Natioal traiig survey 2013: summary report for Wales Who aswered the survey i Wales? This year, 2,237 doctors i traiig completed the survey out of 2,287 who were eligible, givig a respose rate of 97.8%. * This compares with 97.4% i 2012. The proportio of respodets by traiig level group was (=2,237): foudatio (F1 ad F2) 28.3% core ad pre-st4 specialty traiig 46.8% ST4 ad above specialty traiig (ST4-ST8) 24.9%. 54.4% of respodets were female ad 45.6% were male (=2,237). 9.1% said they were i less tha full-time traiig (=2,237). 91.2% were female ad 8.8% were male. Doctors i traiig were asked if their day-to-day activities were limited because of a health problem or disability that has lasted, or is expected to last, at least 12 moths. 44 doctors i traiig (2.) said their day-to-day activities were limited a little or a lot (=2,194). Of those reportig a health problem or disability that limited their activities, 13 (29.5%) said that they eed adjustmets to be able to carry out their work. Overall satisfactio with traiig To measure overall satisfactio with traiig, we asked doctors i traiig about five aspects of their curret post: The overall satisfactio with traiig score i Wales was 81.5 out of a possible 100 (=2,234), compared with 81.0 i 2012 (=2,315). how they rate the quality of teachig how they rate the cliical supervisio they receive how they rate the experiece they gai how they would describe the post to a fried who was thikig of applyig for it how useful the post will be for their future career. 70.1% rate the quality of teachig i this post as excellet or good (=2,234). 84.4% rate the quality of cliical supervisio i this post as excellet or good (=2,234). 83.1% rate the quality of experiece i this post as excellet or good (=2,234). * Not all traiees aswered all questios, so we have give the total umber of doctors i traiig with valid aswers i parethesis for each key fidig. We excluded aswers that were ot applicable from the aalysis. All percetages ad scores have bee rouded to oe decimal place. Jue 2013 1
Natioal traiig survey 2013: summary report for Wales 76.3% would describe this post to a fried who was thikig of applyig for it as excellet or good (=2,234). 81.8% feel this post will be very useful or useful for their future career (=2,234). Across all five aspects, 1.4% or fewer gave these items the poorest ratig (very poor). Overall satisfactio for doctors i traiig by traiig level group was: Table 1: Doctors i traiig satisfactio i differet post specialties foudatio (F1 ad F2) 78.3 (=634) core ad pre-st4 specialty traiig 81.9 (=1,045) ST4 ad above specialty traiig (ST4-ST8) 84.5 (=555). Table 1 shows the overall satisfactio score by the specialty i which the doctor i traiig was workig at the time of the survey, irrespective of their programme specialty ad evetual career destiatio. * 2013 2013 2012 2012 Number of doctors i traiig Average satisfactio Number of doctors i traiig Average satisfactio score score Geeral practice posts 198 90.1 190 88.9 Pathology posts 19 89.3 21 89.3 Radiology posts 51 87.4 58 84.3 Public health posts 5 86.4 8 81.5 Paediatrics ad child health posts 215 84.8 212 83.2 Aaesthetics posts 245 84.6 249 85.4 Psychiatry posts 158 82.5 167 80.6 Emergecy medicie posts 106 81.7 123 84.0 Ophthalmology posts 31 80.4 31 81.9 Medicie posts 665 78.9 683 80.3 Surgery posts 403 78.7 441 76.5 Obstetrics ad gyaecology posts 137 75.2 130 71.5 Educatioal supervisio We measured the quality of educatioal supervisio by askig doctors i traiig about the support they were gettig from their educatioal supervisor. 99.2% said they had a desigated educatioal supervisor (the perso resposible for appraisig their educatioal progress) (=2,221). Cliical supervisio 88.4% said they had a traiig or learig agreemet with their educatioal supervisor, settig out respective resposibilities (=2,110). 95.6% reported usig a learig portfolio (=2,168). 84.4% said they were told who to talk to i cofidece if they had persoal or educatioal cocers (=2,082). We measured the quality of cliical supervisio by askig doctors i traiig about their cliical supervisor, whether they felt forced to cope with cliical problems beyod their competece or experiece, ad if they have bee expected to obtai coset for procedures where they felt they did ot uderstad the proposed itervetio ad its risks. A questio o the quality of cliical supervisio * Occupatioal medicie posts are ot icluded i this table as the umber of doctors i traiig is less tha 3. Jue 2013 2
Natioal traiig survey 2013: summary report for Wales is part of the overall satisfactio measure ad is reported i table 1. 86.7% said they always kew who was providig their cliical supervisio whe they were workig ad that they were accessible. 5.9% said they kew, but their cliical supervisor was ot easy to access, ad 0.1% said there was o oe they could cotact (=2,229). 94.4% said they were rarely or ever supervised by someoe who they felt was t competet to do so. 5.6% said they were supervised by someoe who they felt was ot competet to do so: 0.9% o a daily basis, 1.8% o a weekly basis, ad 3. o a mothly basis (=2,234). 85.3% said they rarely or ever felt forced to cope with cliical problems beyod their competece or experiece. Of the 14.7% who said they felt forced to cope with such problems, 0.6% said this happeed o a daily basis, 6. o a weekly basis, ad 8.1% o a mothly basis (=2,234). 92.6% said they have rarely or ever bee expected to obtai coset for procedures where they felt they did ot uderstad the proposed itervetios ad its risks. 