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Biomedical subjects

E Paice

Publications and source records attributed to E Paice.

At least 19 recordsLinked to original sources

How to write a peer review.

The peer review process is a quality control for scientific publication. Well done, it helps editors to improve their journals and protects readers from wasting time on ill-conceived, redundant, irrelevant or erroneous literature. Badly done it can act as an obstacle to innovation. This article tells you how to be a first rate peer reviewer.

Adult↗

Informed consent and the preregistration house officer.

A survey of preregistration house officers demonstrated that less than a third had never felt compelled to obtain consent from patients for procedures they themselves did not understand. This had occurred frequently for over a fifth of respondents. Learning how to obtain informed consent is an important part of the education and training of a doctor. The wrong lessons will be learned if they feel compelled to do this when ill-equipped with relevant information about risks and alternatives.

Hospitals, District↗

Trainee satisfaction before and after the Calman reforms of specialist training: questionnaire survey.

OBJECTIVES: To evaluate the impact of the Calman reforms of higher specialist training on trainee satisfaction. DESIGN: Questionnaire surveys using portable electronic survey units, two years apart. SETTING: Postgraduate, teaching, district general, and community NHS trusts in North Thames. North Thames deanery includes London north of the Thames, Essex, and Hertfordshire. PARTICIPANTS: Trainees in all grades and all specialties: 3078 took part in the first survey and 3517 in the second survey. MAIN OUTCOME MEASURES: Trainees' satisfaction with training in their current post, including educational objectives, training agreements, induction, consultant feedback, hands on experience acquired, use of log books, consultant supervision, and overall satisfaction with the post. RESULTS: In the second survey respondents were more likely to have discussed educational objectives with their consultant, used a log book, and had useful feedback from their consultant. They were more likely to give high ratings to induction, consultant supervision, and hands on experience acquired in the post. Each of these elements was associated with increased satisfaction with the post overall. Improvements were most noticeable at the level of specialist registrar, but changes in the same direction were also seen in more junior grades. CONCLUSIONS: After the reforms of specialist training, trainees in all grades reported greater satisfaction with their current posts. The changes required extra training time and effort from consultants.

Education, Medical, Continuing↗

The effect of 1-year rotations on stress in preregistration house officers.

A comparison of stress levels in preregistration house officers demonstrated lower levels in those completing 1-year rotations compared with those completing 6-month posts in two different hospitals. One-year rotations provide a more stable environment, allow new doctors to become familiar with the workings of an organization from several viewpoints and permit a better sense of working within a multiprofessional team than the traditional arrangements.

Education, Medical, Graduate↗

Job sharing in medical training: an evaluation of a 3-year project.

Job sharing has been introduced on a major scale in one deanery to help accommodate increasing demand for flexible (part-time) training. We arranged 37 job shares for 74 trainees between 1996 and 1999. Job shares lasted from 6 months to 2 years. Trainees in job shares were as satisfied with their training as those in supernumerary posts or in full-time training.

Cost Allocation↗

Managing trainee doctors in difficulty.

When the conduct, performance or health of a doctor in training is called into question, there is often confusion about the roles and responsibilities of the parties involved. Where does training stop and employment begin? When should poor performance trigger intensified training, and when should it lead to dismissal? How much information should be transferred from employer to employer as a trainee moves around a training programme? This article describes one Deanery's approach.

Clinical Competence↗

Flexible specialist training compared with full-time training.

The educational and training quality of flexible training posts compared very well and in some instances was better than that obtained in full-time training. The hours of work were fewer, but as a proportion not as small as is sometimes recognized by the Colleges and is comparable with many full-time training programmes in other European Union countries.

Curriculum↗

Specialist registrar training and the generalist: views of trusts and health authorities.

As a results of the introduction of structured training in postgraduate medical education we undertook a survey of North Thames stakeholders in health authorities and trusts to ascertain views on the implications of the specialist registrar grade on the future shape of the clinical workforce. Trusts and health authorities expressed concern over the training of specialist doctors at the expense of training generalists to provide patient care.

Attitude of Health Personnel↗

Is the new deal compatible with good training? A survey of senior house officers.

A survey of senior house officers revealed that the New Deal on junior doctors' hours had not been fully achieved, and that education and training was variable. The report explores the relationship between hours and intensity of work, experience gained, and the educational quality of posts. It suggests that the acquisition of experience has more to do with working in a well-organized, well-supervised educational environment than with putting in long hours or doing without sleep. It concludes that the New Deal is compatible with good training.

Data Collection↗

Association of use of a log book and experience as a preregistration house officer: interview survey.

OBJECTIVE: To determine whether use of a log book improved the experiences of preregistration house officers. DESIGN: Confidential questionnaire and interview survey of preregistration house officers carried out as part of University of London inspection process. MEASURES: Preregistration house officers were asked to rate educational and pastoral elements of their posts and about the use made of previously distributed log books. SUBJECTS AND SETTING: Preregistration house officers in North Thames. RESULTS: The incumbents of 535 of 560 (95%) preregistration house officer posts in the region were surveyed between June 1994 and July 1995, 490 by questionnaire and interview, 45 by questionnaire alone. House officers who had discussed the log book with their consultant expressed more satisfaction with their induction, consultant supervision and feedback, and formal and informal education and were more likely to recommend their job to a friend. CONCLUSION: Preregistration house officers who had discussed the log book with their consultant expressed more satisfaction with the educational elements of their jobs. The structured discussion with their consultant about the job and their performance seemed to make the difference.

Consultants↗