Medical training and the hospital at night: an oxymoron?

Gallagher, Paul; McLean, Pauline; Campbell, Ross; Gallacher, Stephen J.; Kennon, Brian

doi:10.1111/j.1365-2923.2009.03529.x

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Improving the continuity of training is important in order to maximize the valuable learning opportunities present during clinical work such as ward rounds and night shifts. 12,19,20 The valuable formative element of WBPAs 21 is likely to be increased by increasing levels of training continuity. Another great area of concern is the apparent deficiencies in terms of identifying the ‘failing FY doctor’.…”

Section: Discussionmentioning

confidence: 99%

Foundation doctors’ experience of their training: a questionnaire study

Dean

Duggleby

2013

JRSM Short Reports

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ObjectivesWe set out to evaluate the impact of Foundation Year (FY) training on the doctors who had been through this training system.DesignDoctors in training were surveyed using a structured web-based questionnaire.SettingPostgraduate training in the UK has been the subject of much upheaval in recent years.ParticipantsA total of 1065 doctors in training were surveyed in late 2011 and early 2012, of which 638 were current FY doctors.Main outcome measuresThe survey was both quantitative and qualitative, focusing on selection, working hours, training quality, training assessments and the regulation of training.ResultsA majority of current FY trainees worked extra weekly hours with the breakdown being: 5–10 hrs (54%), 10–15 hrs (17%), >15 hrs (9%) and no extra weekly hours (20%). All current FY trainees wanted to work for more than 40 h a week with the following breakdown of desired hours: per week 40–48 (22%), 48–60 (50%) and 60–70 h (19%). The average hours per week spent clerking emergency admissions by current FY trainees were as follows: zero hours (11%), 0–5 h (37%), 5–10 h (30%), 10–15 h (11%) and greater (11%).A large majority (90%) felt that it was possible for incompetent trainees to obtain satisfactory results from assessments and that the FY training program was poor at identifying failing trainees. There were high levels of dissatisfaction with the selection process.ConclusionsFY training appears to be failing in several key areas with the lack of emergency exposure a particular area of concern. It is essential that any future reforms of training address these problem areas.

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Section: Discussionmentioning

confidence: 99%

Foundation doctors’ experience of their training: a questionnaire study

Dean

Duggleby

2013

JRSM Short Reports

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“…Naktį didesnės skubios hospitalizacijos apimtys, daugiau komplikacijų ir medicininių klaidų, daugiau pacientų mirčių (Miller, 2010;Hendey, et al, 2005). Todėl nemažai diskutuojama dėl jaunų medikų (rezidentų, trejus metus darbo patirties turinčių gydytojų, slaugytojų) darbo ir jo rezultatų naktį, kokios jų galimybės priimti teisingus sprendimus, mokytis ir tobulėti (Campbell, et al, 2008;Galagher, et al, 2009;Dalton , 2013;Novoselsky-Persky, 2013;Coomber, 2014).…”

Section: įVadasunclassified

Tinkama Sveikatos Priežiūra: Naktinis Medikų Darbas

Janušonis

2021

Tiltai

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Anotacija Straipsnyje siekiama atskleisti medikų požiūrį į naktinį darbą daugiaprofilinėse Lietuvos ligoninėse. Naktinio medikų darbo ypatumai analizuojami keliais susijusiais apibendrintais aspektais: požiūris į naktinį darbą kaip reiškinį, naktinio darbo įtaka fiziologiniams poreikiams, sveikatai ir šeimai, naktinio darbo sąsajos su aplinka ir darbo organizacija. Atskleidžiami gydytojų ir slaugytojų požiūrių į naktinį darbą skirtumai. PAGRINDINIAI ŽODŽIAI: sveikatos priežiūros kokybė, medikų naktinis darbas, ligoninė, saugi aplinka.

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