scholarly journals Junior hospital doctors' views on their training in the UK.

1996 ◽  
Vol 72 (851) ◽  
pp. 547-550 ◽  
Author(s):  
B. N. Panayiotou ◽  
M. D. Fotherby
Keyword(s):  
Hospital Doctors ◽  
The Uk

scholarly journals Questionnaire survey assessing the leisure-time physical activity of hospital doctors and awareness of UK physical activity recommendations

2019 ◽  
Vol 5 (1) ◽  
pp. e000534 ◽  
Author(s):  
Jennifer A Cuthill ◽  
Martin Shaw
Keyword(s):  
Physical Activity ◽  
Leisure Time Physical Activity ◽  
Teaching Hospitals ◽  
Muscle Strengthening ◽  
Scottish Population ◽  
Physical Activity Recommendations ◽  
Hospital Doctors ◽  
Type Of Exercise ◽  
The Uk ◽  
Activity Recommendations

ObjectiveThe UK Government Physical Activity Recommendations suggest that adults should aim for 150 min of physical activity each week to maintain health. We assessed the total volume, frequency, intensity and type of exercise taken by hospital doctors in association with their specialty, age and knowledge of the specific components of the recommendations.MethodsAn anonymous paper-based questionnaire was distributed to doctors working in the two largest teaching hospitals in Glasgow. 332 questionnaires were analysed with a response rate of 60.3%.Results239 (72%) doctors felt they exercised regularly with 212 (63.9%) meeting the recommended volume of cardiovascular activity, similar to an age and sex-matched cohort of the general Scottish population. Only 78 (23.5%) doctors achieved the recommended muscle-strengthening activities. 108 (35.5%) doctors were aware recommendations for activity existed but only 45 (13.6%) were able to state the recommended duration of activity per week. Doctors who were aware of the recommendations were more likely to personally achieve them (OR 1.802, 95% CI 1.104 to 2.941) although other additional factors may contribute.ConclusionAlthough this was a small study in two hospitals, our results suggest that hospital doctors are as active as the general public in the UK of a similar age. Eight years after implementation, knowledge of specific components of the current physical activity recommendations remains poor. Efforts to improve this prior to graduation, combined with improving confidence and competence in counselling practices and enhancing the opportunities for doctors to exercise, could translate into improved healthcare promotion.

scholarly journals A study to improve the quality of writing clinic letters to patients attending the outpatient clinic

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S211-S211
Author(s):  
Irangani Mudiyanselage ◽  
Madhvi Belgamwar
Keyword(s):  
Outpatient Clinic ◽  
Standards Of Care ◽  
Multidisciplinary Teams ◽  
Patient Centered ◽  
Second Person ◽  
County Mental Health ◽  
Hospital Doctors ◽  
The Uk ◽  
To Receive

AimsIn many countries (including the UK and Australia) it is still common practice for hospital doctors to write letters to patients’ general practitioners (GPs) following outpatient consultations, and for patients to receive copies of these letters. However, experience suggests that hospital doctors who have changed their practice to include writing letters directly to patients have more patient centred consultations and experience smoother handovers with other members of their multidisciplinary teams. (Rayner et al, BMJ 2020)The aim of the study was to obtain patient's views to improve the quality of clinical letters sent to them, hence the level of communication and standards of care.MethodAn anonymous questionnaire was designed and posted to collect information from patients attending one of the South County Mental Health outpatient clinic in Derbyshire. 50 random patients were selected between March to November 2020. Patients were asked to provide suggestions to improve the quality of their clinic letters written directly to them and copies sent to their GPs.ResultOut of 50 patients 48% (n = 24) responded. Majority of patients (92%) expressed their wish to receive their clinic letters written directly to them and 79% preferred to be addressed as a second person in the letters. More than half (54%, N = 13) of them would like to have letter by post. Majority of them (92%, N = 22) wished to have their letter within a week of their consultations.Patients attending clinics felt that the communication could be better improved through writing clearly: a) reflection of what was discussed during the consultation b) updated diagnosis c) a clear follow-up plan d) current level of support e) medication change f) emergency contact numbers g) actions to be carried out by their GP and further referrals should there be any.ConclusionPatients in community prefer to have their clinic letters directly addressing them in second person. It was noted that the letters needed to reflect accurately on what was discussed during the consultation in order to have patient centered consultations. This in turn would improve communication and thus rapport, trust and overall therapeutic relationship.

