Islam Shofiq, Deekes Andrew, Lee Alexandra, Hoffman Gary, Isgar Brian
Department of General Surgery, Royal Wolverhampton Hospital , New Cross, Wolverhampton , UK.
JRSM Short Rep. 2011 Mar 23;2(3):22. doi: 10.1258/shorts.2011.010110.
Recent changes in postgraduate medical training in the UK collectively organized under the auspices of Modernising Medical Careers (MMC) have created new labels for junior doctors in training. It would appear that many nurses and other health workers do not understand the new terminology. We aimed to investigate the knowledge of nursing staff about new junior doctor titles in a district general hospital. As far as we are aware, this is the first survey to determine the views and knowledge of the new terms among staff working in the NHS.
Questionnaire study.
District general hospital, West Midlands, UK.
Fifty-five randomly selected staff nurses working in the surgical directorate.
Questions were asked about their views and knowledge of the current nomenclature. To objectively assess knowledge of the new titles respondents were asked to match equivalent positions with those based on the old system.
Only 22% (n = 12) of respondents felt that they fully understand current terms in usage. Seventy-six percent (n = 42) felt that it was 'very important' that titles accurately convey role and seniority of the doctor. The most common titles correctly matched were FY1 and House Officer (n = 45, 81%) and FY2 and First Year Senior House Officer (n = 35, 64%). Only 9% (n = 5) of staff nurses correctly matched ST3 to Junior Registrar and 13% (n = 7) correctly matched ST7 to Senior Registrar. Ward-based staff nurses demonstrated greater familiarity with titles when compared to nurses who work mainly in the outpatient clinic and theatre setting (p = 0.017). We did not identify a statistically significant association with demographic characteristics (age, gender, experience) and knowledge of the new terms (p > 0.05). Approximately 98% (n = 54) of the staff surveyed felt that terms are confusing to nurses and need to be simplified.
Our survey revealed that nursing staff lacked knowledge of the current terminology to describe doctors in training. This may have implications for staff expectations regarding specific role of junior doctor in terms of clinical decision-making, working relationships and communication between team members, and ultimately patient care.
在“现代医学职业发展计划”（MMC）的主持下，英国研究生医学培训近期发生了一系列变化，为实习医生创造了新的称谓。许多护士和其他医护人员似乎并不理解这些新术语。我们旨在调查一家地区综合医院护理人员对实习医生新头衔的了解情况。据我们所知，这是首次针对英国国家医疗服务体系（NHS）工作人员对这些新术语的看法和了解程度进行的调查。
问卷调查研究。
英国西米德兰兹郡的地区综合医院。
从外科病房随机挑选的55名护士。
询问他们对当前术语的看法和了解情况。为客观评估对新头衔的了解程度，要求受访者将同等职位与基于旧体系的职位进行匹配。
只有22%（n = 12）的受访者认为他们完全理解当前使用的术语。76%（n = 42）的受访者认为头衔准确传达医生的角色和资历“非常重要”。最常被正确匹配的头衔是FY1和住院医师（n = 45，81%）以及FY2和第一年高级住院医师（n = 35，64%）。只有9%（n = 5）的护士能正确将ST3与初级注册医师匹配，13%（n = 7）能正确将ST7与高级注册医师匹配。与主要在门诊和手术室工作的护士相比，病房护士对头衔更为熟悉（p = 0.017）。我们未发现人口统计学特征（年龄、性别和经验）与对新术语的了解之间存在统计学显著关联（p > 0.05）。约98%（n = 54）的受访员工认为这些术语让护士感到困惑，需要简化。
我们的调查显示，护理人员缺乏描述实习医生的当前术语知识。这可能会影响员工对实习医生在临床决策、工作关系及团队成员间沟通方面具体角色的期望，最终影响患者护理。
