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Out-of-hours task allocation: implications for foundation training and practice.

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Foundation year-1 (FY1) doctors perform numerous out-of-hours (OOHs) tasks, primarily prescribing and patient reviews. This analysis highlights key areas for enhancing FY1 doctor training and clarifying roles within healthcare teams.

Keywords:
foundation doctorout of hourstrainingworkload

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Clinical Practice

Background:

  • Foundation Year 1 (FY1) doctors play a crucial role in out-of-hours (OOHs) care.
  • Understanding the scope and nature of their OOHs responsibilities is essential for effective training and patient safety.

Purpose of the Study:

  • To explore the role of FY1 doctors during OOHs periods.
  • To identify specific areas for improvement in FY1 doctor training programs.

Main Methods:

  • Retrospective data collection over one year (2018-2019) from an electronic task system.
  • Analysis of 32,260 OOHs jobs in a UK teaching hospital, focusing on tasks assigned to FY1 doctors.

Main Results:

  • FY1 doctors were assigned 67.6% of OOHs jobs, predominantly in medicine (55.2%) and surgery (26.3%).
  • Common tasks included prescribing (31.1%), patient reviews (17.9%), and blood interpretation/collection (11.6%).
  • Procedural tasks constituted 22.2% of all jobs.

Conclusions:

  • The study identifies three key areas for enhancing FY1 doctor training: improving graduate preparedness, monitoring job appropriateness, and clarifying evolving professional roles.
  • Better understanding of FY1 OOHs roles can optimize training and interprofessional collaboration.