{"id":234,"date":"2016-08-08T10:55:32","date_gmt":"2016-08-08T09:55:32","guid":{"rendered":"https:\/\/copyright.lboro.ac.uk\/research\/?p=234"},"modified":"2016-10-07T11:42:46","modified_gmt":"2016-10-07T10:42:46","slug":"five-things-junior-doctors-need-to-know-before-they-hit-the-wards","status":"publish","type":"post","link":"https:\/\/blog.lboro.ac.uk\/research\/communication-culture-citizenship\/five-things-junior-doctors-need-to-know-before-they-hit-the-wards\/","title":{"rendered":"Five things junior doctors need to know before they hit the wards"},"content":{"rendered":"<p>At this time of year around 7,000 newly graduated junior doctors are starting their first full time medical jobs \u2013 and thousands of other junior doctors will also be beginning new rotations in new areas of medicine, as their relentless training continues.<!--more--> August is always a milestone for the many thousands of new doctors hitting the wards, but this one is particularly significant because it also marks the date when the new junior doctor\u2019s contract \u2013 the subject of such <a href=\"https:\/\/theconversation.com\/jeremy-hunt-cant-win-his-fight-with-doctors-they-have-always-held-the-power-in-the-nhs-48421\">bitter disputes<\/a> earlier this year \u2013 goes \u201clive\u201d.<\/p>\n<p>The new contract will see premium pay for weekend and unsociable working redefined, and replaced by a broader pay rise for \u201cbanded\u201d (standard) hours, which junior doctors perceive will result in a reduction in pay for the many working unsociable shifts.<\/p>\n<p>It is no secret that for many junior doctors, the battles of the last few months have caused <a href=\"http:\/\/www.itv.com\/news\/update\/2016-03-09\/junior-doctor-says-nhs-morale-at-an-all-time-low\/\">staff morale to hit an all time low<\/a>, \u201cwith high levels of anxiety, stress and burnout\u201d reported in many of the junior staff. In response to this, health secretary Jeremy Hunt announced an inquiry looking into why there is such a problem with morale on the wards. But junior doctors <a href=\"https:\/\/www.theguardian.com\/society\/2016\/feb\/26\/junior-doctors-will-boycott-review-into-poor-morale\">have refused to cooperate<\/a> because the inquiry will not be looking into issues of pay and conditions of service.<\/p>\n<p>If you\u2019re a junior doctor about to head onto the wards you might be wondering what you\u2019re about to get yourself into, and what life on the job will actually be like. Well as part of <a href=\"http:\/\/lubswww.leeds.ac.uk\/ceric\/publications\/policy-contributions\/\">our research<\/a> looking at the meaningfulness of work, we have been talking to junior doctors to find out first-hand what morale is actually like for them and their colleagues. So with this in mind, here\u2019s what they\u2019ll need to know before hitting the wards over the next few weeks.<\/p>\n<h4>You will be overworked<\/h4>\n<p>Many junior doctors we spoke to said the volume of work they were expected to do was only just bearable \u2013 which is mostly because of understaffing.<\/p>\n<p>One of our interviewees said: \u201cWe were constantly understaffed. On one of the jobs I did, there were just three junior doctors, when you knew there should have been five on the rota \u2013 so it\u2019s like three people trying to do the job of five people.\u201d<\/p>\n<p>On shifts like this \u2013 it\u2019s important to prioritise the most urgent tasks, as well as to delegate. And jobs need to be escalated to senior colleagues if they need to be.<\/p>\n<figure class=\"align-center \">\n<div style=\"width: 764px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com\/files\/133223\/width754\/image-20160805-470-i05j32.jpg\" width=\"754\" height=\"503\" \/><p class=\"wp-caption-text\">Catch up on those zzz whenever you can. Photographee.eu\/Shutterstock<\/p><\/div>\n<\/figure>\n<h4>But you will love the job and your colleagues<\/h4>\n<p>Morale was highest among junior doctors who had decided what speciality area of medicine they wanted to pursue because they faced lower levels of insecurity regarding their future career paths.<\/p>\n<p>The doctors we spoke to reported strong feelings of vocational attachment to the day-to-day tasks they carried out, as well as a strong sense of community cohesion being part of a unit with like-minded colleagues.<\/p>\n<p>One of the junior doctors we spoke to simply told us how she is now doing a job she loves \u2013 and you can\u2019t say fairer than that.<\/p>\n<figure class=\"align-center \">\n<div style=\"width: 764px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com\/files\/133230\/width754\/image-20160805-493-10zhmjd.jpg\" width=\"754\" height=\"503\" \/><p class=\"wp-caption-text\">\u2018We\u2019re all in this together\u2019. michaeljung\/Shutterstock<\/p><\/div>\n<\/figure>\n<h4>At times, you will be frustrated<\/h4>\n<p>Many junior doctors told us about a lack of understanding among non-clinical managers of patient care and medical practice.