Department of Otolaryngology, Saint George's University Hospitals NHS Foundation Trust, London, UK
Department of Surgery, East and North Hertfordshire NHS Trust, Stevenage, Hertfordshire, UK.
Postgrad Med J. 2020 Jun;96(1136):316-320. doi: 10.1136/postgradmedj-2020-137506. Epub 2020 Mar 27.
There is a reduction in Foundation trainee applications to speciality training and this is attributed to an administrative job role, with subsequent fears of burnout. This pilot study presents the findings of a real-time self-reporting tool to map a group of Foundation doctors' elective activities. Self-reporting is efficient, low cost to run and allows for repeated measures and scalability. It aimed to example how a time-map could be used by departments to address any work imbalances and improve both well-being and future workforce planning.
Foundation doctors', at a busy District General Hospital, were asked to contemporaneously report their work activities over an 'elective' day. Outcomes measures included the mean duration per task and the time of day these were performed.
Nine Foundation doctors' returned 26 timesheet days. Foundation doctors' time was split between direct patient tasks (18.2%, 106.8 min per day), indirect patient tasks (72.9%, 428.6 min per day) and personal or non-patient activities. Indirect tasks were the most frequent reason for Foundation doctors leaving late. No clinical experience was recorded at all and only an average of 4% (23.4 min per day) of a Foundation doctors' time was spent in theatre.
This particular cohort performed a high proportion of indirect tasks. These have been associated with burnout. Time-mapping is a low-cost, acceptable and seemingly scalable way to elucidate a clearer understanding of the type of activities Foundation doctors may perform. This methodology could be used to modernise the traditional Foundation doctor job description.
专业培训的基础培训生申请人数有所减少，这归因于行政工作角色，随后担心会出现倦怠。这项试点研究展示了一种实时自我报告工具的研究结果，该工具用于绘制一组基础医生的选修活动图。自我报告效率高，运行成本低，可以进行重复测量和扩展。其目的是举例说明部门如何使用时间图来解决任何工作失衡问题，并提高幸福感和未来劳动力规划。
在一家繁忙的地区综合医院，基础医生被要求在“选修”日同时报告他们的工作活动。结果测量包括每个任务的平均持续时间以及这些任务执行的时间。
9 名基础医生返回了 26 份时间表。基础医生的时间分为直接患者任务（18.2%，每天 106.8 分钟）、间接患者任务（72.9%，每天 428.6 分钟）和个人或非患者活动。间接任务是基础医生延迟下班的最常见原因。没有记录任何临床经验，基础医生的时间只有平均 4%（每天 23.4 分钟）用于手术室。
这个特定的群体执行了大量的间接任务。这些任务与倦怠有关。时间映射是一种低成本、可接受且似乎可扩展的方法，可以更清楚地了解基础医生可能执行的活动类型。这种方法可用于使传统的基础医生工作描述现代化。
