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We are very pleased with the continued improvement in East Metropolitan Health Service’s (EMHS) performance in the Hospital Health Check (HHC), but we remain committed to enhancing the training, working conditions and wellbeing of our DiTs.

Months of targeted efforts and continuous engagement with our junior doctors as part of our East Experience strategy are certainly paying off, with 86% of EMHS respondents encouraging DiTs to choose us as employers. This has further energised our Workforce teams to effect and embed tangible change where DiTs want and need it most.

Our trajectory since 2023 is on an upward climb, with our Recommended Employer grade moving from ‘B’ to ‘A’; Access to Leave improving from ‘C’ to ‘B’; and Terms, Rosters & Workload’ grade having also progressed from a ‘B’ to an ‘A’.

Homing in on this year’s HHC, EMHS has performed strongly across several domains. Robust rostering and workload performance were particular highlights:

  • 94% of respondents reported term allocations were released with required notice;
  • 91% received rosters at least two weeks in advance;
  • 86% reported rosters were compliant with the AMA agreement; and
  • 78% reported rosters reflected actual expected hours worked.

This suggests that our enhanced rostering processes and workforce administration systems are translating into a better day-to-day experience for our DiTs.

Good Access to Leave scores for EMHS are also noted in the HHC report card, including 86% of respondents reporting annual leave applications were approved – a positive finding in the context of statewide workforce pressures.

Against the broader health system backdrop, EMHS recognises there remain important challenges relating to fatigue, training pressures and overtime culture – and ongoing work is required. A range of current and soon-to-be-rolled-out initiatives demonstrate this commitment.

Just last year, EMHS became the first HSP in the State to pilot an AI-enabled rostering platform. Following positive feedback, the platform has now been implemented across 10 departments. The aim is to support improved roster efficiency, fatigue management, workforce transparency and staff flexibility. Initial feedback has been promising, with DiTS reporting improved flexibility and reduced overtime burden.

Of all the initiatives we’ve introduced at EMHS in recent months, and those in the pipeline, I am proudest of our RESET psychological support program.

The AI platform also includes a mobile phone application that allows DiTs to submit roster preferences prior to term commencement, synchronise rosters with mobile phone calendars, and facilitate shift swaps with each other.

Addressing current and previous HHC findings around training uncertainty, workforce retention and career-related stress, we will also be launching a new Prevocational Pathways Program for PGY2 and PGY3 doctors.

This structured career development pathway will provide coordinated two-year rotation matrices aligned to specialty interests – such as critical care, psychiatry, medicine and surgery – while also enabling completion of AMC prevocational requirements. We are excited about this, as the program is designed to bolster career progression, mentorship, workforce engagement, and preparedness for entry into desired specialist training programs.

Of all the initiatives we’ve introduced in recent months and those in the pipeline, the one I am proudest of is our RESET psychological support program.

Commencing 1 July, this joint initiative between our Post Graduate Medical Education and Clinical Psychology teams will provide tiered in-house psychological support for our DiTs. This incorporates rapid psychological first aid following a challenging experience, insightful and informative educational seminars, and embedded early intervention psychology support. Delivered by experienced EMHS clinical psychologists, RESET aims at improving psychological safety, reducing burnout, and retaining our valued DiTS.

Alongside such novel initiatives are those already in place – our ongoing service registrar Internal Leave Relief model, our peer-group program for interns, and EMHS’ electronic overtime form which helps streamline the process.

Collectively, these programs position EMHS as continuing to invest in sustainable workforce practices, psychological wellbeing, safe rostering principles, and contemporary approaches to junior doctor support, retention and career development – issues that lie at the core of every medical training journey.

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