Background European working time directive has limited trainees’ exposure to learning opportunities1. Consultant delivered care is thought to benefit the training of junior doctors2, however there is little evidence to support this3.
Aim To evaluate the effect of consultant delivered care in the paediatric emergency department on junior doctors self-assessment of the quality of their training.
Method A prospective study conducted before (baseline) and after the introduction of dedicated consultant paediatricians in the emergency department of a district general hospital. The posts deliver consultant led care, 2 pm to 10 pm, Monday to Thursday (intervention), except for when post-holders take annual leave, study leave or are on-take for general paediatrics (control). After each shift, trainees completed a Likert scale questionnaire focusing on three domains – ‘managing patients’, ‘getting advice about patients’ and ‘learning and training’. Differences between groups were analysed using the Student t-test. P < 0.05 significant.
Results 44 baseline, 27 intervention and 19 control questionnaires were completed. Compared to baseline, scores improved significantly in the intervention group, but not the control group for 12 out of 18 questions across domains. Trainees were significantly more likely to complete work-based assessments and to rate their shift as a good learning opportunity. No detrimental effects were observed.
Conclusion Consultant delivered care in the paediatric emergency department significantly improved trainees’ self-assessment of their training.
Temple, J. (2010). Time for Training: A review of the impact of European Working Time Directive on the quality of training. Medical Education England.
Academy of Medical Royal Colleges (2012). The benefits of consultant-delivered care.
RCPCH. (2011). Response to the Academy of Medical Royal Colleges’ Benefits of consultant delivered healthcare: call for evidence.