The doctor wellbeing toolkit

2020 ◽  
Vol 13 (5) ◽  
pp. 262-267
Author(s):  
Grace Castronovo
Keyword(s):  
National Health Service ◽  
General Population ◽  
Health Service ◽  
National Health ◽  
Self Care ◽  
Anxiety And Depression ◽  
Junior Doctors ◽  
Professional Groups ◽  
High Profile ◽  
Increased Risk

Doctors suffer with high levels of stress, anxiety and depression; they are at increased risk of suicide when compared with the general population and other professional groups. Several high-profile deaths of junior doctors have led to a renewed focus on the wellbeing of doctors. In this article, we will review some of the facts underlying burnout in the National Health Service and provide a toolkit for doctors to assess their own wellbeing and learn simple strategies to enable them to live a more balanced and fulfilled life through self-care.

Night emergency cover for ENT in England: a national survey

2009 ◽  
Vol 123 (8) ◽  
pp. 899-902 ◽  
Author(s):  
D Biswas ◽  
A Rafferty ◽  
P Jassar
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Basic Knowledge ◽  
Junior Doctors ◽  
Night Time ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive

AbstractObjectives:To evaluate the quality of out-of-hours ENT on-call cover by junior doctors, in view of the European Working Time Directive and the recent changes in the National Health Service workforce due to the ‘Modernising Medical Careers’ initiative, in England.Methods:We performed a national survey of first-on-call doctors for ENT, using a telephone questionnaire. Hospital contact details were sourced from the National Health Service website. The inclusion criterion was hospitals providing acute ENT facilities overnight in England.Results:One hundred and nineteen hospitals were contacted; 91 were eligible, and 83 interviews were conducted. The grade of the first-on-call ENT doctor ranged from foundation year two (19 per cent) to registrar level or above (13 per cent). Forty-nine respondents (68 per cent) reported having no previous ENT experience. Fifty-three respondents (74 per cent) covered more than one speciality at night, with seven (10 per cent) covering four or more specialities. The second-on-call doctor was non-resident in 63 cases (88 per cent). Thirty respondents (42 per cent) stated that they did not feel comfortable managing common ENT emergencies as the first doctor on call. Otorhinolaryngology induction courses were offered in 37 of the respondents’ hospitals (51 per cent), these courses were of varying duration.Conclusion:Night-time ENT care is often provided by junior doctors with little experience of the speciality, who are often also responsible for covering multiple specialities. Many reported not feeling comfortable managing common ENT emergencies. Structured induction programmes would help to provide basic knowledge and should be mandatory for all doctors covering ENT.

Industrial Relations Effects of English Health Care Reforms on Doctors

1996 ◽  
Vol 26 (4) ◽  
pp. 611-623 ◽  
Author(s):  
J. Joseph Loewenberg
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Industrial Relations ◽  
Junior Doctors ◽  
Structural Reforms ◽  
Health Care Reforms ◽  
Principal Finding ◽  
The Stability

Doctors are central to the provision of health care. In England, doctors have been part of and have dealt with the National Health Service for over 45 years. This study looks at recent changes within and outside the National Health Service and their effects on the industrial relations system and outcomes for doctors. The changes include structural reforms imposed by government, changes resulting from dissatisfaction of junior doctors, and reforms advocated by the European Community. A principal finding is that the changes may potentially affect almost every aspect of employment and working conditions of doctors and of the professional and bargaining organizations that represent them. In particular, the changes may alter the existing relationships in doctors' ranks and between hospitals and senior doctors. Hence, the stability and uniformity of the industrial relations system are threatened.

Induction and transition in the National Health Service for four professional groups

2008 ◽  
Vol 7 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Hywel Thomas ◽  
Judith Hicks ◽  
Graeme Martin ◽  
Gill Cressey
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Professional Groups

scholarly journals General professional training: consultant supervision of trainees

1997 ◽  
Vol 3 (6) ◽  
pp. 347-351 ◽  
Author(s):  
John R. Robertson ◽  
Anne Dean
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Professional Training ◽  
General Medical Council ◽  
Junior Doctors ◽  
Medical Council ◽  
Educational Supervisor

‘Educational supervisor’ is the term now used by the General Medical Council for a consultant who has junior doctors working with him/her, whether employed by the National Health Service or a university. This paper represents our views of the role of the educational supervisor, rather than official College policy.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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