Abstract:All 115 graduates qualifying at Liverpool University Medical School in one year were sent a questionnaire in the final week of their preregistration year to assess the experience they had gained.Of the 105 graduates (92%) who replied, 99 (94%) considered the supervision that they had received to be adequate, 89 (85%) received most of their teaching from other junior doctors, and only 47 believed that they had learnt a considerable amount from their consultant colleagues. Half of the doctors received litde or n… Show more
“…A list of tasks was identified from the literature3 – 5 7 12 – 18 and collated under the section headings: 1, communications; 2, on call patient care; 3, routine patient care; 4, laboratory investigations; 5, clinical investigations; 6, practical procedures; and 7, self management. We generated a datasheet of operational definitions, categories of tasks, and space for comments, and we posted this to members of the panel.…”
Objectives To identify the tasks that should constitute the work of preregistration house officers to provide the basis for the development of a self evaluation instrument. Design Literature review and modified Delphi technique. Setting Northern Deanery within the Northern and Yorkshire office NHS executive. Subjects 67 educational supervisors of preregistration house officers. Main outcome measures Percentage of agreement by educational supervisors to tasks identified from the literature. Results Over 61% of communication items, 70% of on call patient care items, 75% of routine patient care items, 45% of practical procedure items, and over 63% of self management items achieved over 95% agreement that they should be part of the house job of preregistration house officers. Poor agreement was found for the laboratory and clinical investigations that house officers could perform with or without supervision. Conclusions The tasks of house officers were identified but issues in using this method and in devising a universally acceptable list of tasks for preregistration house officers were apparent.
“…A list of tasks was identified from the literature3 – 5 7 12 – 18 and collated under the section headings: 1, communications; 2, on call patient care; 3, routine patient care; 4, laboratory investigations; 5, clinical investigations; 6, practical procedures; and 7, self management. We generated a datasheet of operational definitions, categories of tasks, and space for comments, and we posted this to members of the panel.…”
Objectives To identify the tasks that should constitute the work of preregistration house officers to provide the basis for the development of a self evaluation instrument. Design Literature review and modified Delphi technique. Setting Northern Deanery within the Northern and Yorkshire office NHS executive. Subjects 67 educational supervisors of preregistration house officers. Main outcome measures Percentage of agreement by educational supervisors to tasks identified from the literature. Results Over 61% of communication items, 70% of on call patient care items, 75% of routine patient care items, 45% of practical procedure items, and over 63% of self management items achieved over 95% agreement that they should be part of the house job of preregistration house officers. Poor agreement was found for the laboratory and clinical investigations that house officers could perform with or without supervision. Conclusions The tasks of house officers were identified but issues in using this method and in devising a universally acceptable list of tasks for preregistration house officers were apparent.
“…An exploration of the barriers and difficulties involved in the learning of clinical skills will be made. 22,23,24,25,26,27,28,29,30,31,32,33,34,35 Method…”
Background:Clinical skills and the ability to perform procedures is a vital part of general medicine. Teaching these skills to aspiring doctors is a complex task. It starts with a good theoretical preparation and some practical experience at university. On graduating from university, each doctor is faced with the task of transforming theoretical knowledge into the practical, procedural skills of a competent professional. This study aims to assess the perceptions of intern doctors working in regional hospitals in the Western Cape of their skills training both at undergraduate level and during the intern year.
“…Interestingly, a survey of house-officers who had graduated from Liverpool University showed that 85 per cent felt that they had received most of their training from other junior medical staff [67].…”
Proposed changes in medical staffing levels and pressure for
reduced hours of work by junior doctors have focused attention on
out‐of‐hours work by junior doctors in the United Kingdom. Junior
doctors are on average on duty for over 90 hours per week, and
preregistration house officers typically spend almost 70 hours per week
actually working. There has been a decline in contracted hours for
junior doctors during the 1980s, but an increase in the number of hours
on duty and, in the cases of paediatrics and general surgery, an
increase in the number of hours worked. Current policy is for expansion
in consultant numbers and reduction in junior staff. Critics argue that
the planned expansion of consultant posts is inadequate and the absence
of registrars in some specialties is dangerous. Previous attempts to
reduce the number of hours on duty had little success: suggested
solutions have not been implemented widely. One possible solution may be
reducing and reallocating out‐of‐hours work. It has been suggested that
many of the current tasks undertaken by junior hospital doctors could be
performed by non‐medical staff. A thorough examination of the tasks
actually undertaken by junior hospital doctors outside normal working
hours is required.
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