Self-rostering to improve paediatric residents' well-being in a tertiary hospital: a quality improvement project

An ideal rota should support training, allow for good work-life balance and ensure safe staffing, as set out in the British Medical Association good rostering guide. We aimed to improve resident well-being and training through a self-rostering approach. An initial pilot scheme, followed by a full-scale roll-out over a 1-year period, was implemented. Serial surveys, informal feedback and analysis of rota data and locum costs were reviewed to assess the success of the project. Post-implementation surveys showed significant improvements in well-being, rest and training opportunities. We demonstrate that self-rostering can improve resident well-being and training while delivering significant financial savings.