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Mason S, O’Keeffe C, Carter A, et al. An evaluation of foundation doctor training: a mixed-methods study of the impact on workforce well-being and patient care [the Evaluating the Impact of Doctors in Training (EDiT) study]. Southampton (UK): NIHR Journals Library; 2013 Dec. (Health Services and Delivery Research, No. 1.15.)

Cover of An evaluation of foundation doctor training: a mixed-methods study of the impact on workforce well-being and patient care [the Evaluating the Impact of Doctors in Training (EDiT) study]

An evaluation of foundation doctor training: a mixed-methods study of the impact on workforce well-being and patient care [the Evaluating the Impact of Doctors in Training (EDiT) study].

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Appendix 18Final questionnaire

A survey on working as a foundation doctor

Once you have read the following information please enter the survey password and your email address (at the bottom of this page) and press ‘Next’ to begin the survey.

What is this survey?

This is a survey of your views and opinions of your current F2 PLACEMENT and of the department as a whole where you are undertaking this placement. This is not a test. There are no right or wrong answers.

We want to know your personal views on the issues raised in the questionnaire. You will have received an information sheet about why this questionnaire is being administered. If you want further information then please visit the study website at http://edit.group.shef.ac.uk/.

Who will see my answers?

The information you give is totally confidential. Findings will be made available to all who participate, but in such a way that it is not possible for individuals to be identified. The research team at the University of Sheffield will be the only organisation to have access to the questionnaires completed by individuals.

How do I fill in this survey?

Please complete the questionnaire for your current role. The survey will take about 15–20 minutes to complete.

How should I respond?

For each statement you are asked to select one response that best fits your views. Please answer all the questions as openly and honestly as possible. Respond according to your first reaction. Do not spend too long on one question.

Please enter your email address.*

____________________________________________

Consent form

Title of project: The EDiT Study: Evaluation of Doctors in Training (Phase 2: Longitudinal Observational Study of Foundation Year 2 Doctors)

Name of researcher: Ms Suzanne Mason, Principal Investigator

I confirm that I have read and understand the information sheet dated 29/09/2009 (version 5) for the above study. I have had the opportunity to consider the information, ask questions and have had these answered satisfactorily. *[ ] Yes

I understand that my participation in the study is voluntary and that I am free to withdraw at any time without giving any reason and without being affected in any way. *[ ] Yes

I understand that relevant data collected from me during the study may be looked at by authorised individuals such as regulatory authorities (for purposes such as monitoring the conduct of the research). I give permission for these individuals to have access to data collected during the study. *[ ] Yes

I agree to take part in the above study. *[ ] Yes

Your confidence in managing common conditions

The following section is designed to identify how confident you feel in managing common medical conditions, many of which you will come across throughout your Foundation Years.

(*Indicates that a question is compulsory and must be completed before moving to the next page.)

1. How do you feel about managing patients with the following presenting complaints?*

Select a response from 1–9 and mark below with 1 = lowest level of confidence and 9 = highest level of confidence.

123456789
Diarrhoea and vomiting( )( )( )( )( )( )( )( )( )
Shortness of breath( )( )( )( )( )( )( )( )( )
Collapse – unknown cause( )( )( )( )( )( )( )( )( )
Acute mental health problem( )( )( )( )( )( )( )( )( )
Elderly fall( )( )( )( )( )( )( )( )( )
Chest pain( )( )( )( )( )( )( )( )( )
Back pain( )( )( )( )( )( )( )( )( )
Cardiac arrest( )( )( )( )( )( )( )( )( )
Palpitations( )( )( )( )( )( )( )( )( )
Abdominal pain( )( )( )( )( )( )( )( )( )
Acute allergic reaction( )( )( )( )( )( )( )( )( )
Left ‘side’ pain( )( )( )( )( )( )( )( )( )
Acute stroke( )( )( )( )( )( )( )( )( )
Overdose – paracetamol( )( )( )( )( )( )( )( )( )
Diabetic ketoacidosis( )( )( )( )( )( )( )( )( )
Acute confusion( )( )( )( )( )( )( )( )( )
Headache( )( )( )( )( )( )( )( )( )
Seizure( )( )( )( )( )( )( )( )( )
Cellulitis( )( )( )( )( )( )( )( )( )
Haematemesis( )( )( )( )( )( )( )( )( )
Rash( )( )( )( )( )( )( )( )( )
Acute painful joint( )( )( )( )( )( )( )( )( )
Rectal bleeding( )( )( )( )( )( )( )( )( )

