half experienced some problems when using the guidelines and 43.7% wanted better competence in using them. A larger proportion of non-specialists and of GPs with fewer sickness certification consultations had benefitted from the guidelines.ConclusionsThe national sickness certification guidelines implemented in Sweden were widely used by GPs already a year after introduction. Also, the GPs consider the guidelines useful in several respects, for example, in patient contacts and for competence development.

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Junior doctors need training in sickness certification

Cited by 15 publications

References 3 publications

Sickness certification at oncology clinics: perceived problems, support, need for education and reasons for certifying unnecessarily long sickness absences

Sickness certification at oncology clinics: perceived problems, support, need for education and reasons for certifying unnecessarily long sickness absences

How prepared are UK medical graduates for practice? A rapid review of the literature 2009–2014

Use and usefulness of guidelines for sickness certification: results from a national survey of all general practitioners in Sweden

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