Abstract
Most junior doctors now work shifts to comply with the European Working Time Directive (EWTD) and the New Deal. Increasingly there has been general concern among senior medical staff that this has undermined the traditional medical team or 'firm' structure. The effect of this has been witnessed most acutely with the fragmentation of many units, with lead clinicians often struggling to develop and foster a working relationship with their junior staff. The net effect has been a loss of clear line management, team support and in some cases, career guidance. As a result an increase in absenteeism in junior doctors has been perceived to occur. This study set out to investigate the rates of such absenteeism among medical staff in a district general hospital.
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