2. How experienced are you at performing the following practical techniques?*

1–2 = no/little experience, 3–4 = some experience with support, 5 = moderate experience, 6–7 = good experience, 8–9 = confident alone

123456789
Defibrillation( )( )( )( )( )( )( )( )( )
Arterial blood gas analysis( )( )( )( )( )( )( )( )( )
Suturing( )( )( )( )( )( )( )( )( )
ECG interpretation( )( )( )( )( )( )( )( )( )
Radiograph interpretation( )( )( )( )( )( )( )( )( )

3. Would your management of the conditions shown be improved with:*

Strongly disagreeDisagreeNeither disagree nor agreeAgreeStrongly agree
Clearer guidelines( )( )( )( )( )
Better teaching( )( )( )( )( )
More supervision( )( )( )( )( )

Your job

The following questions ask you to describe your job. Please answer all the questions ticking the answer which best describes your current role.

4. How often do you find yourself meeting the following problems in carrying out your job*

Not at allJust a littleModerate amountQuite a lotA great deal
I do not have enough time to carry out my work( )( )( )( )( )
I cannot meet all the conflicting demands made on my time at work( )( )( )( )( )
I never finish work feeling I have completed everything I should( )( )( )( )( )
I am asked to do work without adequate resources to complete it( )( )( )( )( )
I cannot follow best practice in the time available( )( )( )( )( )
I am required to do basic tasks, which prevent me completing more important ones( )( )( )( )( )

5. How true are the following of your job?*

Not at allJust a littleModerate amountQuite a lotA great deal
I have clear, planned goals and objectives for my job( )( )( )( )( )
I know what my responsibilities are( )( )( )( )( )
I know that I have divided my time properly( )( )( )( )( )
Explanation is clear of what has to be done( )( )( )( )( )
I know exactly what is expected of me( )( )( )( )( )

6. The following statements concern the information you and others get about your work performance.*

Strongly disagreeDisagreeNeither disagree nor agreeAgreeStrongly agree
I usually know whether or not my work is satisfactory in this job( )( )( )( )( )
I often have trouble figuring out whether I’m doing well or poorly on this job( )( )( )( )( )
Most people on this job have a pretty good idea of how well they are performing their work( )( )( )( )( )
Most people on this job have trouble figuring out whether they are doing a good or bad job( )( )( )( )( )

Working relationships

The following questions ask you about the relationships you have in your current role. Please answer all the questions, selecting the answer which best describes how you feel.

7. How much does your Clinical Supervisor:*

To a very little extentTo a little extentTo some extentTo a great extentTo a very great extent
Encourage you to give your best effort?( )( )( )( )( )
Set an example by working hard him/herself?( )( )( )( )( )
Offer new ideas for solving job-related problems?( )( )( )( )( )
Encourage those who work for him/her to work as a team?( )( )( )( )( )

8. To what extent can you count on your Clinical Supervisor:*

Not at allTo a small extentNeither great nor small extentTo a great extentCompletely
To listen to you when you need to talk about problems at work?( )( )( )( )( )
To help you with a difficult task at work?( )( )( )( )( )

9. In a typical week how many hours do you have contact with your Clinical Supervisor?*

____________________________________________

10. To what extent can you:*

Not at allTo a small extentNeither great nor small extentTo a great extentCompletely
Count on your colleagues to listen to you when you need to talk about problems?( )( )( )( )( )
Count on your colleagues to back you up at work?( )( )( )( )( )
Count on your colleagues to help you with a difficult task at work?( )( )( )( )( )
Really count on your colleagues to help you in a crisis situation at work, even though they would have to go out of their way to do so?( )( )( )( )( )

Your well-being and motivation

The following questions ask you to describe things you like and dislike about your current role and your general well-being. Please answer all the questions, ticking the answer which best describes what you do most of the time.

11. The statements below concern how satisfied you feel with different aspects of your role. How satisfied are you with:*

Extremely dissatisfiedVery dissatisfiedModerately dissatisfiedNot sureModerately satisfiedVery satisfiedExtremely satisfied
The physical work conditions?( )( )( )( )( )( )( )
The freedom to choose your own method of working?( )( )( )( )( )( )( )
Your fellow workers?( )( )( )( )( )( )( )
The recognition you get for good work?( )( )( )( )( )( )( )
Your Clinical Supervisor?( )( )( )( )( )( )( )
The amount of responsibility you are given?( )( )( )( )( )( )( )
Your rate of pay?( )( )( )( )( )( )( )
Your opportunity to use your abilities?( )( )( )( )( )( )( )
Relations between doctors and other health-care professionals?( )( )( )( )( )( )( )
Your chance of career progression?( )( )( )( )( )( )( )
The way the department is managed?( )( )( )( )( )( )( )
The attention paid to suggestions you make?( )( )( )( )( )( )( )
Your hours of work?( )( )( )( )( )( )( )
The amount of variety in your job?( )( )( )( )( )( )( )
Your job security?( )( )( )( )( )( )( )

The following questions ask you about your general well-being and motivation. Please answer all the questions. It is possible that completing some questions may draw your attention to problems you experience. If you are worried that these are serious, we would advise you to contact your GP.

