Slide 1

THE JMO CENSUS The HETI JMO Forum Census Working Party

Dr. Nicholas Webb Dr. Lucy McKenzie Dr. Praveen GounderDr. Nicole Bulman Dr. Kate Kearney Dr. Heather Ford Dr. Kate BrownDr. Maria Bernadi

Tuesday, 5th November 2013The 2013 JMO CensusA comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals.

Domains of Enquiry1. Demographics2. Health and Welfare3. Supervision4. Education5. Career Development6. Hospital Systems

The 2012 JMO Census PilotA comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals.Goals1. Expand the evidence base on the state of JMOs 2.Develop a tool for multifactorial data analysis by interested parties3. Gain buy in from parties who wish to survey JMOs4. Encourage collaboration and information sharing between stakeholdersReduce survey fatigueDeliver a statewide census based on pilot survey results and feedback from stakeholders

Pilot Study Survey Design and Delivery

43 questions comprising 124 partsIncluding the Kessler-10 measure of psychological distressPredominantly LIKERT scalesQuestions related to current termPaper basedPilot delivered in October 2012, Week 8 of Term 410 candidates randomly selected in each of the 16 hospital networks in NSW/ACTHETI JMO Forum representatives delivered survey to participantsSurveys mailed to HETI, data de-identified

Design and delivery of pilot study 52013 Census81 questionsPHEEMKessler-10Via Survey Monkey

Demographics83 Respondents from 19 hospital sites82% of respondents were PGY157% Female42% MaleMedian age was 27 spread from 23-44 years of age

DemographicsThe majority of respondents were single, with no children (67%) 18% married14% partnered/de-facto12% with children

60% were born in Australia, though none identified as Indigenous AustraliansTeachingThe majority of respondents (51%) had between 2-4 hours of formal teaching per week

37.5% 0-211% > 4 hours9TeachingMost respondents had at least 1 hour per week of pager free teachingHowever, 13% had 0 hours per week where their teaching was uninterrupted10AttendanceAttendance varied across respondents, with 38% of respondents attending the recommend 75-100% of all teachingImportantly, only 18% attended 0-25% of teaching11Satisfaction58% of respondents were satisfied with the amount of teaching they attended87% felt supported to attend teachingHowever, only 7% of respondents indicated they were not supported to attend teachingThe majority of respondents were satisfied with teaching overall (64%) Self education:58% up to 5 hours/week53% strongly agreed or agreed they were satisfied

In addition to regular teaching, the majority of respondents completed at least 1 hour of self-education per week, with 27% completing more than 5 hours per week of self education

12Rostered HoursUnrostered HoursUnrostered Hours WorkedUnrostered Hours ClaimedWhilst only 9% of respondents work no unrostered hours (lucky them!) 31% of respondents dont claim unrostered time (assuming that 22% of respondents work it, but dont claim it). In addition to this, 25% of respondents work an estimated 6-10 hours of unrostered overtime per week, but approximately half of those people dont claim those hours. 14Kessler Psychological Distress Scale K10 Total Score Levels10-15 Low16-21 Moderate22-29 High30-50 Very high

ABS K10 score groupings and categorisation

Low: 57%Moderate: 37%High 8.5%Very high 3.5%15Health and WelfareOnly 59% of respondents have a GP of their own!None had used the Doctors Health Advisory Service

Defined Career GoalClearly Defined Career GoalCareer IntentionFuture PracticeCity Practice

84% of respondents indicate they are interested in working in a metro location in the future18Future PracticeRural PracticeHowever, only 16% of respondents had ruled out working rurally at the time of the census19Future PracticeRemote Practice

But most respondents (58%) appear to have ruled out remote medicine as a future interest2080% of the pilot group felt their current hospital was an enjoyable place to work, and 80% would recommend their current hospital!

Only 1% strongly disagreeing with the above statements21Given the Choice Again, Would You Not Study Medicine?Most applicants agreed that, given their time again, they would have still studied medicineThankfully, none of our applicants strongly agreed that they wouldnt have studied medicine again77% disagree/strongly disagree3.5% agree15.5% not sure22Training = Doctor28% of respondents were unsure, or disagreed, that their medical student training prepared them for internshipKey Figures in the Hospital92% of respondents knew who their JMO manager was86% knew who their DPET was at the time of censusHowever, only 74% of respondents were aware of hospital committees for JMO education and training

Meaning that 15% of JMOs may not be aware that their are committees to deal with issues within the hospital24Concerns in the HospitalOf the pilot group, 73% believed they knew how to raise concerns, however only 60% of respondents agree or strongly agree that they would be comfortable raising concernsVery few respondents (17%) felt they knew how to raise an industrial dispute, and a similar amount (20%) would feel comfortable to do soIn addition, 23% of respondents had experienced workplace bullying in the last yearWould those being bullied be able to raise that with their seniors?25Leave and BenefitsLeave:58% of respondents believe they understand their leave entitlementsHowever, 66% of respondents believed they have appropriate access to leave

Benefits:71% access an employer benefit program

Leave: 7.5% strongly disagreed that they did not have appropriate access to leave26RepresentationOnly 6% indicated that they were a member of the Health Services UnionHowever, 51% believed they were a member of the AMA90% had a member of a MIO12% were unsure; this may be due to people not being aware of what the health services union is, or because they signed up to that many things in their orientation week...

27Next StepsRollout of Census statewideReturn datasets to stakeholdersDeliver Census annuallyAim for national rollout in 2014Publication of summary document and data online

Wefeelfine.org

Issues IdentifiedPrivacySafetyResponsible use of dataWho will benefit?Final thoughtsnicholas-webb@hotmail.comThank you!