A survey-based cross-sectional study of doctors’ expectations and experiences of non-technical skills for out of hours work
| Autor: | John D Blakey, Michael Brown, Ivan Le Jeune, Dominick E. Shaw, Sarah Sharples |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Work medicine.medical_specialty Students Medical 020205 medical informatics Attitude of Health Personnel Cross-sectional study 8637d585 education 02 engineering and technology wx_203 Skills management Task (project management) 03 medical and health sciences Professional Competence 0302 clinical medicine Physicians Surveys and Questionnaires Medical Staff Hospital 0202 electrical engineering electronic engineering information engineering medicine w_88 Humans 030212 general & internal medicine Set (psychology) Medical education Data collection business.industry Communication Data Collection Research Health services research General Medicine Focus Groups Focus group Cross-Sectional Studies Work (electrical) Education Medical Graduate Family medicine Female Health Services Research business |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | Objectives \ud \ud The skill set required for junior doctors to work efficiently and safely Out of Hours (OoH) in hospitals has not been established. This is despite the OoH period representing 75% of the year and it being the time of highest mortality. We set out to explore the expectations of medical students and experiences of junior doctors of the non-technical skills needed to work OoH.\ud \ud Design \ud \ud Survey-based cross-sectional study informed by focus groups.\ud \ud Setting \ud \ud Online survey with participants from five large teaching hospitals across the UK.\ud \ud Participants \ud \ud 300 Medical Students and Doctors\ud \ud Outcome measure \ud \ud Participants ranked the importance of non-technical skills, as identified by literature review and focus groups, needed for OoH care.\ud \ud Results \ud \ud The focus groups revealed a total of eight non-technical skills deemed to be important. In the survey ‘Task Prioritisation’ (mean rank 1.617) was consistently identified as the most important non-technical skill. Stage of training affected the ranking of skills, with significant differences for ‘Communication with Senior Doctors’, ‘Dealing with Clinical Isolation’, ‘Task Prioritisation’ and ‘Communication with Patients’. Importantly, there was a significant discrepancy between the medical student expectations and experiences of doctors undertaking work.\ud \ud Conclusions \ud \ud Our findings suggest that medical staff particularly value task prioritisation skills; however, these are not routinely taught in medical schools. The discrepancy between expectations of students and experience of doctors reinforces the idea that there is a gap in training. Doctors of different grades place different importance on specific non-technical skills with implications for postgraduate training. There is a pressing need for medical schools and deaneries to review non-technical training to include more than communication skills. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|