1. Kate Horn, Gillie Atkins, Rob Eliot, Adam Malin
How to distribute foundation trainees equitably? A simple tool utilising trainee perception.
Kate Horn, Gillie Atkins, Rob Eliot, Adam Malin

2. Background Bed pressures/medical outliers
Historically equal number of F1 trainees in medicine and surgery but apparent inequalities in workload
Anecdotes of surgical trainees spending all afternoon in mess watching TV
Concerns re patient safety
Edict from above April 13 →“sort it!”

3. What did we do? Working party and options appraisal
Attempted zone based rather than team based approach to covering outliers
Good buy-in from junior doctors but less so from seniors!
Pilot abandoned

4. Survey All F1s asked to complete survey at end of each 4/12 rotation
Rank jobs from 1-12 where 12 is busiest and 1 is least busy
Rank ALL jobs based on own experience plus observations/knowledge from colleagues/ perception of jobs

5. Workload Intensity

6. Distribution of F1 trainees
Cohort
Medicine
Surgery
MAU/SAU 12 14 10

7. Dec 12- July 13 (pre change)

8. Aug 13 – March 14 (post change)

9. Medicine Division

10. Surgery Division

11. Colorectal Surgery

12. Geriatric Medicine

13. Urology

14. Shape of training review
F1s in psychiatry
Requirement for all trainees to experience community facing placements
Further pressures on acute medical and surgical posts

15. Distribution of F1 trainees
Cohort
Medicine
Surgery
MAU/SAU
Psychiatry 12 14 10 13 9 2

16. Limitations and developments
Survey Monkey does not facilitate collection of longitudinal data → Meridien as data collection tool
Failure to include psychiatry as one of posts in new survey!!
Changes in surgery with loss of vascular and ‘super firms’

17. And now what? Presented at Severn Foundation school
Severn-wide approach to foundation surveys under development