0.6% said they were expected to do so daily (=2,234). Feedback to traiees o their performace We asked questios about feedback that doctors i traiig had bee give. Specifically, this icluded the quality of iformal feedback received from seior cliicias, formal meetigs with supervisors to talk about progress i the post, ad formal assessmet of performace i the workplace. 29.3% reported that they rarely or ever had iformal feedback from a seior cliicia o their performace (=2,234). 61.6% had a formal meetig with their supervisor to talk about their progress i the post ad foud it was useful. 6. had a meetig but foud it was t useful (=2,234). 61.3% had a formal assessmet of their performace i the workplace i this post ad foud it was useful. 6.3% had a formal assessmet but foud it was t useful (=2,234). Adequate experiece We asked doctors i traiig about the practical experiece ad competecies they were gettig from their post. 76.8% rated the practical experiece they were receivig i their post as excellet or good (=2,234). 83.2% said they were very or fairly cofidet that their post will help them acquire the competecies they eed at this stage of their traiig (=2,234). Hadover To measure the quality of hadover which is importat to esure cotiuity of care for patiets we asked about arragemets before ight duty ad after ight duty. 43.7% said that i this post, the hadover arragemets before ight duty were best described as a orgaised meetig of doctors; 28.5% said a orgaised meetig of doctors ad urses; ad 4.8% said a phoe or email commuicatio. 20.9% said the hadover arragemets were iformal ad 2.1% said there were o arragemets (=1,555). Jue 2013 3
Natioal traiig survey 2013: summary report for Wales 34.3% said that i this post, the hadover arragemets after ight duty were best described as a orgaised meetig of doctors; 22.3% said a orgaised meetig of doctors ad urses; ad 6. said a phoe or email commuicatio. 32.3% said the hadover arragemets were iformal ad 5.1% said there were o arragemets (=1,571). Respodets (%) Figure 1: Hadover arragemets before ight duty (=1,555) ad after ight duty (=1,571) 5 45% 4 35% 3 25% 2 15% 1 Before ight duty After ight duty 5% Iductio A orgaised meetig of doctors ad urses A orgaised meetig of doctors Phoe or email commuicatio Iformal No arragemets We asked questios about the quality of iductio to the workplace, which is importat for patiet safety. We asked doctors i traiig to rate the quality of iductio to the orgaisatio they work i. We also asked whether they received iformatio about their workplace ad whether their role, resposibilities ad educatioal objectives were discussed whe they took up their post. 64.1% said they would rate the quality of iductio to the orgaisatio i this post as excellet or good (=2,234). Local teachig 86.5% of traiees said they got all the iformatio they eeded about their workplace whe they started workig i this post (=2,105). 90. said someoe explaied their role ad resposibilities i the uit or departmet at the start of this post (=2,130). 92.8% said they sat dow with their educatioal supervisor ad discussed their educatioal objectives for this post (=2,200). We asked doctors i traiig about the teachig provided locally or i their departmet, * icludig who was providig the teachig ad the extet to which the teachig sessio was protected time. 73.3% said they would rate the quality of local or departmetal teachig as excellet or good (=1,600). 1.8% said local or departmetal teachig was provided by other traiees without seior supervisio; Respodets (%) 5 45% 4 35% 3 25% 2 15% 1 5% Figure 2: Whe attedig these local/departmetal sessios, i this post, how ofte did you have to leave a teachig sessio to aswer a cliical call? (=1,600) Never, it was protected time 37.2% Never, but it was ot specifically protected time 15.9% Some sessios 39.3% Oce every sessio 3.8% Multiple times each sessio 3.8% Respodets (%) * Departmetal teachig is i the departmet where the doctor i traiig works. Local teachig might take place withi the trust or site where the doctor i traiig works. Jue 2013 4
Natioal traiig survey 2013: summary report for Wales 9.6% said it was provided by other traiees with seior supervisio; 65.8% said it was provided by both traiees ad seiors; ad 22.8% said it was provided by seior doctors (=1,600) Figure 2 shows whether local or departmetal teachig sessios were protected time ad, if ot, how ofte a doctor i traiig had to leave a teachig sessio to aswer a cliical call. Workload We asked doctors i traiig about their workload. 20. said their workig patter left them feelig short of sleep whe at work o a daily or weekly basis. 58.5% said it rarely or ever left them feelig short of sleep whe at work (=2,234). Respodets (%) Figure 3: Itesity of work by day (=2,234) ad by ight (=1,776) 6 By day 5 By ight 4 3 53.3% said they worked beyod their rostered hours o a daily or weekly basis. 33.1% said they rarely or ever worked beyod their rostered hours (=2,234). 2 1 Very light 0.4% 1% Light 4.3% 7.7% About right 55.8% 44.7% Heavy 30.7% 32.2% Very heavy 8.8% 14.5% Figure 3 shows how doctors i traiig rated the itesity of their work i their post, by day ad, if applicable, by ight. Ackowledgemets We are grateful to all our parters, icludig the postgraduate deas ad the medical royal colleges ad faculties ad their staff, for their help with the atioal traiig survey. We particularly wish to thak the doctors i traiig who completed the survey. The GMC is a charity registered i Eglad ad Wales (1089278) ad Scotlad (SC037750) Jue 2013 5