To describe working conditions for senior house officers in medicine in Scotland and to relate these to the quality of clinical training they receive.
Postal questionnaire survey.
All senior house officers in medicine and related specialties in post in Scotland in October 1995 (n=437) ; 252 (58%) respondents.
Questionnaires covered hours, working patterns, measures of workload, an attitudes to work scale, and experience of education and training.
In the week before the questionnaire, doctors on rotas had worked a mean of 7.4 (95% confidence interval 5.8 to 9.0) hours in excess of their contracts, compared with 3.7 (2.0 to 5.5) hours for those on partial shifts.
The most common reason for this was « the needs of the patients or the service. » Those on partial shifts reported significantly less continuity of care with patients than those on rotas (Mann-Whitney U test, z=-4.2, P<0.0001) or full shifts (z=-2.08, P=0.03).
Doctors in general medicine reported significantly higher measures of workload (number of acute admissions, number of times called out and fewest hours'uninterrupted sleep) than those in subspecialties.
Consultants'clinical teaching and style of conducting a ward round were significantly related to factors extracted from the attitudes to work scale. (...)
Mots-clés Pascal : Fonctionnaire, Médecin, Enquête par correspondance, Condition travail, Facteur qualité, Enseignement universitaire, Expérience professionnelle, Relation élève enseignant, Supervision, Homme, Evaluation, Organisation santé, Education santé
Mots-clés Pascal anglais : Civil servant, Physician, Mail inquiry, Working condition, Q factor, Higher education, Professional experience, Teacher pupil relation, Supervision, Human, Evaluation, Public health organization, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0234737
Code Inist : 002B30A05. Création : 11/06/1997.