scholarly journals Psychiatry at night: experience of the senior house officer

2006 ◽  
Vol 30 (9) ◽  
pp. 329-333 ◽  
Author(s):  
Jules Mason ◽  
Tina Irani ◽  
Garyfallia Fountoulaki ◽  
Sylvia Warwick ◽  
Jane da Roza Davis ◽  
...  
Keyword(s):  
Service Provision ◽  
House Officer ◽  
Adverse Impact ◽  
Clinical Implications ◽  
Senior House Officer ◽  
Training Experience ◽  
Prospective Data ◽  
Out Of Hours ◽  
Senior Nurse ◽  
Working Time Directive

Aims and MethodWe gathered detailed prospective data for first on-call activity of senior house officers (SHOs) in order to help plan changes in service provision so that SHOs in psychiatry complied with the Working Time Directive and to determine whether service changes affected training experience while on call. The incumbent SHOs designed a simple form to monitor on-call activity in West Berkshire.ResultsAdmissions and assessments make up a quarter of calls but three-quarters of the work. An overnight crisis service reduced the number of assessments made by SHOs out of hours by 68%. Screening of calls by a senior nurse reduced the number of calls about in-patients by 60% on weekday nights. Between 73% and 100% of calls about in-patients after midnight were for assessment of patients in seclusion and rapid tranquillisation.Clinical ImplicationsThis survey helped to plan service delivery and to monitor the training of SHOs during on call. Screening of calls by a senior nurse, alternatives to seclusion and nurse-led prescribing for rapid tranquillisation would have the largest impact on the work generated by in-patients. The overnight crisis service reduced the number of assessments, but might have an adverse impact on training.

scholarly journals On call: a valuable training experience for senior house officers?

2005 ◽  
Vol 29 (2) ◽  
pp. 59-61 ◽  
Author(s):  
Rhiannon Callaghan ◽  
Gabra Hanna ◽  
Nick Brown ◽  
Christopher Vassilas
Keyword(s):  
Decision Making ◽  
Learning Experience ◽  
European Working Time Directive ◽  
Clinical Implications ◽  
Training Experience ◽  
Out Of Hours ◽  
Improve Working ◽  
Working Lives ◽  
European Working ◽  
Working Time Directive

Aims and MethodTo describe the experiences of psychiatric senior house officers (SHOs) of being on call. A survey of SHOs on three on-call rotas across south Birmingham was conducted to investigate their opinions about on-call work and to consider how time on call is spent.ResultsSHOs in psychiatry gain a broad range of experience out of hours on a traditional on-call rota. On-call periods were valued as a learning experience and 63% of SHOs were confident in their decision-making while on call. However, on-call work was often viewed as isolating, and not all SHOs felt that they were working as part of a team when on call.Clinical ImplicationsAs changes to working patterns are introduced, for example in order to implement the European Working Time Directive, care must be taken to retain the positive aspects of current on-call systems. Such changes should be seen as an opportunity to improve working lives so that SHOs feel less isolated when providing out-of-hours cover.

The changing role of the otolaryngology Senior House Officer

2006 ◽  
Vol 88 (2) ◽  
pp. 66-68 ◽  
Author(s):  
AK Arya ◽  
KP Gibbin
Keyword(s):  
Patient Safety ◽  
Junior Doctor ◽  
House Officer ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Senior House Officer ◽  
European Working ◽  
Working Time Directive ◽  
Changing Role

The European Working Time Directive (EWTD) has led to a reduction in the number of hours that a junior doctor is allowed to work. The Hospital at Night project aims to reduce juniors' presence at night through more efficient working. Otolaryngology has been considered to be one of the surgical specialties in which generic junior doctors covering more than one specialty could effectively function. The hope is to reduce junior doctors' hours sufficiently without compromising their training or patient safety.

scholarly journals Emergency psychiatric assessments: implications for senior house officer training

2006 ◽  
Vol 30 (6) ◽  
pp. 220-222 ◽  
Author(s):  
Alan A. Woodall ◽  
Seren Roberts ◽  
Gary P. Slegg ◽  
David B. Menkes
Keyword(s):  
Retrospective Cohort ◽  
Waiting Times ◽  
District General Hospital ◽  
House Officer ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Suicidal Risk ◽  
Officer Training ◽  
Out Of Hours ◽  
Self Harm

Aims and MethodIn order to examine the opportunities for senior house officers (SHOs) to undertake emergency psychiatric assessments we conducted a retrospective cohort study of such assessments in a district general hospital.ResultsSenior house officers conducted few assessments for self-harm compared with psychiatric liaison nurses (P< 0.001), and were involved in only 40% of emergency referrals where psychiatric opinion was requested. Senior house officers continue to undertake more assessments out of hours than any other group (P< 0.01).Clinical ImplicationsAlthough the introduction of psychiatric liaison nurses has improved capacity and reduced waiting times for emergency assessment, the opportunity for SHOs to undertake emergency assessments has been reduced, particularly with regard to assessment of suicidal risk following self-harm. These results suggest the need for better monitoring of SHO experience, particularly in the light of service developments that have an impact on psychiatric training.

