Hospital Dr News

Half of juniors harbour quality of care concerns

Half of foundation year doctors have had concerns about the quality of care in their hospital at the start of their careers, and nearly two thirds have felt it necessary to share it with a fellow trainee in confidence.

A survey, by defence body MPS, of over 1,000 newly qualified doctors has found that many continue to face professional and personal challenges on the wards.

Fifty one per cent of FY1s have had concerns about the quality of care in their workplace and 62% told a fellow trainee in confidence.

In contrast, of the 48% of FY2s who had concerns about the quality of care in their workplace, 67% raised the matter with a clinical manager.

Eighty two per cent of FY1 doctors struggled with long hours in the last 12 months – an increase of 7% from 2013 – and 68% have struggled with heavy workloads.

Dr Pallavi Bradshaw, medicolegal adviser at the MPS, said: “It is important that junior doctors are supported in their first years on the wards, and with one in five (22%) of respondents having been involved in a complaint or claim.”

Six out of ten respondents chose a career in medicine because they wanted to help people and only 2% said potential future earnings was a driver for entering the profession.

Bradshaw added: “It is fantastic to see that juniors entering the profession are motivated by a desire to help people and even after the struggles of their foundation years two thirds (65%) were excited about their future career and still intended to be a doctor.”

The survey also revealed:

– Over half of FY1s (66%) have not had enough time to study;

– 85% of FY1s are working beyond their contracted hours;

– 71% of FY1s found not having enough time to give patients the care they require a challenging aspect when dealing with patients, and 51% found it hard to manage patients with unrealistic expectations;

– 39% of FY1 and FY2 doctors felt more doctors on the ward would increase job satisfaction.

MPS has published a ‘Supporting you through your foundation years’ guide which has information and advice on managing risk, good medical practice, careers and maintaining a healthy work/life balance. http://www.medicalprotection.org/foundation-years.pdf

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