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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Foundation doctors working at night: what training opportunities exist?

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Foundation doctors (FDs) find night shifts valuable for training, enhancing decision-making and competency achievement. Removing FDs from night shifts may negatively impact their overall medical education and skill development.

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Area of Science:

  • Medical Education
  • Postgraduate Training

Background:

  • Foundation Training (FT) is crucial for early-career doctors.
  • Reduced participation of foundation doctors (FDs) in night shifts due to perceived poor supervision and limited training opportunities.
  • Concerns that removing FDs from night shifts may hinder their development.

Purpose of the Study:

  • To assess the training value of night shifts for FDs.
  • To evaluate FDs' perceptions of night shift supervision and training.
  • To test the hypothesis that removing FDs from night shifts could be detrimental to training.

Main Methods:

  • A survey was conducted among FDs in London.
  • Assessed the number of FDs working nights and their views on supervision.
  • Compared opportunities for achieving foundation competencies during night shifts versus daytime working.

Main Results:

  • High survey completion rate (83%).
  • Over 90% of FDs reported improved prioritization, decision-making, and planning skills from night shifts.
  • Significantly higher competency achievement scores in history taking, examination, and resuscitation for night shift workers.
  • 65% of FDs felt adequately supervised during night shifts.

Conclusions:

  • Night shifts offer valuable training experiences for FDs.
  • These experiences are supplementary to daytime training.
  • Night shifts contribute significantly to the development of essential clinical skills and competencies.