Prioritization and management of calls from older people to GP out-of-hours services

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Suzanne Smith ◽  
Lucia Carragher
Keyword(s):  
Older People ◽  
Service Provision ◽  
Emergency Services ◽  
Oldest Old ◽  
Community Dwelling ◽  
Third Party ◽  
Older Person ◽  
Out Of Hours ◽  
Accident And Emergency ◽  
Community Dwelling Older People

Abstract Background Urgent out-of-hours medical care is necessary to ensure people can remain living at home into older age. However, older people experience multiple barriers to using out-of-hours services including poor awareness about the general practitioner (GP) out-of-hours (GPOOH) service and how to access it. In particular, older people are reluctant users of GPOOH services because they expect either their symptoms will not be taken seriously or they will simply be referred to hospital accident and emergency services. The aim of this study was to examine if this expectation was borne out in the manner of GPOOH service provision. Objective The objective was to establish the urgency categorization and management of calls to GPOOH , for community dwelling older people in Ireland. Methods An 8-week sample of 770 calls, for people over 65 years, to a GPOOH service in Ireland, was analysed using Excel and Nvivo software. Results Urgency categorization of older people shows 40% of calls categorized as urgent. Recognition of the severity of symptoms, prompting calls to the GPOOH service, is also reflected in a quarter of callers receiving a home visit by the GP and referral of a third of calls to emergency services. The findings also show widespread reliance on another person to negotiate the GPOOH system, with a third party making 70% of calls on behalf of the older person seeking care. Conclusion Older people are in urgent need of medical services when they contact GPOOH service, which plays an effective and patient-centred gatekeeping role, particularly directing the oldest old to the appropriate level of care outside GP office hours. The promotion of GPOOH services should be enhanced to ensure older people understand their role in supporting community living.

What is the Role of Senior House Officer or Dental Foundation Year Two Posts in Professional Careers?

2010 ◽  
Vol os17 (3) ◽  
pp. 115-122 ◽  
Author(s):  
Jennifer E Gallagher ◽  
Timothy J Bates ◽  
Harpoonam Kalsi ◽  
Aneesha Shah ◽  
Yon Jon Wang ◽  
...  
Keyword(s):  
Dental Service ◽  
House Officer ◽  
Senior House Officer ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Professional Careers ◽  
Training Post ◽  
Question Difficulty ◽  
Motivating Factor

Aims To investigate the motivations for, and perceived benefits of, undertaking senior house officer (SHO) posts, and to explore the career pathways of those who do, examining trends in successive cohorts. Method Postal cross-sectional questionnaire survey of all dental and maxillofacial SHOs (DF2s) who had worked for two South London hospitals within the previous nine years (n=137). Respondents were grouped into three cohorts to enable responses to be examined in relation to respondents’ entry to their first SHO post. Results There were responses from 83 (61%) potential participants. The most frequent motivation for carrying out SHO posts from 79 (95%) of the respondents was the desire to ‘learn from experienced clinicians’. The most common perceived benefit reported by those who had completed posts at the time of the survey was ‘an improved understanding of the role of the hospital dental service’ from 68 (97%) of those who answered this question. Difficulty in securing a job in general dental practice was not reported as a notable motivating factor, either before or after the implementation of the new dental contract. ‘Fulfil approved training post requirements for postgraduate examinations’ reduced as a motivator from 28 (88%) for the earlier cohort of SHOs to nine (36%) for the more recent cohort. Fifty-four of 78 (69%) respondents declared a definite plan to seek admission to the General Dental Council Specialist Lists in future, 24 (83%) in the first cohort, compared with 11 (46%) in the last ( P=0.05). Of the males, 13 (52%) were significantly more likely to report that they were currently working in general practice compared with 15 (27%) females ( P=0.028). Conclusion The findings suggest that multiple benefits are identified from undertaking SHO posts. However, some of the motivations for undertaking SHO posts may have changed over the nine-year period investigated. Possible influences are discussed. This paper highlights the perceived benefits of junior training posts at a time of significant transition within the profession.

It's Getting Better: Progress in Medical Senior House Officer Training in Scotland

2007 ◽  
Vol 52 (1) ◽  
pp. 32-35
Author(s):  
M Roberts ◽  
K McHardy ◽  
J Wakeling ◽  
E Dalgetty ◽  
A Cadzow ◽  
...  
Keyword(s):  
House Officer ◽  
Senior House Officer ◽  
Officer Training
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