3.0: Professional relationships and their impact on preparedness for work and performance

3.1: Nursing colleagues and how relationships impact on performance

Nursing staff and the impact of this relationship on work for junior doctors

“If you got 4000 calls at one time you would be stressing out, the nurses might tell you the thing to do, but the thing might not be needed until twelve o clock, the nurses wouldn’t tell you that, they just want their own patients looked after.”

(Interview 4, Male, mid-twenties)

3.2: Medical seniors and their roles

Support from Medical Consultants and Registrars who are their deputies

“(Support) I think it kind of depends, I suppose I started off in surgery and you don’t really have much interaction with the surgical senior house officer on the wards. You don’t really have much interaction with anyone on the surgical wards; you just plod along and kind of do your own thing.”

(Interview 5, Male, mid-twenties)

3.3: Skills for acquiring cross-team consultations

Consultants often will ask a junior team member to get another but different specialities team to visit a sick patient. This usually involves calling the different specialities registrar (second in command).

“Horrific, I used to avoid it if I could, so I would make deals with other team members, like I’ll do the blood forms if you do the consults. Like some of the Reg’s are like horrible to you on the phone especially if you are the intern.”

(Interview 10, Female, mid-twenties)

4.0: Skills Deficits in the working life

4.1: Feelings about preparedness for work

How junior doctors feel about their ability to do their job from their university or hospital based training

“I was very nervous, and I think that’s kind of a general feeling among everyone, and I think that’s just because of the huge like responsibility in caring for people’s lives.”

(Interview 8, Female, mid-twenties)

4.2: Simulation and its role in preparedness

Simulation is performing a clinical skill on a mannequin or actor

“They are hugely beneficial when you are starting out for the first time. I suppose it will always be good to practice these on patients after a sufficient amount of time.”

(Interview 7, Male, mid-twenties)

4.3: Intravenous medication minefields whilst at work

Intravenous medicines are medicines given directly into a vein and thus much more complex than oral tablets

“I found myself holding bits of equipment trying to think which part goes where, I draw this from here and then I dilute it with this, it’s a very messy slow and laborious procedure ... it still takes me a lot of time to do.”

(Interview 1, Male, mid-twenties)

4.4: Suturing skills: a training deficit

This describes the experience of stitching a wound

“I haven’t been asked or haven’t needed to suture but it is something I would like to do.”

(Interview 1, Male, mid-twenties)