Why I . . . launched a lunch club for traineesBMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l2377 (Published 04 June 2019) Cite this as: BMJ 2019;365:l2377
Keen to do something to tackle the risk of burnout and isolation among their peers, Mat Devlin and Rachel Cassin, anaesthetic core trainees based at Manchester NHS Foundation Trust, decided to build camaraderie and improve teamwork by setting up a weekly lunch club.
The initial launch of the club—for a cohort of anaesthetic trainees—was successful and attracted up to 10 people at a time. The hour long meetings combined informal education and a chance to socialise. The club gave attendees the opportunity to discuss their day and share experiences, but Devlin says he didn’t allow gripes about work.
The club, Devlin says, also gave those new to anaesthetics the chance to get feedback from more experienced trainees who were often able to reassure them that how they were feeling was appropriate for that stage of their career. “It was a safe place for us to discuss all these problems and worries,” explains Devlin.
Before they launched the club, Devlin and Cassin realised that they needed to get their consultants on board, so that trainees could take an hour’s break over lunch.
To do this, Devlin wrote a paper citing the Institute for Healthcare Improvement’s work on enhancing wellbeing at work,1 research by the Royal College of Anaesthetists on the risk of burnout among trainees,2 and findings from a survey he had conducted of his fellow trainees.
The report secured support from the consultants, but the pair faced other challenges. It was difficult to find a private room where trainees could discuss clinical cases and in the end they used the doctors’ mess, though this wasn’t ideal as it was quite a way from where the trainees worked.
The second challenge, Devlin says, was keeping the club going. While the meetings were well attended when they first started in January, numbers dropped after six weeks when the trainees moved on to new jobs. Devlin says that ideally the club should have begun when the trainees started their new jobs at the hospital and he has plans to relaunch.
“The lunch club concept definitely improves wellbeing,” Devlin reflects. “It provides an opportunity for doctors to share experiences, build confidence, and enjoy themselves at work.
“Just having that protected time means that you have got something to look forward to in your working day.”
Run your own lunch club
Decide on a format that suits those attending
Get senior support
Find a private space close to where trainees work
Promote the club at induction and send reminders
Succession plan and get others involved