SurveyMonkey Powered Online Survey

Dear Colleague,

The RCPE is working to improve the quality of medical training throughout Scotland and the UK in order to ensure that trainees are adequately trained and patient safety is maintained. Please take 4-5 minutes to complete this short survey which will provide us with much-needed data, based on the practical experiences of medical trainees, with which to inform on-going discussions with medical and training policymakers and influence the quality of training on your behalf.

Thank you

Dr Marion Slater
Chair, RCPE Trainees & Members' Committee

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* WORKLOAD

1a. Please indicate if there are currently any gaps in your rota.

None

3 or more

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* 1b. How long has/have the gap(s) been unfilled? (if more than one gap please answer for longest)

< 1week

1-2 weeks

2-4 weeks

> 4 weeks

Don’t know

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* 1c. Has a locum been employed to cover the gap(s)? (if more than one gap please answer for longest)

Yes

Advertised, but no cover available

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* 1d. What impact has/have the gap(s) had on patient care?

Very negative

Negative

No impact

Positive

Very positive

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* 1e. What impact has/have the gap(s) had on your training?

Very negative

Negative

No impact

Positive

Very positive

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* 2. Do you feel your workload on an average day shift is:

Too much

About right

Too little

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* 3a. Do you feel you have adequate access to additional hands-on support from junior colleagues, health care support workers etc during your day shift?

Yes

Don't know

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* 3b. Do you feel you have adequate access to senior trainees (ST3+) during your day shift?

Yes

Don't Know

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* 3c. Do you feel you have adequate access to consultants during your day shift?

Yes

Don't Know

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* Please use this box to make any comments you may have on questions 3a, 3b and 3c:

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* 4. What impact does your workload during a day shift have on patient safety?

Very negative

Negative

No impact

Positive

Very positive

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* HOSPITAL@NIGHT

5a. Do you have a hospital@night team?

Yes

Don't know

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* 5b. If yes, how is your standard hospital@night team made up? Please indicate number in each grade:

	1	2	3-4	5+
FY1	FY1 1	FY1 2	FY1 3-4	FY1 5+
FY2	FY2 1	FY2 2	FY2 3-4	FY2 5+
CMT1	CMT1 1	CMT1 2	CMT1 3-4	CMT1 5+
CMT2	CMT2 1	CMT2 2	CMT2 3-4	CMT2 5+
ST3+	ST3+ 1	ST3+ 2	ST3+ 3-4	ST3+ 5+
Specialty doctor	Specialty doctor 1	Specialty doctor 2	Specialty doctor 3-4	Specialty doctor 5+
Medical Support Nurse	Medical Support Nurse 1	Medical Support Nurse 2	Medical Support Nurse 3-4	Medical Support Nurse 5+
Advanced Nurse Practioner	Advanced Nurse Practioner 1	Advanced Nurse Practioner 2	Advanced Nurse Practioner 3-4	Advanced Nurse Practioner 5+
Physicians' Assistant	Physicians' Assistant 1	Physicians' Assistant 2	Physicians' Assistant 3-4	Physicians' Assistant 5+

Other (please specify)

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* 5c. Do you all cover the same patients or are you split into teams?

Same patients

Team based

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* 6a. How many beds do you cover on a standard night shift?

0-10

10-20

20-30

30-40

40-50

50-70

70-100

100-200

>200

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* 6b. Do you cover an acute medical admissions/assessment unit or equivalent on a standard night shift?

Yes

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* 6c. If no, do you still receive over-night emergency admissions directly to the wards you cover?

Yes

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* 6d. If yes, do you also receive over-night emergency admissions directly to the wards you cover?

Yes

Don't Know

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* 6e. How many emergency admissions do you see on an average night shift?

0-2

2-5

5-7

7-10

10-15

15-20

>20

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* 7. Do you feel your workload on an average night shift is:

Too much

About right

Too little

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* 8a. Do you feel you have adequate access to hands-on support from junior colleagues, night nurse practitioners etc during your night shift?

