Ways to improve current working patterns, as advocated by some trainees and consultants
| Foundation doctors | Registrars | Consultants/GPs |
|---|---|---|
| Increased doctor-hours Match timetabled hours realistically to F1s’ actual workload Employ more junior doctors Introduce an FY3 year allowing exposure to a broader variety of posts Not necessarily hours-based Provide trainees with more clinical experience Reduce amounts of paperwork F1 do Enable juniors to spend more time with seniors, learning by example/supervision Have a clocking in, clocking out system to highlight the true numbers of hours being worked each week Pay juniors for hours they work in excess of those timetabled | Increased doctor-hours Increase number of hours worked by juniors to 60–65 h per week Not necessarily hours-based Create more opportunities to develop close working relationships with seniors who guide, advise and teach Less service provision, more training/surgical operating time | Increased doctor-hours Increase number of hours worked by juniors—around 60 h per week cited most commonly Increase numbers of junior doctors to compensate for their reduced hours Increase number of years of specialist training to maintain standards in the face of trainees’ reduced hours Not necessarily hours-based Return to a traditional firm structure Return to apprenticeship models of working Reintroduce longer term, sustained relationships with juniors, leading to better training and the formation of meaningful relationships Move away from shift systems which break up teams of colleagues Develop new ways of training to fit new working patterns |
GPs, general practitioners.