Intended for healthcare professionals

Letters How to fix doctors’ rotas

Scotland’s efforts to improve the lives of trainee doctors

BMJ 2019; 366 doi: https://doi.org/10.1136/bmj.l5060 (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}nhs.net

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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