Yes

Don't know

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* 8b. Do you feel you have adequate access to senior trainees (ST3+) during your night shift?

Yes

Don't Know

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* 8c. Do you feel you have adequate access to consultants during your night shift?

Yes

Don't Know

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* Please use this box to make any comments you may have on questions 8a, 8b and 8c:

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* 9. What impact does your workload during a night shift have on patient safety?

Very negative

Negative

No impact

Positive

Very positive

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* 10. Are you part of the cardiac arrest team on night shift?

Yes

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* TRAINING

11. How would you rate the training in your current post?

Very good

Good

No opinion

Poor

Very poor

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* 12. How often do you receive teaching by senior colleagues on ward rounds/at the bedside?

Regularly (most days)

Occasionally (1-2 times weekly)

Rarely (< once weekly)

Never

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* 13. How often do you attend out-patient clinics?

Weekly

Monthly

Rarely (< once weekly)

Never

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* 14. Do you receive teaching at these out-patient clinics?

Regularly (most clinics)

Occasionally

Rarely

Never

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* 15. Have you experienced difficulty attending formal teaching sessions?

Yes

Don't know

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* 16. Do you have adequate access to your educational supervisor?

Yes

Don't know

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* 17. Have you encountered difficulties with obtaining WPBAs?

Yes

Don't know

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* 18. In your opinion does your educational supervisor have sufficient time to fulfil his/her role as your supervisor?

Yes

Don't know

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* PRACTICAL PROCEDURES

19. Do you have adequate access to opportunities to undertake the following practical procedures?

	Yes	No	Don't Know
Central Line Insertion	Central Line Insertion Yes	Central Line Insertion No	Central Line Insertion Don't Know
Intercostal Drain Insertion	Intercostal Drain Insertion Yes	Intercostal Drain Insertion No	Intercostal Drain Insertion Don't Know
Temporary Pacing Wire Insertion	Temporary Pacing Wire Insertion Yes	Temporary Pacing Wire Insertion No	Temporary Pacing Wire Insertion Don't Know
Diagnostic Pleural Tap	Diagnostic Pleural Tap Yes	Diagnostic Pleural Tap No	Diagnostic Pleural Tap Don't Know
Diagnostic Ascitic Tap	Diagnostic Ascitic Tap Yes	Diagnostic Ascitic Tap No	Diagnostic Ascitic Tap Don't Know
Ascitic Drain Insertion	Ascitic Drain Insertion Yes	Ascitic Drain Insertion No	Ascitic Drain Insertion Don't Know
External Pacing	External Pacing Yes	External Pacing No	External Pacing Don't Know
Elective DC Cardioversion	Elective DC Cardioversion Yes	Elective DC Cardioversion No	Elective DC Cardioversion Don't Know
Lumbar Puncture	Lumbar Puncture Yes	Lumbar Puncture No	Lumbar Puncture Don't Know

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* 20. Do you have access to adequate training and supervision in undertaking these procedures?

	Yes	No	Don't know
Central Line Insertion	Central Line Insertion Yes	Central Line Insertion No	Central Line Insertion Don't know
Intercostal Drain Insertion	Intercostal Drain Insertion Yes	Intercostal Drain Insertion No	Intercostal Drain Insertion Don't know
Temporary Pacing Wire Insertion	Temporary Pacing Wire Insertion Yes	Temporary Pacing Wire Insertion No	Temporary Pacing Wire Insertion Don't know
Diagnostic Pleural Tap	Diagnostic Pleural Tap Yes	Diagnostic Pleural Tap No	Diagnostic Pleural Tap Don't know
Diagnostic Ascitic Tap	Diagnostic Ascitic Tap Yes	Diagnostic Ascitic Tap No	Diagnostic Ascitic Tap Don't know
Ascitic Drain Insertion	Ascitic Drain Insertion Yes	Ascitic Drain Insertion No	Ascitic Drain Insertion Don't know
External Pacing	External Pacing Yes	External Pacing No	External Pacing Don't know
Elective DC Cardioversion	Elective DC Cardioversion Yes	Elective DC Cardioversion No	Elective DC Cardioversion Don't know
Lumbar Puncture	Lumbar Puncture Yes	Lumbar Puncture No	Lumbar Puncture Don't know

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* 21a. Do you have access to simulation training for practical procedures?

