scholarly journals ‘Slepen al the nyght with open ye’: Personal reflections after 35 years of being on-call

2020 ◽  
Vol 10 (3) ◽  
pp. 20190095 ◽  
Author(s):  
Chris Fitzpatrick
Keyword(s):  
Well Being ◽  
The Past ◽  
Clinical Events ◽  
European Working ◽  
Personal Reflections ◽  
Shift Length ◽  
Medical Specialities ◽  
Working Time Directive ◽  
The Impact ◽  
And Training

The European Working Time Directive (2003) has had a significant impact in reducing the total number of hours worked per week, as well as shift-lengths. There is, however, no agreement on optimal shift-lengths and day/night work balance in different medical specialities. Given the time it takes for clinical events to unfold, particularly in relation to labour, there may be advantages in retaining the 24 hours on-call shift for obstetricians––in the interests of patient care and training. Increasingly seen as a relic of the past, this shift-length merits further research, which should include the impact on clinician well-being.

scholarly journals Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions

2021 ◽  
Author(s):  
Judith Johnson ◽  
Tmam Abdulaziz Al-Ghunaim ◽  
Chandra Shekhar Biyani ◽  
Anthony Montgomery ◽  
Roland Morley ◽  
...  
Keyword(s):  
Well Being ◽  
Work Conditions ◽  
Linear Increase ◽  
Surgical Trainee ◽  
Safe Patient Care ◽  
The Past ◽  
Surgical Trainees ◽  
Training Programmes ◽  
The Impact ◽  
And Training

AbstractSurgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.

Voices of Distress: The Emotional Peril of Not Attaining a Dietetic Internship in Ontario

2013 ◽  
Vol 1 (3) ◽  
pp. 9
Author(s):  
Jennifer Lee Brady ◽  
Annie Hoang ◽  
Olivia Siswanto ◽  
Jordana Riesel ◽  
Jacqui Gingras
Keyword(s):  
Empirical Research ◽  
Current Model ◽  
Well Being ◽  
Structured Interview ◽  
Application Process ◽  
Dietetic Education ◽  
Dietetic Internship ◽  
The Impact ◽  
And Training ◽  
Future Growth

Obtaining dietetic licensure in Ontario requires completion of a Dietitians of Canada (DC) accredited four-year undergraduate degree in nutrition and an accredited post-graduate internship or combined Master’s degree program. Given the scarcity of internship positions in Ontario, each year approximately two-thirds of the eligible applicants who apply do not receive a position XX, XX, XX, XX, XX, XX, in press). Anecdotally, not securing an internship position is known to be a particularly disconcerting experience that has significant consequences for individuals’ personal, financial, and professional well-being. However, no known empirical research has yet explored students’ experiences of being unsuccessful in applying for internship positions. Fifteen individuals who applied between 2005 and 2009 to an Ontario-based dietetic internship program, but were unsuccessful at least once, participated in a one-on-one semi-structured interview. Findings reveal that participants’ experiences unfold successively in four phases that are characterized by increasingly heightened emotional peril: naïveté, competition, devastation, and frustration. The authors conclude that the current model of dietetic education and training in Ontario causes lasting distress to students and hinders the future growth and vitality of the dietetic profession. Further research is required to understand the impact of the current model on dietetic educators, internship coordinators, and preceptors as coincident participants in the internship application process.

scholarly journals The Science of Ageism: Two Steps Forward, One Step Back

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 646-646
Author(s):  
Jerin Lee ◽  
Natalie Shook
Keyword(s):  
Psychological Health ◽  
Well Being ◽  
Census Bureau ◽  
Complex Nature ◽  
The Past ◽  
Growing Pains ◽  
Research Findings ◽  
One Step ◽  
Prejudicial Attitudes ◽  
The Impact

Abstract The past two decades have been marked by a rapidly aging population in the U.S. (U.S. Census Bureau, 2018), making prejudicial attitudes toward older adults (i.e., ageism) and the impact of such attitudes more relevant. As such, ageism researchers have worked tirelessly to not only understand this normalized and insidious form of bias, but also develop efforts to combat it. This symposium will feature four ageism researchers who will showcase both the growing pains and novel contributions of ageism research, ranging from the impact of ageism on psychological health to ageism interventions to issues related to the measurement of ageism. Specifically, Dr. Ayalon will present findings regarding difficulties with the assessment of exposure to ageism and the consequences of ageism for psychological well-being. Dr. Horhota will share research demonstrating challenges associated with confronting ageism. Dr. Levy will present a model showcasing factors associated with the reduction of ageism. Ms. Lee will discuss research findings examining the construct validity of several ageism measures. These talks highlight theoretical and real-world implications associated with the complex nature of ageism, providing important directions for enriching ageism research going forward.

scholarly journals Maudsley International: improving mental health and well-being around the world

2018 ◽  
Vol 15 (3) ◽  
pp. 49-51 ◽  
Author(s):  
Nick Bouras ◽  
Silvia Davey ◽  
Tracey Power ◽  
Jonathan Rolfe ◽  
Tom Craig ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Well Being ◽  
Building Capacity ◽  
The Past ◽  
Health And Social Care ◽  
The World ◽  
Set Up ◽  
Health And Well Being ◽  
And Training

Maudsley International was set up to help improve people's mental health and well-being around the world. A variety of programmes have been developed by Maudsley International over the past 10 years, for planning and implementing services; building capacity; and training and evaluation to support organisations and individuals, professionals and managers to train and develop health and social care provisions. Maudsley International's model is based on collaboration, sharing expertise and cultural understanding with international partners.

