THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas Webb Dr. Lucy McKenzie Dr. Praveen Gounder Dr. Nicole Bulman Dr. Kate Kearney Dr. Heather Ford Dr. Kate Brown Dr. Maria Bernadi Tuesday, 5th November 2013

The 2013 JMO Census A comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals. Domains of Enquiry 1.     Demographics 2.     Health and Welfare 3.     Supervision 4.     Education 5.     Career Development 6.     Hospital Systems

The 2012 JMO Census Pilot A comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals.   Goals 1.     Expand the evidence base on the state of JMOs 2. Develop a tool for multifactorial data analysis by interested parties 3. Gain buy in from parties who wish to survey JMOs 4. Encourage collaboration and information sharing between stakeholders Reduce survey fatigue Deliver a statewide census based on pilot survey results and feedback from stakeholders

Pilot Study Survey Design and Delivery 43 questions comprising 124 parts Including the Kessler-10 measure of psychological distress Predominantly LIKERT scales Questions related to current term Paper based Pilot delivered in October 2012, Week 8 of Term 4 10 candidates randomly selected in each of the 16 hospital networks in NSW/ACT HETI JMO Forum representatives delivered survey to participants Surveys mailed to HETI, data de-identified Design and delivery of pilot study

2013 Census 81 questions PHEEM Kessler-10 Via Survey Monkey

Demographics 83 Respondents from 19 hospital sites 82% of respondents were PGY1 57% Female 42% Male Median age was 27 spread from 23-44 years of age

Demographics The majority of respondents were single, with no children (67%) 18% married 14% partnered/de-facto 12% with children 60% were born in Australia, though none identified as Indigenous Australians

Teaching The majority of respondents (51%) had between 2-4 hours of formal teaching per week 37.5% 0-2 11% > 4 hours

Teaching Most respondents had at least 1 hour per week of pager free teaching However, 13% had 0 hours per week where their teaching was uninterrupted

Attendance Attendance varied across respondents, with 38% of respondents attending the recommend 75-100% of all teaching Importantly, only 18% attended 0-25% of teaching

Satisfaction 58% of respondents were satisfied with the amount of teaching they attended 87% felt supported to attend teaching However, only 7% of respondents indicated they were not supported to attend teaching The majority of respondents were satisfied with teaching overall (64%) Self education: 58% up to 5 hours/week 53% strongly agreed or agreed they were satisfied In addition to regular teaching, the majority of respondents completed at least 1 hour of self-education per week, with 27% completing more than 5 hours per week of self education

Rostered Hours

Unrostered Hours Worked Unrostered Hours Claimed Whilst only 9% of respondents work no unrostered hours (lucky them!) 31% of respondents don’t claim unrostered time (assuming that 22% of respondents work it, but don’t claim it). In addition to this, 25% of respondents work an estimated 6-10 hours of unrostered overtime per week, but approximately half of those people don’t claim those hours.

Kessler Psychological Distress Scale K10 Total Score Levels 10-15 Low 16-21 Moderate 22-29 High 30-50 Very high ABS K10 score groupings and categorisation Low: 57% Moderate: 37% High 8.5% Very high 3.5%

Health and Welfare Only 59% of respondents have a GP of their own! None had used the Doctor’s Health Advisory Service

Clearly Defined Career Goal Career Intention

Future Practice City Practice 84% of respondents indicate they are interested in working in a metro location in the future

Future Practice Rural Practice However, only 16% of respondents had ruled out working rurally at the time of the census

Future Practice Remote Practice But most respondents (58%) appear to have ruled out remote medicine as a future interest

80% of the pilot group felt their current hospital was an enjoyable place to work, and 80% would recommend their current hospital! Only 1% strongly disagreeing with the above statements

Given the Choice Again, Would You Not Study Medicine? Most applicants agreed that, given their time again, they would have still studied medicine Thankfully, none of our applicants strongly agreed that they wouldn’t have studied medicine again 77% disagree/strongly disagree 3.5% agree 15.5% not sure

Training = Doctor 28% of respondents were unsure, or disagreed, that their medical student training prepared them for internship

Key Figures in the Hospital 92% of respondents knew who their JMO manager was 86% knew who their DPET was at the time of census However, only 74% of respondents were aware of hospital committees for JMO education and training Meaning that 15% of JMOs may not be aware that their are committees to deal with issues within the hospital

Concerns in the Hospital Of the pilot group, 73% believed they knew how to raise concerns, however only 60% of respondents agree or strongly agree that they would be comfortable raising concerns Very few respondents (17%) felt they knew how to raise an industrial dispute, and a similar amount (20%) would feel comfortable to do so In addition, 23% of respondents had experienced workplace bullying in the last year Would those being bullied be able to raise that with their seniors?

Leave and Benefits Leave: 58% of respondents believe they understand their leave entitlements However, 66% of respondents believed they have appropriate access to leave Benefits: 71% access an employer benefit program Leave: 7.5% strongly disagreed that they did not have appropriate access to leave

Representation Only 6% indicated that they were a member of the Health Services Union However, 51% believed they were a member of the AMA 90% had a member of a MIO 12% were unsure; this may be due to people not being aware of what the health services union is, or because they signed up to that many things in their orientation week...

Next Steps Rollout of Census statewide Return datasets to stakeholders Deliver Census annually Aim for national rollout in 2014 Publication of summary document and data online

Wefeelfine.org

Issues Identified Privacy Safety Responsible use of data Who will benefit?

Final thoughts nicholas-webb@hotmail.com Thank you!