CRITICAL ASSESSMENT

Doctors in Training give their annual examination of WA’s health system

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Hospital Health Check has become such an integral part of the scrutiny of the Western Australian health system’s performance, it can be forgotten what a significant undertaking this entails each year.

It is a detailed survey requiring deep consideration of the changing scope of performance data, and modifications reflecting that. This work starts with the Industrial Relations team, in collaboration with representatives from the Doctors in Training (DiT) Practice Group. The really detailed work then begins once the data set has been returned by the statistician, and the team can start to consider just what the results are telling us about the system in the last year.

Over these pages, you will get a comprehensive snapshot of all that effort, with several pages of data and analysis of the results themselves, along with commentary from DiT representation, and a right of reply from Employers. Crucially, there are also some samples of the many comments provided by survey participants.

We are grateful for the participation of these DiTs, which forms the basis of Hospital Health Check and provides guidance for the newest doctors to the profession in assessing their potential workplaces. Crucial feedback will be provided in many meetings with Employers over the coming months, which we expect to result in improvement for the working conditions of all doctors in the State, especially our highly valued DiTs.

What Our Junior Doctors Say

Feeding room is far away and no breaks are built into my outpatient clinic, expectation that I can do a full clinic/ward round as if I don’t have to take feeding breaks. – EMHS
We are told that overtime does not exist in our department/speciality and are discouraged to make a claim. – PathWest
Treated as totally replaceable and often given the worst terms explicitly told that we would like to hire local graduates but we can’t find them. No sense of belonging or long-term prospects with the organisation. Gap fillers ready to be used and abused until local Australians can be located. – SMHS
Early ward round prep is discouraged by medical admin quoting “we work on a budget” as if JMOs’ time spent to pre-round should be free and at own cost. – SJOG
Supervisor at seconded site putting up barriers to me (male parent) accessing parental leave. Made it very awkward, felt like I was asking too much/being unreasonable. – Ramsay
Told at orientation that we are expected to arrive 30-45 minutes early, and that starting work at our rostered start time will reflect poorly at our end-of-term assessment. This time is spent working. We are not advised to claim overtime for this additional time. Total of 30-45 mins x 5 = 2.5-4 hours per week. – CAHS
If there is theatre, start time is wrong as have to go to theatre before ward round. Finish time is also wrong as theatre rarely finishes at 1700 and need to see post ops and evening ward rounds. – WNHS
I would like to be paid to work. If I answer a phone call, log in to look at images, and provide advice, then I am working. So should at least be paid the hourly rate. – WACHS
In a previous training position I postponed an exam due to fatherhood, and received negative feedback about this decision. – Ramsay

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