EP-235 Improving working conditions of junior surgeons

Abstract Aims Significant exception reporting is reflective of difficult working conditions though well-recognised barriers exist to which may reflect the culture within a unit. This study used data understand and improve juniors. Methods Junior surgeons were surveyed in December 2019 evaluate additional hours worked, reasons for this work whether reports completed; where they not, doctors asked why. After analysis, rota structures surgical teams changed formal education about given at departmental induction. The main changes involved greater opportunities take leave enhanced staffing on evenings weekends. Surgical juniors re-surveyed September 2021. Results In 2019, 49.2 worked between 18 No completed with being personal decision stay late (for training opportunities), lack understanding how report cultural issues that made unsure would be viewed. 2021, only 30 17 respondents. Again, no over 95% respondents citing late. Cultural department longer cited knowledge was greatly increased. Conclusions A positive open culture, consultants leaders engage rotas can lead reduction reporting.