{"id":47907,"date":"2020-06-30T08:28:08","date_gmt":"2020-06-30T07:28:08","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47907"},"modified":"2020-07-10T13:55:36","modified_gmt":"2020-07-10T12:55:36","slug":"rammina-yassaie-stop-infantilising-doctors-and-give-them-their-rotas-on-time-or-risk-losing-them","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/06\/30\/rammina-yassaie-stop-infantilising-doctors-and-give-them-their-rotas-on-time-or-risk-losing-them\/","title":{"rendered":"Rammina Yassaie: Stop infantilising doctors and give them their rotas on time, or risk losing them"},"content":{"rendered":"<p class=\"standfirst\">Delays in sharing rotas is a long standing issue, but one that risks forcing doctors out of the profession, writes Rammina Yassaie<\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">During the covid-19 crisis, the NHS has stepped up to the plate. Many junior doctors, for example, accepted being redeployed to a different job, in a different place, within a different team, with no quibbles. Meanwhile training has largely been neglected and family lives upheaved.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">While I would expect no less from my fantastic colleagues at a time of national crisis I would hope that the relevant organisations would recognise this hard work and reciprocate with a change that has long been needed\u2014sending doctors their rotas on time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Rota angst is a well known phenomenon amongst medics. The absence of a timely rota leads to anxiety about the organisation of things like childcare. It also leads to worries about being unable to attend important personal and professional events, such as weddings and conferences.<\/span><\/p>\n<p><span style=\"font-weight: 400\">While there have been recent improvements to national guidance on rostering<\/span><span style=\"font-weight: 400\">, the problem remains endemic in many hospital trusts.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As a result, many junior doctors have entered a state of learned helplessness\u2014they believe they lack control over the scheduling of the next weeks to months of their lives.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">As someone who is ten years into my career as a doctor I still feel the dread every six months, waiting for my rota with little time to coordinate childcare with my medic partner.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It has become even more difficult during the coronavirus pandemic because we are unable to call grandparents for support at short notice. As I approach my 34th birthday I feel utterly exhausted by the process and increasingly aware of how infantilising it is.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">While I am sure there are many people working exceptionally hard to ensure the timely release of rotas, they are battling systems that are fundamentally flawed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Recruitment and retention in medicine are already under great strain. Furthermore, the number of junior doctors going straight from foundation training to specialty training has recently been found to be at its lowest level yet<\/span><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It is no wonder that staffing shortages are rife. Of the doctors that have left the profession or emigrated, many frequently have been found to cite rota scheduling as a key reason for leaving<\/span><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Receiving a rota in a timely manner is such a simple thing, but it has such a profound effect on morale. If we want to ensure that we can recruit and retain sufficient numbers of doctors for any further peak in infections or future pandemics, we need to make sure we get these simple things right.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Rammina Yassaie<\/strong> is a GP Trainee working in Yorkshire and has a particular interest in the wellbeing of healthcare staff.\u00a0<\/span><\/em><\/p>\n<p><b>Twitter: <\/b><span style=\"font-weight: 400\">@RamminaY<\/span><\/p>\n<p><strong>Competing interests<\/strong>: None declared<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Delays in sharing rotas is a long standing issue, but one that risks forcing doctors out of the profession, writes Rammina Yassaie [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/06\/30\/rammina-yassaie-stop-infantilising-doctors-and-give-them-their-rotas-on-time-or-risk-losing-them\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":43964,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[236],"tags":[],"class_list":["post-47907","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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