Factors relating to working hours restriction that have impacted the professional identity of trainees in the last decade

2021 ◽  
Vol 82 (3) ◽  
pp. 1-10
Author(s):  
Soumya Mukherjee ◽  
James Meacock ◽  
Eleanor Kissane ◽  
Debasish Pal
Keyword(s):  
Identity Development ◽  
Professional Identity ◽  
Medical Training ◽  
Working Hours ◽  
Junior Doctors ◽  
Clinical Experiences ◽  
Postgraduate Medical Training ◽  
European Working ◽  
Working Time Directive ◽  
The Impact

Ever-developing changes to the working hours of junior doctors by the European Working Time Directive, the junior doctor contract of 2019 and most recently the COVID-19 pandemic have impacted the professional identity of doctors. There has been little investigation into its influence on the multifaceted aspects of postgraduate medical training, which feeds into how trainees consider themselves professionally and the concept of professional identity or ‘being a doctor’. A review of the medical, socio-political and educational literature reveals that the impact on the professional identity development of trainees is influenced by several perspectives from the trainee, trainer and the public. Gross reduction in working hours has no doubt decreased the raw volume of clinical experiences. However, to counteract this, smarter learning processes have evolved, including narrative reflection, supervised learning events, and a greater awareness of coaching and training among trainers.

Prestige versus Practicality—A Dilemma for the Engineering Profession

1985 ◽  
Vol 199 (3) ◽  
pp. 139-144 ◽  
Author(s):  
K McCormick
Keyword(s):  
Educational System ◽  
Well Being ◽  
Education And Training ◽  
Working Environment ◽  
Full Time ◽  
Engineering Profession ◽  
The Past ◽  
Social Prestige ◽  
The Social ◽  
And Training

British engineers have claimed that their important contributions to economic and social well-being, based on their achievements as practical people, have gone unrecognized or unrewarded. Yet over the past thirty years efforts to boost the social prestige of British engineers appear to have undermined the social arrangements which fostered the strong practical ethos. Increasing reliance on the full-time educational system is tending to raise social prestige through bringing the ‘all graduate profession’ and through trends to recruitment from higher social backgrounds. Yet these trends have been associated with a fall in traditional and recognizable training. This paper examines both the nature of the ‘practical’ tradition and efforts to raise ‘prestige’ and asks whether the engineering profession is caught on the horns of an irresolvable dilemma—to boost either prestige or practicality. The paper concludes that in principle the British pattern of education and training has much to commend it still, with the strong emphasis on training elements in a working environment. But it is argued that its success will depend on engineers and their employers becoming much more active in the field of training.

scholarly journals ANALYSIS OF METEOROLOGICAL CONDITIONS SIGNIFICANT FOR SMALL AVIATION AND TRAINING FLIGHTS AT THE AIRFIELD “BALKHASH” FOR PLANNING AND FLIGHT SAFETY PURPOSES

2021 ◽  
Vol 2 (446) ◽  
pp. 62-67
Author(s):  
N. Dolzhenko ◽  
E. Mailyanova ◽  
I. Assilbekova ◽  
Z. Konakbay
Keyword(s):  
Meteorological Conditions ◽  
Flight Safety ◽  
The Past ◽  
The Republic ◽  
The Impact ◽  
And Training ◽  
Term Data ◽  
Small Aircraft

Cloudiness and range of visibility are the most significant flight conditions for aircraft. The impact of clouds and visibility on the safety of aircraft flights, especially small aircraft, cannot be overestimated. According to the Interstate Air Committee, Kazakhstan ranks second in the number of aviation disasters. The average age of a third of Kazakhstan's small aircraft is more than 30 years. Over the past few years, 14 air accidents have occurred in the Republic of Kazakhstan, 11 of them with small aircraft. In this work, we investigate long-term data on cloudiness and visibility at the most weather-favorable airfield in Balkhash, for the possibility of safe and economical flights of small aircraft and planning training flights.

scholarly journals Work-Family Conflict in the European Union: The Impact of Organizational and Public Facilities

2019 ◽  
Vol 16 (22) ◽  
pp. 4419
Author(s):  
Chantal Remery ◽  
Joop Schippers
Keyword(s):  
European Union ◽  
Family Conflict ◽  
Well Being ◽  
Work And Family ◽  
Organizational Level ◽  
The European Union ◽  
Work Family Conflict ◽  
European Working ◽  
Work Family ◽  
The Impact

Today, as an increasing share of women and men is involved in both paid tasks at work and unpaid care tasks for children and other relatives, more people are at risk of work-family conflict, which can be a major threat to well-being and mental, but also physical health. Both organizations and governments invest in arrangements that are meant to support individuals in finding a balance between work and family life. The twofold goal of our article was to establish the level of work-family conflict in the member states of the European Union by gender and to analyze to what extent different arrangements at the organizational level as well the public level help to reduce this. Using the European Working Conditions Survey supplemented with macro-data on work-family facilities and the economic and emancipation climate in a country, we performed multilevel analyses. Our findings show that the intensity of work-family conflict does not vary widely in EU28. In most countries, men experience less work-family conflict than women, although the difference is small. Caring for children and providing informal care increases perceived work-life conflict. The relatively small country differences in work-family conflict show that different combinations of national facilities and organizational arrangements together can have the same impact on individuals; apparently, there are several ways to realize the same goal of work-family conflict reduction.

Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities

2010 ◽  
Vol 152 (7) ◽  
pp. 1207-1210 ◽  
Author(s):  
Alexander J. Maxwell ◽  
Matthew Crocker ◽  
Timothy L. Jones ◽  
Dolin Bhagawati ◽  
Marios C. Papadopoulos ◽  
...  
Keyword(s):  
Continuity Of Care ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
Working Time Directive ◽  
Training Opportunities ◽  
And Training
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