12. In the last month, how much of the time has your current role made you feel:*

Not at allJust a littleA moderate amountQuite a lotA great deal
Gloomy( )( )( )( )( )
Uneasy( )( )( )( )( )
Worried( )( )( )( )( )
Tense( )( )( )( )( )
Depressed( )( )( )( )( )
Miserable( )( )( )( )( )

13. Thinking of your current role, how true are the following:*

Strongly disagreeDisagreeNeutralAgreeStrongly agree
I often think about leaving medicine?( )( )( )( )( )
It is very likely that I will actively look for a new job outside medicine in the next year?( )( )( )( )( )
I am starting to ask my friends/contacts about other job possibilities outside medicine?( )( )( )( )( )

Please answer the following questions about your overall motivation in your current role by marking the most accurate answer.

14. How would you rate the amount of effort you put into your job?*

( ) Very low

( ) Low

( ) Moderate

( ) High

( ) Very high

15. I consistently put forth the maximum effort possible at work.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

16. How much of your total, maximum possible effort do you put into your job?*

( ) 50% or less

( ) 51–75%

( ) 76–85%

( ) 86–95%

( ) 96–100%

Please answer each question in relation to your current role by marking the most accurate answer.

17. It is not clear to me how much effort to put into different parts of my job.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

18. I divide my time across tasks in the way that is most helpful to the organisation.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

19. My supervisor and I agree on what tasks are most and least important.*

( ) Never

( ) Rarely

( ) Sometimes

( ) Usually

( ) Always

Please answer each question by marking the box that gives your opinion. We want to know how much effort in your role influences how good or bad your job outcomes are (such as criticisms, feelings of accomplishment, friendships).

20. I get better job outcomes if I increase my level of effort.*

( ) Never

( ) Rarely

( ) Sometimes

( ) Usually

( ) Always

21. There is a strong tie between how hard I work and how good my job outcomes are.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

22. Working hard on this job is not rewarded.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

23. Would you describe yourself as typically:*

Extremely inaccurateVery inaccurateModerately inaccurateSlightly inaccurateNot sureSlightly accurateModerately accurateVery accurateExtremely accurate
Careless( )( )( )( )( )( )( )( )( )
Disorganised( )( )( )( )( )( )( )( )( )
Efficient( )( )( )( )( )( )( )( )( )
Inefficient( )( )( )( )( )( )( )( )( )
Organised( )( )( )( )( )( )( )( )( )
Practical( )( )( )( )( )( )( )( )( )
Sloppy( )( )( )( )( )( )( )( )( )
Systematic( )( )( )( )( )( )( )( )( )

24. People cope with difficult, stressful or upsetting situations in a variety of ways. Please read each statement and select the response that best indicates how much you tend to react in that way when faced with a difficult, stressful or upsetting situation. When faced with a difficult/stressful situation:*

NeverSeldomSometimesOftenVery often
I try to figure out how to resolve the problem( )( )( )( )( )
I act as though nothing happened, hoping it will go away( )( )( )( )( )
I seek the support and guidance of other people( )( )( )( )( )
I get upset or angry with the people who cause the problem( )( )( )( )( )
I change something so the situation will improve( )( )( )( )( )
I avoid the problem by sleeping, watching TV, engaging in diversionary activities more( )( )( )( )( )
I ask someone I respect for advice( )( )( )( )( )
I try to get back at those who created the trouble( )( )( )( )( )
I come up with a couple of strategies to make the situation better( )( )( )( )( )
I keep my concerns and emotions about the situation to myself( )( )( )( )( )
I talk to friends or family about my circumstances( )( )( )( )( )
I figure out who was responsible for what happened( )( )( )( )( )
I double my efforts to correct the situation and achieve my objective( )( )( )( )( )
I put off dealing with the matter( )( )( )( )( )
I get sympathy and understanding from someone( )( )( )( )( )
I make sure that those responsible for the problem receive their due punishment( )( )( )( )( )