scholarly journals Adverse effects on health and wellbeing of working as a doctor: views of the UK medical graduates of 1974 and 1977 surveyed in 2014

2017 ◽  
Vol 110 (5) ◽  
pp. 198-207 ◽  
Author(s):  
Fay Smith ◽  
Michael J Goldacre ◽  
Trevor W Lambert
Keyword(s):  
Adverse Effects ◽  
Medical Workforce ◽  
Health Service Provision ◽  
Women Doctors ◽  
Medical Graduates ◽  
Health And Wellbeing ◽  
Need Support ◽  
Hospital Doctors ◽  
The Uk ◽  
Stress Work

Summary Objective To report on any adverse effects on health and wellbeing of working as a doctor, as described by senior doctors. Design Questionnaires sent in 2014 to all medical graduates of 1974 and 1977. Participants 3695 UK medical graduates. Setting United Kingdom. Main outcome measures Statements about adverse effects upon health, wellbeing and career. Results The aggregated response rate from contactable doctors was 84.6% (3695/4369). In response to the question ‘Do you feel that working as a doctor has had any adverse effects on your own health or wellbeing?’, 44% of doctors answered ‘yes’. More GPs (47%) than hospital doctors (42%) specified that this was the case. Three-quarters of doctors who answered ‘yes’ cited ‘stress/work–life balance/workload’ as an adverse effect, and 45% mentioned illness. In response to the statement ‘The NHS of today is a good employer when doctors become ill themselves’, 28% of doctors agreed, 29% neither agreed nor disagreed and 43% disagreed. More women doctors (49%) than men doctors (40%) disagreed with this statement. More general practitioners (49%) disagreed than hospital doctors (37%). Conclusions Chronic stress and illness, which these doctors attributed to their work, were widely reported. Although recent changes may have alleviated some of these issues, there are lessons for the present and future if the NHS is to ensure that its medical workforce receives the support which enables current doctors to enjoy a full and satisfying career and to contribute fully to health service provision in the UK. Older doctors, in particular, need support to be able to continue successfully in their careers.

scholarly journals Does Gender or Religion Contribute to the Risk of COVID-19 in Hospital Doctors in the UK?

2020 ◽  
Vol 13 (3) ◽  
pp. 1-11
Author(s):  
Sunil Daga ◽  
Sadaf Jafferbhoy ◽  
Geeta Menon ◽  
Mansoor Ali ◽  
Subarna Chakravorty ◽  
...  
Keyword(s):  
Univariate Analysis ◽  
Similar Proportion ◽  
Clinical Settings ◽  
Online Questionnaire ◽  
Health Studies ◽  
Hospital Doctors ◽  
Risk Reduction Measures ◽  
Novel Coronavirus ◽  
The Uk ◽  
The Impact

The novel coronavirus pandemic is posing significant challenges to healthcare workers (HCWs) in adjusting to redeployed clinical settings and enhanced risk to their own health. Studies suggest a variable impact of COVID-19 based on factors such as age, gender, comorbidities and ethnicity. Workplace measures such as personal protective equipment (PPE), social distancing (SD) and avoidance of exposure for the vulnerable, mitigate this risk. This online questionnaire-based study explored the impact of gender and religion in addition to workplace measures associated with risk of COVID-19 in hospital doctors in acute and mental health institutions in the UK. The survey had 1206 responses, majority (94%) from BAME backgrounds. A quarter of the respondents had either confirmed or suspected COVID-19, a similar proportion reported inadequate PPE and 2/3 could not comply with SD. One third reported being reprimanded in relation to PPE or avoidance of risk. In univariate analysis, age over 50 years, being female, Muslim and inability to avoid exposure in the workplace was associated with risk of COVID-19. On multivariate analysis, inadequate PPE remained an independent predictor with a twofold (OR 2.29, (CI - 1.22-4.33), p=0.01) risk of COVID-19. This study demonstrates that PPE, SD and workplace measures to mitigate risk remain important for reducing the risk of COVID-19 in hospital doctors. Gender and religion did not appear to be independent determinants. It is imperative that employers consolidate risk reduction measures and foster a culture of safety to encourage employees to voice any safety concerns.

