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Identifying appropriate tasks for the preregistration year: modified Delphi technique

Stewart, J., O'Halloran, Cath, Harrigan, P., Spencer, J., Barton, J. R. and Singleton, S. J. (1999) Identifying appropriate tasks for the preregistration year: modified Delphi technique. British medical journal, 319 (7204). pp. 224-229. ISSN 0959-8138

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Objectives: To identify the tasks that should constitute the work of preregistration house officers to provide the basis for the development of a self evaluation instrument.
Design: Literature review and modified Delphi technique.
Setting: Northern Deanery within the Northern and Yorkshire office NHS executive.
Subjects: 67 educational supervisors of preregistration house officers.
Main outcome measures: Percentage of agreement by educational supervisors to tasks identified from the literature.
Results: Over 61% of communication items, 70% of on call patient care items, 75% of routine patient care items, 45% of practical procedure items, and over 63% of self management items achieved over 95% agreement that they should be part of the house job of preregistration house officers. Poor agreement was found for the laboratory and clinical investigations that house officers could perform with or without supervision.
Conclusions: The tasks of house officers were identified but issues in using this method and in devising a universally acceptable list of tasks for preregistration house officers were apparent.

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Item Type: Article
Additional Information: ©1999 BMJ Publishing Group Ltd
Uncontrolled Keywords: preregistration house officers self-evaluation Delphi technique
Subjects: R Medicine > R Medicine (General)
Schools: School of Human and Health Sciences
References: 1. General Medical Council. Tomorrow's doctors. London: GMC , 1993. 2. General Medical Council. The new doctor. London: GMC , 1997. 3. Dowling S, Barrett S. Doctors in the making: the experience of the pre-registration year. Bristol: Saus , 1991. 4. Leslie PJ, Williams JA, McKenna C, Smith G, Heading RC. Hours, volume and type of work of pre-registration house officers. BMJ 1990; 300: 1038-1041[Medline]. 5. Turnbull NA, Miles NA, Gallen IW. Junior doctors' on-call activities: differences in workload and work patterns among grades. BMJ 1990; 301: 1191-1192[Medline]. 6. Dent THS, Gilliard JH, Aarons EJ, Smyth-Pigott PJ. Variations in clinical experience of pre-registration house officers: the effect of London. Health Trends 1995; 27: 22-26[Medline]. 7. British Medical Association. BMA cohort study of 1995 medical graduates: second report. The pre-registration year. London: BMA , 1997. 8. McKee M, Black N. Junior doctors' work at night: What is done and how much is appropriate? J Public Health Med 1993; 15: 16-24[Abstract/Free Full Text]. 9. Jones J, Hunter D. Consensus methods for medical and health services research. BMJ 1995; 311: 376-380[Free Full Text]. 10. Duffield C. The Delphi technique. Aust J Adv Nurs 1988; 6: 41-45[Medline]. 11. Williams PL, Webb C. The Delphi technique: a methodological discussion. J Adv Nurs 1994; 19: 180-186[Medline]. 12. Conference of Postgraduate Medical Deans and Directors of Postgraduate Medical Education of Universities in the UK. The pre-registration house officer experience: implementing change. London: COPMED , 1994. 13. Gillard JH, Dent THS, Aarons EJ, Smyth-Pigott PJ, Nicholls MWN. Pre-registration house officers in eight English regions: survey quality of training. BMJ 1993; 307: 1180-1184[Medline]. 14. Mitchell IA, Teale GR. The practical house officer. Oxford: Blackwell Scientific , 1992. 15. Calman KC, Donaldson M. The pre-registration house officer year: a critical incident study. Med Educ 1991; 25: 51-59[Medline]. 16. Dent THS, Gilliard JH, Aarons EJ, Crimlisk HL, Smyth-Pigott PJ. Pre-registration house officers in the 4 Thames regions. 1: survey of education and workload. BMJ 1990; 300: 713-716[Medline]. 17. Firth-Cozens J, Morrison LA. Sources of stress and ways of coping in junior house officers. Stress Med 1989; 5: 121-126. 18. Elizabeth JE, Hughes S. An assessment of the pre-registration year experience. BMJ 1986; 293: 1559[Medline]. 19. Dornbusch SM, Scott WR. Evaluation and the exercise of authority. San Francisco: Jossey-Bass, 1975:71.
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Date Deposited: 12 Jan 2007
Last Modified: 28 Aug 2021 23:37


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