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Trainee interns: education and service roles

J Corboy1, P Herbison

  • 1Department of Preventive and Social Medicine, University of Otago, Medical School, Dunedin.

The New Zealand Medical Journal
|October 13, 1993
PubMed
Summary

New Zealand trainee interns dedicate significant hours to service work, often unsupervised, with registrars and house surgeons providing most teaching. Many face substantial debt, yet value their practical electives.

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Area of Science:

  • Medical Education
  • Healthcare Workforce Studies
  • Internship Programs

Background:

  • Trainee interns in New Zealand play a dual role in education and service delivery.
  • Understanding their workload, teaching exposure, and financial burdens is crucial for optimizing the program.

Purpose of the Study:

  • To investigate the educational experiences and service contributions of trainee interns in New Zealand.
  • To assess teaching received, service workload, debt levels, and the perceived value of electives.

Main Methods:

  • A questionnaire survey was administered to 123 trainee interns across four clinical teaching schools.
  • Data collected included teaching hours, supervision levels, service work performed, debt, and elective participation.

Main Results:

  • Trainee interns spend 30% of their week in formal teaching, with the remainder on service work (58% unsupervised).
  • Registrars and house surgeons deliver the majority of teaching (33% and 32%).
  • Interns work 40-50 hours/week, perform 38% of ward work, and 88% have held acting house surgeon roles. 40% have debt >$10,000, and 89% rely on salary for electives.

Conclusions:

  • Trainee interns provide essential service work in New Zealand hospitals, often under demanding hours.
  • Practical, ward-based teaching from senior medical staff is predominant.
  • Student debt is a significant issue, impacting elective choices, though electives are highly valued.

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