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General practice workload during normal working hours in training and non-training practices

C Martin-Bates1, M Agass, A J Tulloch

  • 1Department of Public Health and Primary Care, University of Oxford.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|October 1, 1993
PubMed
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Doctors in training practices reported higher workloads, spending more time on meetings, non-practice work, and training. Trainees also dedicated more time to studying and training, seeing fewer patients than other doctors.

Area of Science:

  • General Practice
  • Medical Education
  • Workforce Studies

Background:

  • Workload assessment in healthcare is crucial for understanding physician well-being and practice efficiency.
  • Previous studies have indicated variations in workload between training and non-training general practices.
  • A standardized form for reviewing practice workload is needed to facilitate comparative analysis.

Purpose of the Study:

  • To design and validate a form for assessing workload in both training and non-training general practices.
  • To compare the workload components experienced by doctors in training versus non-training practices.
  • To analyze the time allocation of doctors, including patient contact, administration, meetings, and study time.

Main Methods:

  • A workload review form was designed and implemented.

Related Experiment Videos

  • The study was conducted across Oxford, Reading, and Milton Keynes districts over one week.
  • Data were collected from 31 training and 21 non-training practices, involving 156 and 66 doctors, respectively.

    • Main Results:

    • Doctors in training practices spent one hour less per week in patient contact compared to those in non-training practices.
    • Doctors in training practices spent more time on meetings (1 hour more), non-practice work (1 hour more), and training/studying (almost 2 hours more).
    • The total mean practice workload per doctor was two hours higher in training practices, increasing to three hours when non-practice work was included. Trainees saw fewer patients but spent more time studying.

    Conclusions:

    • The designed form effectively captured workload differences between training and non-training practices.
    • Training practices present a higher overall workload for doctors, particularly due to increased time spent on educational activities and non-patient-facing tasks.
    • Findings suggest a need for workload management strategies in training practices to support both physician well-being and effective training.