Intended for healthcare professionals

Letters How to fix doctors’ rotas

Scotland’s efforts to improve the lives of trainee doctors

BMJ 2019; 366 doi: (Published 09 August 2019) Cite this as: BMJ 2019;366:l5060
  1. Andrew C Pearson, specialty registrar obstetrics and gynaecology and Scottish clinical leadership fellow 2016-171,
  2. John R Colvin, senior medical adviser to Scottish government, and consultant in anaesthesia and intensive care medicine2
  1. 1Victoria Hospital, Kirkcaldy KY2 5AH, UK
  2. 2Ninewells Hospital, Dundee, UK
  1. andrewpearson2{at}

We recognise many of the challenges mentioned by Whitehouse,1 particularly that high quality rotas are not guaranteed by relying solely on the contractual framework—“contractual compliance.”

The Scottish government has developed a quality improvement process for the working environment of trainee doctors—the professionalism compliance analysis tool (PCAT). It has three domains: patient centred safe care, quality of training, and trainee health and wellbeing. The local team (trainee, …

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