<\/p>\n<p>One told us about a day spent writing discharge letters: \u201cYou\u2019re doing a job you could have done when you were 15-years-old, then you get grief for not doing them fast enough, even though you\u2019re going as fast as possible.\u201d<\/p>\n<p>While days like these are frustrating, it\u2019s important to focus on the fact that each letter gets a patient out of hospital, freeing up space for others.<\/p>\n<figure class=\"align-center \">\n<div style=\"width: 764px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com\/files\/133225\/width754\/image-20160805-513-14nzp53.jpg\" width=\"754\" height=\"503\" \/><p class=\"wp-caption-text\">Trying to stay cool, calm and collected is important. michaeljung\/Shutterstock<\/p><\/div>\n<\/figure>\n<h4>So it\u2019s important not to neglect your social life<\/h4>\n<p>It\u2019s no surprise that a career in medicine involves long and unsociable hours, alongside rigid timetables. One of the registrars we spoke to said: \u201cWe have no choice and are given the hours and that is it \u2026 it becomes increasingly frustrating that you have no choice.\u201d<\/p>\n<p>But we found that many junior doctors will work together to accommodate and cover each others\u2019 personal and holiday requests.<\/p>\n<p>Also, if a hospital or deanery has a junior doctor\u2019s mess, doctors should take advantage of the socials that are organised \u2013 which are usually around payday. They are a great way to blow off steam and catch up with colleagues in a non-clinical setting at the end of a month\u2019s work.<\/p>\n<figure class=\"align-center \">\n<div style=\"width: 764px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/62e528761d0685343e1c-f3d1b99a743ffa4142d9d7f1978d9686.ssl.cf2.rackcdn.com\/files\/133231\/width754\/image-20160805-501-1waoxbi.jpg\" width=\"754\" height=\"503\" \/><p class=\"wp-caption-text\">Taking time out from the day job is important. Monkey Business Images\/Shutterstock<\/p><\/div>\n<\/figure>\n<h4>The reasons behind doing the job<\/h4>\n<p>One junior doctor we spoke to summed up the advice she\u2019d give to newly-starting foundation trainees \u2013 which really encapsulates the toughness and optimism of those on the job \u2013 despite facing increasing pressure from both patients, managers and the government.<\/p>\n<p>She said: \u201cKeep positive. The work atmosphere and morale in the NHS is not at its best with the current junior doctor contract issues. Life as a junior doctor is hard but we do it for a reason, to care for our patients who need us to do our best and brighten up their day and make them better, so don\u2019t forget why you are doing this job.\u201d<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/counter.theconversation.edu.au\/content\/63571\/count.gif\" alt=\"The Conversation\" width=\"1\" height=\"1\" \/><\/p>\n<p><a href=\"https:\/\/theconversation.com\/profiles\/nick-jephson-289222\">Nick Jephson<\/a>, Teaching Fellow in Work and Employment Relations, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-leeds-1122\">University of Leeds<\/a><\/em>; <a href=\"http:\/\/www.lboro.ac.uk\/departments\/sbe\/pg\/subject-areas\/hrm\/staff\/andy-charlwood\/\">Andy Charlwood<\/a>, Professor in Human Resources Management and Organisational Behaviour, <em><a href=\"http:\/\/theconversation.com\/institutions\/loughborough-university-1336\">Loughborough University<\/a><\/em>, and <a href=\"https:\/\/theconversation.com\/profiles\/hugh-cook-289224\">Hugh Cook<\/a>, Lecturer in Employment Relations, <em><a href=\"http:\/\/theconversation.com\/institutions\/university-of-leeds-1122\">University of Leeds<\/a><\/em><\/p>\n<p>This article was originally published on <a href=\"http:\/\/theconversation.com\">The Conversation<\/a>. Read the <a href=\"https:\/\/theconversation.com\/five-things-junior-doctors-need-to-know-before-they-hit-the-wards-63571\">original article<\/a>.<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>At this time of year around 7,000 newly graduated junior doctors are starting their first full time medical jobs \u2013 and thousands of other junior doctors will also be beginning new rotations in new areas of medicine, as their relentless training continues.<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":108,"featured_media":262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[4,7],"tags":[],"class_list":["post-234","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication-culture-citizenship","category-health-wellbeing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Five things junior doctors need to know before they hit the wards<\/title>\n<meta name=\"description\" content=\"Andy Charlwood, Loughborough University, offers advice to this year&#039;s newly graduated junior doctors.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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