Evidence map›Paper›PMID 27913563›Full record

ArticleBMJ open2016

'You can't be a person and a doctor': the work-life balance of doctors in training-a qualitative study.

Antonia Rich, Rowena Viney, Sarah Needleman, Ann Griffin, Katherine Woolf

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Antonia RichResearch Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK.ORCID 0000-0002-1548-6328
Rowena VineyResearch Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK.
Sarah NeedlemanResearch Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK.
Ann GriffinResearch Department of Medical Education, UCL Medical School, London, UK.
Katherine WoolfResearch Department of Medical Education, UCL Medical School, Royal Free Hospital, London, UK.ORCID 0000-0003-4915-0715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInvestigate the work-life balance of doctors in training in the UK from the perspectives of trainers and trainees.

designQualitative semistructured focus groups and interviews with trainees and trainers.

settingPostgraduate medical training in London, Yorkshire and Humber, Kent, Surrey and Sussex, and Wales during the junior doctor contract dispute at the end of 2015. Part of a larger General Medical Council study about the fairness of postgraduate medical training.

participants96 trainees and 41 trainers. Trainees comprised UK graduates and International Medical Graduates, across all stages of training in 6 specialties (General Practice, Medicine, Obstetrics and Gynaecology, Psychiatry, Radiology, Surgery) and Foundation.

resultsPostgraduate training was characterised by work-life imbalance. Long hours at work were typically supplemented with revision and completion of the e-portfolio. Trainees regularly moved workplaces which could disrupt their personal lives and sometimes led to separation from friends and family. This made it challenging to cope with personal pressures, the stresses of which could then impinge on learning and training, while also leaving trainees with a lack of social support outside work to buffer against the considerable stresses of training. Low morale and harm to well-being resulted in some trainees feeling dehumanised. Work-life imbalance was particularly severe for those with children and especially women who faced a lack of less-than-full-time positions and discriminatory attitudes. Female trainees frequently talked about having to choose a specialty they felt was more conducive to a work-life balance such as General Practice. The proposed junior doctor contract was felt to exacerbate existing problems.

conclusionsA lack of work-life balance in postgraduate medical training negatively impacted on trainees' learning and well-being. Women with children were particularly affected, suggesting this group would benefit the greatest from changes to improve the work-life balance of trainees.

Indexed as

Attitude of Health PersonnelEducation, Medical, GraduateWork-Life BalanceFemaleFocus GroupsHumansInterviews as TopicMaleMedical Staff, HospitalQualitative ResearchSex FactorsUnited KingdomgenderMEDICAL EDUCATION & TRAININGmedical trainingQUALITATIVE RESEARCHwomenwork-life balance

Identifiers

PMID27913563
PMCPMC5168633

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LicenceCC BY-NC
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.