• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of postmedjPostgraduate Medical JournalCurrent TOCInstructions for authors
Postgrad Med J. Feb 1999; 75(880): 86–89.
PMCID: PMC1741120

Training and supervision needs and experience: a longitudinal, cross-sectional survey of accident and emergency department senior house officers

Abstract

The aim of this study was to investigate senior house officers' (SHOs) perceptions about their training needs, satisfaction with teaching and supervision, and the relationship this has with psychological distress levels. All 171 SHOs employed within 27 accident and emergency (A&E) departments in the South Thames region were sent questionnaires at the start of their attachments in A&E, at the end of months four and six. The questionnaires asked SHOs to rate on visual analogue scales their perceived need for further training for 23 clinical and practical activities relevant to A&E practice. At the end of the fourth month SHOs were asked to indicate who had provided them with the most valuable teaching and supervision, indicate their satisfaction levels with training received, and suggest ways to improve teaching and supervision. SHOs' psychological distress levels were measured in all three questionnaires.
  Overall, satisfaction with supervision and training was mixed. SHOs perceived greatest need for further training in areas encountered less frequently in A&E. Registrars were the most valued providers of supervision and teaching. Increased numbers of middle grade staff and protected study time were suggested as ways to improve supervision and teaching. SHOs with higher scores for training need at the end of their attachment in A&E expressed significantly less satisfaction with training and higher psychological distress levels. The variation between SHOs' perceptions of training needs indicates the importance of tailoring training and supervision to individual requirements.


Keywords: training; accident and emergency medicine; senior house officers; psychological stress

Full Text

The Full Text of this article is available as a PDF (87K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dillner L. Senior house officers: the lost tribes. BMJ. 1993 Dec 11;307(6918):1549–1551. [PMC free article] [PubMed]
  • Panayiotou BN, Fotherby MD. Junior hospital doctors' views on their training in the UK. Postgrad Med J. 1996 Sep;72(851):547–550. [PMC free article] [PubMed]
  • Bunch GA, Bahrami J, Macdonald R. Training in the senior house officer grade: how good is it? Br J Hosp Med. 1997 Jun 4;57(11):565–568. [PubMed]
  • Morris F, Cope A, Hawes S. Training in accident and emergency: views of senior house officers. BMJ. 1990 Jan 20;300(6718):165–166. [PMC free article] [PubMed]
  • Rodenberg H. Education in accident and emergency medicine for senior house officers: review and recommendations. J Accid Emerg Med. 1996 Jul;13(4):238–242. [PMC free article] [PubMed]
  • Hormbrey P, Todd BS, Mansfield CD, Skinner DV. A survey of teaching and the use of clinical guidelines in accident and emergency departments. J Accid Emerg Med. 1996 Mar;13(2):129–133. [PMC free article] [PubMed]
  • Grant J, Marsden P, King RC. Senior house officers and their training. I. Personal characteristics and professional circumstances. BMJ. 1989 Nov 18;299(6710):1263–1265. [PMC free article] [PubMed]
  • Heyworth J, Whitley TW, Allison EJ, Jr, Revicki DA. Predictors of work satisfaction among SHOs during accident and emergency medicine training. Arch Emerg Med. 1993 Dec;10(4):279–288. [PMC free article] [PubMed]
  • Miller E, Montague A, Crone P, Kirby N. Quality assurance in Guy's Hospital accident and emergency department. Health Trends. 1992;24(1):38–40. [PubMed]
  • Williams S, Dale J, Glucksman E, Wellesley A. Senior house officers' work related stressors, psychological distress, and confidence in performing clinical tasks in accident and emergency: a questionnaire study. BMJ. 1997 Mar 8;314(7082):713–718. [PMC free article] [PubMed]
  • Williams S, Dale J, Glucksman E. Emergency department senior house officers' consultation difficulties: implications for training. Ann Emerg Med. 1998 Mar;31(3):358–363. [PubMed]
  • Johansen A. Using audit to improve senior house officer training. Postgrad Med J. 1997 Dec;73(866):798–801. [PMC free article] [PubMed]
  • Parsell G. Handbooks, learning contracts, and senior house officers: a collaborative enterprise. Postgrad Med J. 1997 Jul;73(861):395–398. [PMC free article] [PubMed]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Group

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...