Write a departmental handbook for junior staff.

نویسندگان

  • J McDonagh
  • F Clarke
  • D Veale
چکیده

Many medical senior house officer rotations now change every four months. Thus senior house officers arrive on a new unit expected to manage complicated cases, handle specialist clinics, and explain details to patients when they have previously seen such problems only briefly as students. They generally rely on help and answers to their questions from middle grade staff and nurses. The pace of the health service does not allow time to cancel clinics and admissions for induction days, even for the best intentioned reasons, and frequently other staff are too busy to sort all problems. Biannual induction courses usually have a general remit-for example, revision of basic skills and information about administrative arrangements and local practice-and do not answer the more specific queries for each of the many subspecialties. In addition, in a recent survey of preregistration house officers 36% could not attend such a course.' Thus junior doctors find great comfort in having a written manual available which is directed towards the unit and specialty concerned. Proposed handbook Such a handbook also facilitates quick integration into the department. Ideally, it should be sent to the junior doctor before he or she starts the post and the doctor should be allowed to keep it when he or she leaves. A copy should always be available in the junior medical staff office on the ward. A plethora of copies around the unit and in clinic rooms would make it readily accessible. We appreciate the smallness of the junior staff white coat pocket, and the handbook we propose is an informative reference book rather than just another emergency medicine handbook. The handbook can also be a stimulus for further learning and should be written in an educational rather than didactic manner. It could also incorporate such features as a log diary and a programme of educational objectives for that particular post, which would be regularly reviewed with a named educational supervisor .2 Junior doctor posts are meant to be educational, and a departmental handbook shows that senior staff are aware of the practical problems that arise for juniors and that they are prepared to help. This article is based on our experiences of compiling a handbook for junior medical staff in the departments of rheumatology at the Freeman Hospital and the Royal Victoria Infirmary, Newcastle upon Tyne. Whose job is it? The handbook should be compiled by a named junior member of …

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عنوان ژورنال:
  • BMJ

دوره 307 6903  شماره 

صفحات  -

تاریخ انتشار 1993