Abstract
BackgroundTo assess how ready current FY1 doctors felt when starting their first posting as newly qualified doctors.MethodsWe created an online survey where 45 FY1 doctors in South Yorkshire rated how confident they were across different domains (Induction and Assistantship, Hospital Systems, and Skills) using a scale ranging from 0 (no confidence performing task) to 5 (highly confident).ResultsThe ICE system and observations had a mean rating of 3.645 (95% CI 3.446 to 3.844), and 4.425 (95% CI 4.248 to 4.602) with a standard deviation (SD) of 1.10 and 0.83 respectively. The radiological platform, referral system, telephone system, and hospital notes had a mean score of 3.149 (95% CI 2.876 to 3.422), 2.340 (95% CI 2.096 to 2.584), 3.573 (95% CI 3.407 to 3.739) and 4.061 (95% CI 3.931 to 4.191), with a SD of 1.281, 1.153, 0.961 and 0.752 respectively. Patient needs and diagnostic procedures had a mean score of 3.933 (95% CI 3.749 to 4.117) and 4.250 (95% CI 4.140 to 4.360) with a SD of 1.190 and 0.944 respectively. Patient care, prescribing, and therapeutic procedures gave a mean score of 3.634 (95% CI 3.432 to 3.836), 4.130 (95% CI 3.959 to 4.301), 3.386 (95% CI 3.228 to 3.544) with a SD of 1.133, 0.958 and 1.256 respectively. No statistically significant difference in the overall mean score was found between respondents who attended medical schools in Yorkshire, and those who had not.ConclusionOverall, confidence differs across different domains and categories. A larger sample size across a wider geographical area would allow us to compare and contrast results across the different regions in the UK.
Highlights
To assess how ready current Foundation Year 1 (FY1) doctors felt when starting their first posting as newly qualified doctors
This study investigated the confidence level of newly qualified Foundation Year 1 (FY1) doctors for various skills they are expected to perform during their Foundation Training Year
We assessed whether their medical schools offered an assistantship, as well as whether the hospital they are currently working at offered an induction day/week prior to starting work as an FY1 doctor
Summary
To assess how ready current FY1 doctors felt when starting their first posting as newly qualified doctors. The transition from medical student to junior doctor represents a crucial stage in the progression of a young doctor’s career. Junior doctors are a vital part of the medical team responsible for managing the care of patients on a day-to-day basis. This role comprises of responsibilities ranging in number and complexity that junior doctors are expected to be competent in from their first posting [4]. It has been identified that upon entering the Foundation Training Programme as a Foundation Year 1 (FY1) doctor, junior doctors lack confidence or are unfamiliar with certain tasks expected of them. Some known areas of underpreparedness are safe prescribing, clinical reasoning and diagnosis, and early management of emergency patients [4, 5]
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