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THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas Webb Dr. Lucy McKenzie

THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas Webb Dr. Lucy McKenzie Dr. Praveen Gounder Dr. Nicole Bulman Dr. Kate Kearney Dr. Heather Ford Dr. Kate Brown Dr. Maria Bernadi. Tuesday, 5 th November 2013. The 2013 JMO Census.

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THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas Webb Dr. Lucy McKenzie

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  1. THE JMO CENSUS The HETI JMO Forum Census Working Party Dr. Nicholas Webb Dr. Lucy McKenzie Dr. Praveen Gounder Dr. Nicole Bulman Dr. Kate Kearney Dr. Heather Ford Dr. Kate Brown Dr. Maria Bernadi Tuesday, 5th November 2013

  2. The 2013 JMO Census A 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 Enquiry 1.     Demographics 2.     Health and Welfare 3.     Supervision 4.     Education 5.     Career Development 6.     Hospital Systems

  3. The 2012 JMO Census Pilot A comprehensive survey of Junior Medical Officers in NSW and the ACT, investigating the state of JMO welfare, education and training in our public hospitals. Goals 1.     Expand the evidence base on the state of JMOs 2. Develop a tool for multifactorial data analysis by interested parties 3. Gain buy in from parties who wish to survey JMOs 4. Encourage collaboration and information sharing between stakeholders • Reduce survey fatigue • Deliver a statewide census based on pilot survey results and feedback from stakeholders

  4. Pilot Study Survey Design and Delivery • 43 questions comprising 124 parts • Including the Kessler-10 measure of psychological distress • Predominantly LIKERT scales • Questions related to current term • Paper based • Pilot delivered in October 2012, Week 8 of Term 4 • 10 candidates randomly selected in each of the 16 hospital networks in NSW/ACT • HETI JMO Forum representatives delivered survey to participants • Surveys mailed to HETI, data de-identified

  5. 2013 Census • 81 questions • PHEEM • Kessler-10 • Via Survey Monkey

  6. Demographics • 83 Respondents from 19 hospital sites • 82% of respondents were PGY1 • 57% Female • 42% Male • Median age was 27 • spread from 23-44 years of age

  7. Demographics • The majority of respondents were single, with no children (67%) • 18% married • 14% partnered/de-facto • 12% with children • 60% were born in Australia, though none identified as Indigenous Australians

  8. Teaching • The majority of respondents (51%) had between 2-4 hours of formal teaching per week

  9. Teaching • Most respondents had at least 1 hour per week of pager free teaching

  10. Attendance • Attendance varied across respondents, with 38% of respondents attending the recommend 75-100% of all teaching

  11. Satisfaction • 58% of respondents were satisfied with the amount of teaching they attended • 87% felt supported to attend teaching • However, only 7% of respondents indicated they were not supported to attend teaching • The majority of respondents were satisfied with teaching overall (64%) • Self education: • 58% up to 5 hours/week

  12. Rostered Hours

  13. Unrostered Hours Unrostered Hours Worked Unrostered Hours Claimed

  14. Kessler Psychological Distress Scale K10 Total Score Levels 10-15Low 16-21Moderate 22-29High 30-50Very high ABS K10 score groupings and categorisation

  15. Health and Welfare • Only 59% of respondents have a GP of their own! • None had used the Doctor’s Health Advisory Service

  16. Defined Career Goal Clearly Defined Career Goal Career Intention

  17. Future Practice City Practice

  18. Future Practice Rural Practice

  19. Future Practice Remote Practice

  20. 80% of the pilot group felt their current hospital was an enjoyable place to work, and 80% would recommend their current hospital!

  21. Given the Choice Again, Would You Not Study Medicine? Most applicants agreed that, given their time again, they would have still studied medicine

  22. Training = Doctor 28% of respondents were unsure, or disagreed, that their medical student training prepared them for internship

  23. Key Figures in the Hospital

  24. Concerns in the Hospital • Of 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 concerns • Very few respondents (17%) felt they knew how to raise an industrial dispute, and a similar amount (20%) would feel comfortable to do so • In addition, 23% of respondents had experienced workplace bullying in the last year

  25. Leave and Benefits Leave: • 58% of respondents believe they understand their leave entitlements • However, 66% of respondents believed they have appropriate access to leave Benefits: • 71% access an employer benefit program

  26. Representation

  27. Next Steps • Rollout of Census statewide • Return datasets to stakeholders • Deliver Census annually • Aim for national rollout in 2014 • Publication of summary document and data online

  28. Wefeelfine.org

  29. Issues Identified • Privacy • Safety • Responsible use of data • Who will benefit?

  30. Final thoughts nicholas-webb@hotmail.com Thank you!

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