What the SHO saw

As discussions about junior doctors' training and duty hours continue, we have looked at the actual 'on take' case load and case mix of a medical senior house officer (SHO) in a district general hospital (DGH) over a six-month period. In our DGH, on a one in four rota, exposure to a f...

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Published inJournal of the Royal College of Physicians of London Vol. 28; no. 6; pp. 523 - 526
Main Authors DICKSON, L, HEYMANN, T. D, CULLING, W
Format Journal Article
LanguageEnglish
Published London Royal College of Physicians of London 01.11.1994
Subjects
20th century
Biology
Education, Medical, Graduate
Emergency Service, Hospital
Female
History of medicine
History of science and technology
Hospitals, District
Hospitals, General
Humans
Life sciences
London
Male
Medical Staff, Hospital - education
Medicine; surgery; pharmacy
Middle Aged
Original Papers
Workload
Century 20
England
London
Medicine
Medical education
Hospitals
Diagnosis
General practitioner
Therapeutics
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Summary:As discussions about junior doctors' training and duty hours continue, we have looked at the actual 'on take' case load and case mix of a medical senior house officer (SHO) in a district general hospital (DGH) over a six-month period. In our DGH, on a one in four rota, exposure to a few common conditions is high and exceeds the minimum requirements for a post to be approved for general professional training. Limited but useful experience may also be gained in the management of many other conditions. The benefits in terms of structured training and lifestyle resulting from the implementation of the Calman report and the junior doctors' hours initiative need to be set against a possible reduction in patient exposure and in the associated opportunities to learn that may occur with a decrease in SHOs' 'front line' exposure.
Bibliography:ObjectType-Article-1
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content type line 23
Now Research Registrar, Chelsea and Westminster Hospital, London
Now Medical Registrar, Royal London Hospital
ISSN:0035-8819