scholarly journals Trends in attractiveness of general practice as a career: surveys of views of UK-trained doctors

2017 ◽  
Vol 67 (657) ◽  
pp. e238-e247 ◽  
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
General Practice ◽  
Overall Response Rate ◽  
Response Rate ◽  
Specialty Choice ◽  
Hospital Practice ◽  
Career Option ◽  
Hospital Doctors ◽  
Questionnaire Surveys ◽  
The Uk ◽  
Over Time

BackgroundIt is current UK policy to expand the numbers of newly qualified doctors entering training to become GPs, to meet increased demand.Aim To report on trends in young doctors’ views on the attractiveness of general practice as a career, compared with hospital practice.Design and setting Questionnaire surveys in the UK.MethodSurveys of doctors, 3 years after graduation, conducted in successive year-of-qualification cohorts between 1999 and 2015.ResultsThe overall response rate from contactable doctors was 55%. In response to the statement ‘General practice is more attractive than hospital practice for doctors at present’, 59% of doctors agreed in the 1999 survey, 77% in 2005, and only 36% in 2015. One-third of doctors agreed that their exposure to general practice had been insufficient for them to assess it as a career option, but this improved over time: agreement fell from 39% in 1999 to 28% in 2015. As a factor influencing specialty choice, enthusiasm for, and commitment to, the specialty was rated as very important by 65% of intending GPs in 2015, up from 49% in 1999; the corresponding figures for intending hospital doctors were 91% in 2015, up from 61% in 1999.ConclusionOver the 16 years covered by this study, the attractiveness of general practice has fallen relative to hospital practice. This may not necessarily reflect a decline in attractiveness of general practice in absolute terms; rather, it may reflect a greater increase, over time, in the appeal of hospital practice.

Improving the experience of hospital doctors who are not in training programmes

2020 ◽  
Vol 26 (12) ◽  
pp. 1-8
Author(s):  
Jawad Azhar ◽  
Peter Thomas ◽  
Karen McCarthy ◽  
Tanzeem Raza ◽  
Michael Vassallo
Keyword(s):  
Work Experience ◽  
Organisational Culture ◽  
Strong Correlations ◽  
Medical Workforce ◽  
Work Related ◽  
Hospital Doctors ◽  
Training Programmes ◽  
The Uk ◽  
The Impact ◽  
Positive Work

Background/Aims Doctors in non-consultant, non-training (NCNT) trust grade posts are an important part of the medical workforce across the UK, but their needs are often neglected. It is important to explore their work-related experience to support their welfare. This study aimed to explore the issues that were most important to the positive work experience of this group of doctors. Method Work-related themes were identified through meetings with NCNT trust grade doctors. A questionnaire was then compiled asking such doctors to rate statements based on these themes using a 5-point Likert scale. Correlations between scores on these statements and the scores on the key statement ‘I will recommend coming to this hospital for training to my friends’ were explored. Results The questionnaire was completed by 25 doctors. Statements reflecting organisational culture, such as ‘I never felt bullied’ (r=0.698) or ‘I feel well supported in my work’ (r=0.796) demonstrated strong correlations with whether respondents would recommend the trust to a friend, while process-based statements, such as ‘I have been allocated a clinical supervisor’ (r=0.12), did not. Conclusions Focusing on the needs and opinions of NCNT trust grade doctors is important to support recruitment and retention. When evaluating the impact of processes on job satisfaction for this group, it may be more useful to focus on the outcomes of the processes and the general organisational culture, rather than simply checking off whether the processes exist.

