Presentation on theme: "THE JMO CENSUS The HETI JMO Forum Census Working Party"— Presentation transcript:
1 THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas WebbDr. Lucy McKenzieDr. Praveen GounderDr. Nicole BulmanDr. Kate KearneyDr. Heather FordDr. Kate BrownDr. Maria BernadiTuesday, 5th November 2013
2 The 2013 JMO CensusA 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 Enquiry1. Demographics2. Health and Welfare3. Supervision4. Education5. Career Development6. Hospital Systems
4 The 2012 JMO Census PilotA comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals.Goals1. Expand the evidence base on the state of JMOs2. Develop a tool for multifactorial data analysis by interested parties3. Gain buy in from parties who wish to survey JMOs4. Encourage collaboration and information sharing between stakeholdersReduce survey fatigueDeliver a statewide census based on pilot survey results and feedback from stakeholders
5 Pilot Study Survey Design and Delivery 43 questions comprising 124 partsIncluding the Kessler-10 measure of psychological distressPredominantly LIKERT scalesQuestions related to current termPaper basedPilot delivered in October 2012, Week 8 of Term 410 candidates randomly selected in each of the 16 hospital networks in NSW/ACTHETI JMO Forum representatives delivered survey to participantsSurveys mailed to HETI, data de-identifiedDesign and delivery of pilot study
7 Demographics 83 Respondents from 19 hospital sites 82% of respondents were PGY157% Female42% MaleMedian age was 27spread from years of age
8 DemographicsThe majority of respondents were single, with no children (67%)18% married14% partnered/de-facto12% with children60% were born in Australia, though none identified as Indigenous Australians
9 TeachingThe majority of respondents (51%) had between 2-4 hours of formal teaching per week37.5% 0-211% > 4 hours
10 TeachingMost respondents had at least 1 hour per week of pager free teachingHowever, 13% had 0 hours per week where their teaching was uninterrupted
11 AttendanceAttendance varied across respondents, with 38% of respondents attending the recommend % of all teachingImportantly, only 18% attended 0-25% of teaching
12 Satisfaction58% of respondents were satisfied with the amount of teaching they attended87% felt supported to attend teachingHowever, only 7% of respondents indicated they were not supported to attend teachingThe majority of respondents were satisfied with teaching overall (64%)Self education:58% up to 5 hours/week53% strongly agreed or agreed they were satisfiedIn 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
14 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.
15 Kessler Psychological Distress Scale K10 Total Score LevelsLowModerateHighVery highABS K10 score groupings and categorisationLow: 57%Moderate: 37%High 8.5%Very high 3.5%
16 Health and Welfare Only 59% of respondents have a GP of their own! None had used the Doctor’s Health Advisory Service
18 Future Practice City Practice 84% of respondents indicate they are interested in working in a metro location in the future
19 Future Practice Rural Practice However, only 16% of respondents had ruled out working rurally at the time of the census
20 Future Practice Remote Practice But most respondents (58%) appear to have ruled out remote medicine as a future interest
21 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
22 Given the Choice Again, Would You Not Study Medicine? Most applicants agreed that, given their time again, they would have still studied medicineThankfully, none of our applicants strongly agreed that they wouldn’t have studied medicine again77% disagree/strongly disagree3.5% agree15.5% not sure
23 Training = Doctor28% of respondents were unsure, or disagreed, that their medical student training prepared them for internship
24 Key Figures in the Hospital 92% of respondents knew who their JMO manager was86% knew who their DPET was at the time of censusHowever, only 74% of respondents were aware of hospital committees for JMO education and trainingMeaning that 15% of JMOs may not be aware that their are committees to deal with issues within the hospital
25 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 concernsVery few respondents (17%) felt they knew how to raise an industrial dispute, and a similar amount (20%) would feel comfortable to do soIn addition, 23% of respondents had experienced workplace bullying in the last yearWould those being bullied be able to raise that with their seniors?
26 Leave and Benefits Leave: 58% of respondents believe they understand their leave entitlementsHowever, 66% of respondents believed they have appropriate access to leaveBenefits:71% access an employer benefit programLeave: 7.5% strongly disagreed that they did not have appropriate access to leave
27 RepresentationOnly 6% indicated that they were a member of the Health Services UnionHowever, 51% believed they were a member of the AMA90% had a member of a MIO12% 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...
28 Next Steps Rollout of Census statewide Return datasets to stakeholders Deliver Census annuallyAim for national rollout in 2014Publication of summary document and data online
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