Transcript BIG ISSUES Results

BIG ISSUES Survey Results
Nicholas Love
Hannah Gill
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Two week response time
195 people opened the survey
162 people ranked top 4 responses
97 people ranked all 12
14 people gave free text response
Number of Responses per Ranking
162
162
162
162
142
127
1
2
3
4
5
6
120
7
116
8
109
9
100
99
97
10
11
12
BIG ISSUES Results
Workforce Planning
The European Working Time Regulations
Supporting Professional Activities
Rota Deficiencies
Quality of Training
Post-CCT Fellow posts
Physican's Assistansts (Anaesthesia)
Out of Hours Facilities
Non-Anaesthetists using Propofol
Needlestick Injuries
National Recruitment
Exam Timing / Pressure
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th 11th 12th
Rank-Weighting
• A topic that was ranked 1st got 12 points
• A topic that was ranked 12th got 1 point
• The topics were then totalled
1082
1097
955
760
617
441
245
1215
1205
Workforce Planning
1257
The European Working Time
Regulations
Supporting Professional Activities
Rota Deficiencies
Quality of Training
Post-CCT Fellow posts
Physican's Assistansts
(Anaesthesia)
Out of Hours Facilities
Non-Anaesthetists using Propofol
Needlestick Injuries
872
National Recruitment
Exam Timing / Pressure
BIG ISSUES Rank-Weighted
1414
Free Text Responses
“More fractured rotas lead to less training time and also
less feeling of "belonging" and more of just "passing
through" when rotating through different blocks. Whilst I
welcome the improvement in hours that there has been
over the last 9 years since I was a JHO working 90 hours a
week we have reached a point where the quality of
training is suffering.”
“Academic training opportunities. More formalised
clinical academic posts (not based around basic sciences
but instead clinical research) in anaesthesia would be
great.”
Free Text Responses
“As an anaesthetic trainee that started in the 'old' system then completed
anaesthetic and ITU training in Australia and is now back in the 'new' system, I
have noticed a very large change in training offered, trainees attitudes and
competency. Unfortunately not in a good way. The politicised training offered
to comply with the EWTD and to push trainees through training to increase
numbers of consultants on paper has had a very detrimental effect. Junior
doctors (FY1/2 and a large proportion of ST1 and even 2's) are neither familiar
nor capable at dealing with patient problems and are more and more learning
to rush for help rather than deal with a situation. I definitely think that three
years of core training should be mandatory as in paediatrics and the old SHO
system and the RCOA should go back to not allowing anyone to sit the Primary
prior to 12 months completed anaesthetic training. Consultant post are
becoming more scarce in out deanery and increasing numbers of post CCT
anaesthetists with less and less competency is not beneficial to the NHS or the
individual - maybe an argument for the post CCT fellow as they have in
NZ/Australia. With the consultant job plan having fewer and fewer SPA's and
looking towards becoming resident on call these are looking less favourable
anyway. Will the profession lose its best trainees to other specialties/regions
or countries.”
Free Text Responses
“Recruitment of overseas 'senior' anaesthetists to fulfil NHS
work at significantly worse conditions than we expect. This is
the single most significant problem for our generation of
trainees, as it introduces unfair, non-market competition into
our employment market. “
“Educational supervision and suitably rigorous RITA process. “
“The failure of our representative bodies (colleges/BMA) in
particular to stand up for the profession and stop the debacle
of MMC and the implementation of the EWTD. At least GAT
tried to oppose MMC, the colleges were complicit and have
never regained their credibility. The lack of Consultant posts
and the number of trainees heading abroad to pursue their
careers.”
Free Text Responses
“Night working conditions and rota structure - many rotas
now involve rapid and frequent switching between day and
night shifts. It would be useful if GAT conducted a
survey/research into optimising rota structures within the
context of the EWTD to minimise the detrimental impact on
sleep wake cycle. I believe that over the next few years there
will be increasing evidence of the detrimental effects of night
working and it would be good if we had some evidence to
inform best practice for all medical specialties.”
“Everyone does locums now, we are just as tired as preMTAS/EWTD days, but less experienced.”
“Mental illness among anaesthetists”
Free Text Responses
“The mindless application of box ticking exercises
(DOPS etc.) replacing quality training. On rota gaps,
if they exist it is up to Trusts to sort this out and fill
them, not trainees - we are paid by deaneries to be
trained (training budgets, there's another issue),
while Trusts supply our banding to pay for out-ofhours service provision.”
“Trainee assessments: There is little consistency in
how these are conducted. The potential learning
opportunity is often not fulfilled - just seen as a
requirement for ARCP etc”
Free Text Responses
“Senior trainees frequently being moved off useful
training lists to cover last minute rota changes,
because they are the only people available of
suitable ability to cover these lists solo.”
“Appropriate supervision of trainees. Flexible
training. Inter-Deanery transfers. More flexibility
within training programmes for secondments to
allow acquisition of skills - eg ECHO training”
“Covering intensive care for rota filling but not as
ITU trainee”