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Recommendations for Safe Trainee Changeover

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10 Jul 2013


The Academy of Medical Royal Colleges (AoMRC) and NHS Employers have issued a guide on recommendations for safe trainee changeover.

The guide offers simple, practical recommendations that can be implemented in organisations to help mitigate the problems associated with simultaneous trainee changeover.

Doctors in training in the UK have historically started new six-monthly rotations in February and August, with the majority of junior doctors rotating to new training programmes during the first week of August. There is increasing evidence to show that simultaneous changeover is associated with reduced efficiency and increased mortality.

The Academy and NHS Employers have worked with partner organisations to recommend four simple measures that can help avoid these potential problems:

  1. Consultants must be appropriately available
  2. Flexible and intelligent rota design
  3. High quality clinical induction at all units
  4. Reduction of elective work at changeover times

To read this guide, please download the document below.

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