Yes

Don't know

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* 21b. If yes, have you made use of this facility?

Yes

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* 22a. Have you ever been required to perform a practical procedure for which you do not feel you have been adequately trained?

Yes

Don't know

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* 22b. If yes, please specify the procedure

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* 23a. Do you think that all medical trainees should be competent in:

	Yes	No	Don't know
Central Line Insertion	Central Line Insertion Yes	Central Line Insertion No	Central Line Insertion Don't know
Intercostal Drain Insertion	Intercostal Drain Insertion Yes	Intercostal Drain Insertion No	Intercostal Drain Insertion Don't know
Temporary Pacing Wire Insertion	Temporary Pacing Wire Insertion Yes	Temporary Pacing Wire Insertion No	Temporary Pacing Wire Insertion Don't know
Diagnostic Pleural Tap	Diagnostic Pleural Tap Yes	Diagnostic Pleural Tap No	Diagnostic Pleural Tap Don't know
Diagnostic Ascitic Tap	Diagnostic Ascitic Tap Yes	Diagnostic Ascitic Tap No	Diagnostic Ascitic Tap Don't know
Ascitic Drain Insertion	Ascitic Drain Insertion Yes	Ascitic Drain Insertion No	Ascitic Drain Insertion Don't know
External Pacing	External Pacing Yes	External Pacing No	External Pacing Don't know
Elective DC Cardioversion	Elective DC Cardioversion Yes	Elective DC Cardioversion No	Elective DC Cardioversion Don't know
Lumbar Puncture	Lumbar Puncture Yes	Lumbar Puncture No	Lumbar Puncture Don't know

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* 23b. By what stage do you think this/these competencies should have been achieved?

By start of ST3

By attainment of CCT

Don’t know

Other (please specify)

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* 23c. Do you think that competency on a simulator is an acceptable equivalent to having actually performed the procedure on a patient?

Yes

Don't know

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* PHYSICIANS' ASSISTANTS

24a. Have you heard of Physicians Assistants (PAs)?

Yes

Don't know

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* 24b. In your understanding, at what level do PAs operate?

Medical student

FY doctor

CMT/ACCS

ST3+

Don't know

Other (please specify)

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* 24c. Do you have experience of working with PAs?

Regularly

Sometimes

Occasionally

None

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* 24d. In your opinion what impact do PAs have on access to training opportunities for doctors?

Very negative

Negative

No opinion

Positive

Very positive

Don't know

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* 24e. In your opinion what impact do PAs have on the workload of trainee doctors?

Very negative

Negative

No impact

Positive

Very positive

Don't know

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* 24f. In your opinion what impact do PAs have on patient safety?

Very negative

Negative

No impact

Positive

Very positive

Don't know

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* 24g. In your opinion what impact do PAs have on quality of care?

Very negative

Negative

No impact

Positive

Very positive

Don't know

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* 25. Please use this space to tell us a little more about your experience, if applicable, of working with Physicians' Assistants

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* ABOUT YOU

What is your current grade?

FY1

FY2

CMT1

CMT2

ST3

ST4

ST5

ST6

ST7

ST8+

LAT

FTSTA

Clinical Fellow

Other (please specify)

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* What is your specialty?

Acute medicine

Allergy

Audiological medicine

Cardiology

Clinical genetics

Clinical neurophysiology

Clinical pharmacology

Dermatology

Diabetes & endocrinology

Emergency medicine

Gastroenterology

General (internal) medicine

Genito-urinary medicine

Geriatric medicine

Haematology

Immunology

Infectious diseases (and tropical medicine)

Medical oncology

Metabolic medicine

Neurology

Nuclear medicine

Paediatric medicine

Palliative medicine

Pathology

Pharmaceutical medicine

Psychiatry

Rehabilitation medicine

Renal medicine

Respiratory medicine

Rheumatology

Sport and exercise medicine

Stroke medicine

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* Do you currently work in -

Teaching hospital

District general hospital

Other (please specify)

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* In which country are you based?

