The influence of key clinical practices on the knowledge of first year doctors about the patients under their care

摘要: SUMMARY Aims: In 2009 in the United Kingdom 48-h working week was introduced for junior doctors. To comply with this traditional practices have changed. This study aims to assess how much first year (FY1) doctors know about acute surgical patients they manage and is influenced by changes key practices. Methods: Surgical FY1s NHS hospitals answered 16 clinical questions a standard patient under their care 48 h after admission. Scores were analysed according long FY1 had been looking patient, whether clerked in, attended post take ward round (PTWR), used handover sheet answer sole or shared responsibility patient. Results: Two hundred seventy-four (92% response rate) from 36 surveyed. The overall median score 11 ⁄16 (inter-quartile range 8‐13). Only 8.4% (23 ⁄274) 58.4% (160 PTWR. Clerking attending PTWR resulted significantly higher test scores compared who did not perform these activities (p = < 0.001 respectively). of 67.2% lower than those 0.001). Having duration made no significant difference 0.143 p 0.458 respectively) Conclusions: results demonstrate that doctors’ knowledge enhanced when opportunity admission clerking attend Because hours’ restrictions now rare. Although use sheets appears ensure certain facts immediately related current are passed on, it associated poorer wider What’s known A literature search failed produce any studies investigating implications reductions training experience group systematic review subject published 2011 (18), at other stages training, concluded too heterogeneous multicentre collaborative needed.