The role of the clinical radiologist in the UK: perceptions of hospital doctors

2014 ◽  
Vol 69 ◽  
pp. S23-S24
Author(s):  
Mitesh Naik ◽  
Julia Hillier
Keyword(s):  
Hospital Doctors ◽  
The Uk

scholarly journals Polish and UK doctors’ engagement with hospital management

2014 ◽  
Vol 27 (5) ◽  
pp. 430-440 ◽  
Author(s):  
Kathy Hartley ◽  
Marcin Kautsch
Keyword(s):  
Leadership Development ◽  
Design Methodology ◽  
Management Training ◽  
Content Type ◽  
Different Types ◽  
Doctors In Management ◽  
Management Responsibility ◽  
Exploratory Data ◽  
Hospital Doctors ◽  
The Uk

Purpose – The purpose of this paper is to present the findings of a short research project, conducted in 2010 as part of a larger EU funded action investigating the participation and impact of doctors in management. The authors sought to compare the ways in which hospital doctors in the UK and Poland – countries with distinct histories – participate in management; whether they are converging and whether the type of participation found results from changes in the governance and management of these systems. Design/methodology/approach – First, a review of existing evidence and an analysis of policy documents and healthcare statistics were conducted. Identifying a lack of empirical data in the Polish context, and a potentially changing situation in the UK, the authors proceeded to collect some exploratory data in Poland, via interviews with expert informants, and to draw on data collected alongside this study in the UK from qualified doctors participating in research on management and leadership development. Findings – Hospital doctors currently hold similar types of management role in both systems, but there are signs that change is underway. In Poland, different types of medical manager and role are now emerging, whereas in the UK younger doctors appear to be expecting greater management responsibility in the future, and are starting to take up the management training now on offer. Research limitations/implications – The potential implications of these changes for the profession and policymakers in both Poland and the UK are discussed, with opportunities for further research highlighted. Originality/value – The paper provides a comparison of how medical engagement within two systems with different histories is occurring, and also of the changes underway. It provides some much needed initial insight via interviews with expert informants within the polish system, which has been under-researched in relation to the involvement of medicine in management.

scholarly journals Self-reported Occupational Risk for COVID-19 in Hospital Doctors from Black Asian & Minority Ethnic Communities in UK

The Physician ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sunil Daga ◽  
Indranil Chakravorty ◽  
JS Bamrah ◽  
Geeta Menon ◽  
Subodh Dave ◽  
...  
Keyword(s):  
High Risk ◽  
Healthcare Workers ◽  
Demographic Variables ◽  
Occupational Risk ◽  
Institutional Factors ◽  
Ethnic Communities ◽  
Increased Risk ◽  
Hospital Doctors ◽  
The Uk ◽  
Minority Ethnic

Emerging data from COVID-19 pandemic shows a trend for increased risk for healthcare workers in the UK, compared to other countries. In addition, there is a disproportionately high risk observed in healthcare workers from Black, Asian & Minority Ethnic backgrounds. This high risk is independent of biological or demographic variables. This paper presents sub-analysis of a larger survey of healthcare workers, particularly describing possible occupational risk of COVID-19 in a subset of doctors in UK hospitals from a BAME background. The results show higher rates of inability to access personal protection or comply with social distancing. The inability to self-isolate was associated with a 1.7x higher risk of COVID-19. The results of this survey suggest further research is needed to explore and understand institutional factors that may explain excess risks to BAME hospital doctors.

The Politics of Medical Quality: Auditing Doctors in the UK and the USA

1993 ◽  
Vol 6 (1) ◽  
pp. 24-34 ◽  
Author(s):  
Christopher Pollitt
Keyword(s):  
Local Level ◽  
Medical Model ◽  
White Paper ◽  
Medical Audit ◽  
Medical Quality ◽  
The Usa ◽  
Consumer Interests ◽  
Hospital Doctors ◽  
The Uk

Following the 1989 white paper Working for patients medical audit has emerged as the principal officially-approved means of assuring the quality of NHS medical care. Beneath the surface consensus, however, significant arguments continue concerning both the purposes and the character of such audit. A ‘medical model’ of medical audit is in competition with a more managerial approach, while consumer interests, however unsuccessfully, are also trying to claim a role. Comparison with the system of peer review in the USA indicates that medical audit in the NHS is likely to be particularly weak with respect to public accountability. Nevertheless, when taken together with other features of the white paper's proposals, the universalization of medical audit offers managers an opportunity to begin to constrain the behaviour of hospital doctors at the local level.

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