PURPOSE: The training of Junior Doctors has evolved from the traditional apprentice based training to 'evidence' based training. This is manifest as various teaching and training assessment tools. An Australian Medical Association (AMA) survey has reported that Junior Doctor training and supervision is inadequate. This study was conducted to ascertain the level of junior doctor training, knowledge and supervision in a tertiary teaching hospital.
METHODS: A questionnaire based survey among 49 Junior Doctors working in a tertiary level teaching hospital.
RESULTS: Up to 67% of doctors surveyed did not have sufficient knowledge about the major indications for diagnostic thoracentesis. A significant proportion (47%) were unaware of the major indications for intercostal tube drainage of parapneumonic effusions. 49% of Doctors interviewed felt that they did not have enough supervision and guidance for simple interventional procedures in the ward and 38 % felt that they did not have enough time to perform these procedures. This probably reflects in the high complication rates (25%-38%) they encountered during diagnostic thoracentesis.
CONCLUSION: This survey highlights important gaps in Junior Doctor training. Junior doctor training should be tailored to increase the 'hands-on' training time and increased patient contact. Senior clinicians should be given sufficient 'protected time' for teaching and training.
CLINICAL IMPLICATIONS: This study highlights the need to improve junior doctor training.
DISCLOSURE: Vinod Aiyappan, No Financial Disclosure Information; No Product/Research Disclosure Information