| Preregistration house officers in eight English regions: survey of quality of training. | |
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MedLine Citation:
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PMID: 8251844 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the quality of preregistration house officer training in eight English regions. DESIGN: Postal questionnaire. SETTING: Thames, East Anglian, Mersey, Northern, and Wessex regions. PARTICIPANTS: 1670 preregistration house officers. MAIN OUTCOME MEASURES: Education, hours of work, workload, conditions of work, and attitudes to job and medicine as a career. RESULTS: Response rate was 69% (1146 replies). Most house officers had attended induction courses (1036/1129 (92%)); 74% (757/1024) found them satisfactory. The proportions who had never received adequate guidance on how to break bad news and how to control pain were 59% (670/1135) and 56% (634/1136) respectively. There was much variation between regions. Overall, 65% (736/1138) reported confidence in performing cardiopulmonary resuscitation. Most respondents (95% (1089/1142)) worked an on call rota, 3% (36) a partial shift, and 0.6% (seven) a full shift; 19% (202) were on duty for average weekly hours that exceeded the targets for 1 April 1993. House officers had a median of 20 patients under their care and clerked a median of 10 emergency cases, six routine cases, and two day cases a week. Over half (690/1128 (61%)) could not obtain hot food after 8 pm, 20% (223/1095) did not always have clean sheets available in their on call room, and 45% (462/1036) did not consider the protection of staff against violence to be adequate at their hospital. The most important problems with the preregistration year were inappropriate or non-medical tasks (ranked first by 360 respondents), hours of work (359), and pay for out of hours work (167). Overall 57% (646/1125) would encourage a friend to apply for their post, but only 24% (266/1112) would encourage a friend to take up medicine and 44% (494/1112) would discourage the idea. CONCLUSIONS: House officers' training is deficient in important respects, with inappropriate tasks and heavy clinical workloads impeding the provision of proper education. |
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Authors:
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J H Gillard; T H Dent; E J Aarons; P J Smyth-Pigott; M W Nicholls |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: BMJ (Clinical research ed.) Volume: 307 ISSN: 0959-8138 ISO Abbreviation: BMJ Publication Date: 1993 Nov |
Date Detail:
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Created Date: 1994-01-13 Completed Date: 1994-01-13 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 8900488 Medline TA: BMJ Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 1180-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Neuroradiology, Johns Hopkins Hospital, Baltimore, MD. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Education, Medical, Graduate / standards* England Humans Inservice Training Medical Staff, Hospital / education*, psychology, standards, statistics & numerical data Questionnaires Teaching Time Factors Workload / statistics & numerical data |
| Comments/Corrections | |
Comment In:
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BMJ. 1994 Jan 8;308(6921):137
[PMID:
8298408
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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