Thinking of the decisions (or judgements) about patient care that you have made during your current role assess the following statements:

25. I am confident that I made the appropriate decisions.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

26. Considering the information available to me I made the best decisions possible.*

( ) Strongly disagree

( ) Disagree

( ) Neutral

( ) Agree

( ) Strongly agree

27. How much assistance did you need in making these decisions?*

( ) None at all

( ) Just a little

( ) A moderate amount

( ) Quite a lot

( ) A great deal

28. Thinking of your current role did you have:*

NoneJust a littleA moderate amountQuite a lotA great deal
Any formal teaching offered in your department (in addition to the generic teaching)( )( )( )( )( )
Any informal training offered in your department (in addition to the generic training), e.g. one-to-one shop floor teaching from a senior member of the medical staff, informal mentoring by senior medical staff?( )( )( )( )( )
Any feedback on the quality of your work?( )( )( )( )( )

29. Thinking about your current role:*

Not at allJust a littleA moderate amountQuite a lotA great deal
Has your knowledge of medical conditions increased?( )( )( )( )( )
Do you feel more able to work as part of the clinical team?( )( )( )( )( )
Do you understand more about how health-care professionals work together?( )( )( )( )( )

Background details

It is important we know some of your background details to represent the views of different groups of people.

About your job:

30. Year of qualification:*

____________________________________________

31. Place of qualification:*

( ) UK

( ) Non-UK

About you:

32. Age:*

____________________________________________

33. Are you:*

( ) Male?

( ) Female?

34. What is your ethnic background? (Please select the answer that best describes your ethnic background)*

( ) White – British

( ) White – Irish

( ) White – Other

( ) Black – British

( ) Black – Caribbean

( ) Black – African

( ) Any other Black background

( ) Asian – British

( ) Asian – Chinese

( ) Asian – Indian

( ) Asian – Pakistani

( ) Asian – Bangladeshi

( ) Any other Asian background

( ) Mixed – White and Black British

( ) Mixed – White and Black Caribbean

( ) Mixed – White and Black African

( ) Mixed – White and Asian

( ) Any other mixed background

( ) Any other ethnic group (please specify): _________________

Hours of work:

35. In a typical working week in your current role, how many hours are you contracted to work?*

____________________________________________

36. What is the total number of extra hours worked in a typical week?*

____________________________________________

37. In the last four weeks of your current role have you had a shift changed at short notice (less than five days)?*

( ) Yes

( ) No

Foundation training experience:

38. Please indicate your first, second and final F1 placements:*

General practiceHospital medicineHospital surgeryEmergency medicineObstetrics and gynaecologyRadiologyPsychiatryPaediatrics and child healthTrauma and orthopaedicsMedical educationAcademic basedLaboratory medicine
Your first F1 placement:( )( )( )( )( )( )( )( )( )( )( )( )
Your second F1 placement:( )( )( )( )( )( )( )( )( )( )( )( )
Your final F1 placement:( )( )( )( )( )( )( )( )( )( )( )( )

39. Please indicate your first, second and final F2 placements:*

General practiceHospital medicineHospital surgeryEmergency medicineObstetrics and gynaecologyRadiologyPsychiatryPaediatrics and child healthTrauma and orthopaedicsMedical educationAcademic basedLaboratory medicine
Your first F2 placement:( )( )( )( )( )( )( )( )( )( )( )( )
Your second F2 placement:( )( )( )( )( )( )( )( )( )( )( )( )
Your final F2 placement:( )( )( )( )( )( )( )( )( )( )( )( )

Future plans:

40. What do you plan to do after your F2 year?*

( ) Take a short-term contract in medicine

( ) Work abroad in medicine

( ) Take some time out from medicine

( ) Don’t know yet

( ) Go onto specialist training

What specialty will you be moving into?

( ) General practice

( ) Hospital medicine

( ) Hospital surgery

( ) Emergency medicine

( ) Obstetrics and gynaecology

( ) Radiology

( ) Psychiatry

( ) Paediatrics and child health

( ) Trauma and orthopaedics

( ) Medical education

( ) Academic based

( ) Laboratory medicine

( ) Other (please state): _________________

Further comments

41. If you have any further comments to make, please feel free to write them below.

____________________________________________________________________

Thank you for your co-operation.

Dr A Carter, Dr CB Stride, Ms S Mason, Mr C O’Keeffe

Copyright 2010 the Authors. All rights reserved.

Copyright © Queen’s Printer and Controller of HMSO 2013. This work was produced by Mason et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK259557
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