BMJ 1995;310:1674 (24 June)

Letters

Hospital doctors' work

EDITOR,--Peter Jackson emphasises that doctors should be well supported by managers, who must share responsibility for patient care and medical training.1 Results of a survey which we conducted on British trained preregistration house officers in West Midlands in 1993 lend further weight to Jackson's comments. Of 196 respondents (an 84% response rate) only 36% of preregistration house officers reported thatthey felt supported by managers.

Before a universal move to shift systems can be recommended, we must look at the consequences of these work patterns. Our work, based on small numbers, suggests that a partial shift system may be worse for preregistration house officers' physical health (as shown by stress) than is a full shift system, but a partial shift system may lead to better job satisfaction among senior house officers than a rota system.

The Doctors Tale also reported that doctors are unclear of what is expected of them, that . . . [Full text of this article]


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Relevant Article

Hospital doctors' work
Peter Jackson
BMJ 1995 310: 952-953. [Extract] [Full Text]




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