Table 3

Summary of principal findings

Intervention levelThemePriority interventionSpecific related interventions
PrimaryWell resourced, well rested, adequately replacedReview of staffing levels, cover and leave practices at hospital level to ensure allocation of statutory leave and adequate cover for all doctors
  • Floating staff members.

  • Pooled, paid, voluntary locum system.

  • Policy for call duties during pregnancy.

  • Review support staff levels.

  • National review of staffing levels, cover and leave practices to identify and spread best practice.

Everyday psychological supportIntegration of psychological support into the everyday working environment of doctors
  • Debriefs following difficult cases and adverse events.

  • Psychological check-ins with supervisor.

  • Psychological service for self-reflection, leadership development and career planning

SecondaryEducation and the power of the recovered doctorEducation intervention to highlight risks of work stress, normalise its occurrence and communicate care pathways
  • Interventions to encourage and support recovered doctors to share their stories as part of formal training or informally.

Self-care, boundaries and model behaviourTraining intervention in self-care
TertiaryTuning in and reaching outIntervention to train all doctors in how to identify and support struggling colleagues
  • Implementation of systems to support struggling doctors where lacking.

Effective line management for the sick doctorRevision of responsibilities of clinical line managers to include more effective people management
  • Training for line managers on how to support doctors they supervise through help seeking, recovery and return to work.