England

Northern Ireland

Scotland

Wales

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* WORKLOAD1a. Please indicate if there are currently any gaps in your rota.

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* 1b. How long has/have the gap(s) been unfilled? (if more than one gap please answer for longest)

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* 1c. Has a locum been employed to cover the gap(s)? (if more than one gap please answer for longest)

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* 1d. What impact has/have the gap(s) had on patient care?

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* 1e. What impact has/have the gap(s) had on your training?

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* 2. Do you feel your workload on an average day shift is:

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* 3a. Do you feel you have adequate access to additional hands-on support from junior colleagues, health care support workers etc during your day shift?

Question Title

* 3b. Do you feel you have adequate access to senior trainees (ST3+) during your day shift?

Question Title

* 3c. Do you feel you have adequate access to consultants during your day shift?

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* Please use this box to make any comments you may have on questions 3a, 3b and 3c:

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* 4. What impact does your workload during a day shift have on patient safety?

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* HOSPITAL@NIGHT 5a. Do you have a hospital@night team?

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* 5b. If yes, how is your standard hospital@night team made up? Please indicate number in each grade:

Question Title

* 5c. Do you all cover the same patients or are you split into teams?

Question Title

* 6a. How many beds do you cover on a standard night shift?

Question Title

* 6b. Do you cover an acute medical admissions/assessment unit or equivalent on a standard night shift?

Question Title

* 6c. If no, do you still receive over-night emergency admissions directly to the wards you cover?

Question Title

* 6d. If yes, do you also receive over-night emergency admissions directly to the wards you cover?

Question Title

* 6e. How many emergency admissions do you see on an average night shift?

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* 7. Do you feel your workload on an average night shift is:

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* 8a. Do you feel you have adequate access to hands-on support from junior colleagues, night nurse practitioners etc during your night shift?

Question Title

* 8b. Do you feel you have adequate access to senior trainees (ST3+) during your night shift?

Question Title

* 8c. Do you feel you have adequate access to consultants during your night shift?

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* Please use this box to make any comments you may have on questions 8a, 8b and 8c:

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* 9. What impact does your workload during a night shift have on patient safety?

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* 10. Are you part of the cardiac arrest team on night shift?

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* TRAINING 11. How would you rate the training in your current post?

Question Title

* 12. How often do you receive teaching by senior colleagues on ward rounds/at the bedside?

Question Title

* 13. How often do you attend out-patient clinics?

Question Title

* 14. Do you receive teaching at these out-patient clinics?

Question Title

* 15. Have you experienced difficulty attending formal teaching sessions?

Question Title

* 16. Do you have adequate access to your educational supervisor?

Question Title

* 17. Have you encountered difficulties with obtaining WPBAs?

Question Title

* 18. In your opinion does your educational supervisor have sufficient time to fulfil his/her role as your supervisor?

Question Title

* PRACTICAL PROCEDURES19. Do you have adequate access to opportunities to undertake the following practical procedures?

Question Title

* 20. Do you have access to adequate training and supervision in undertaking these procedures?

Question Title

* 21a. Do you have access to simulation training for practical procedures?

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* 21b. If yes, have you made use of this facility?

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* 22a. Have you ever been required to perform a practical procedure for which you do not feel you have been adequately trained?

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* 22b. If yes, please specify the procedure

* WORKLOAD

1a. Please indicate if there are currently any gaps in your rota.

* HOSPITAL@NIGHT

5a. Do you have a hospital@night team?

* TRAINING

11. How would you rate the training in your current post?

* PRACTICAL PROCEDURES

19. Do you have adequate access to opportunities to undertake the following practical procedures?

* PHYSICIANS' ASSISTANTS

24a. Have you heard of Physicians Assistants (PAs)?

* ABOUT YOU

What is your current grade?