Training in a variety of skills while caring for patients, without the burden of unnecessary tasks, and with meaningful feedback and supervision and time for reflection and self-care — too much to ask?
In this issue of the Journal, Westbrook and colleagues studied the work of interns, residents and registrars across four wards in a Sydney teaching hospital (→ All in a days work: an observational study to quantify how and with whom doctors on hospital wards spend their time).1 Their findings are limited by the study’s small sample size, and the fact that each participant was observed, on average, for just under 8 hours, and not during evening or night shifts. Nevertheless, their key findings are pertinent to understanding a day in the life of a doctor-in-training.
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- 1. Westbrook JI, Ampt A, Kearney L, Rob MI. All in a day’s work: an observational study to quantify how and with whom doctors on hospital wards spend their time. Med J Aust 2008; 188: 506-509. <MJA full text>
- 2. Gorman D, Poole P, Scott J. On the maldistribution of the medical workforce. Intern Med J 2007; 37: 669-671.
- 3. Paltridge D. Prevocational medical training in Australia: where does it need to go? Med J Aust 2006; 184: 349-352. <MJA full text>
- 4. Leeder SR. Preparing interns for practice in the 21st century. Med J Aust 2007; 186 (7 Suppl): S6-S8. <MJA full text>
- 5. Skinner CA. Re-inventing medical work and training: a view from generation X. Med J Aust 2006; 185: 35-36. <MJA full text>
- 6. Confederation of Postgraduate Medical Education Councils. Australian Curriculum Framework for Junior Doctors project. http://www.cpmec.org.au/curriculum/welcome.cfm (accessed Apr 2008).
- 7. Willcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates. Med J Aust 2004; 181: 357-360. <MJA full text>
- 8. Wilhelm KA. The student and junior doctor in distress. Med J Aust 2002; 177 (1 Suppl): S5-S8. <MJA full text>
We thank Associate Professor Simon Willcock for his advice in preparing this editorial.