Optimising rostering patterns for Australian junior doctors
Calvin M. Fletcher
A * and Laila L. Rotstein A
A Central Clinical School, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia.
Australian Health Review 47(3) 344-345 https://doi.org/10.1071/AH23030
Submitted: 20 February 2023 Accepted: 6 March 2023 Published: 27 March 2023
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.
Abstract
Optimising junior doctor rosters is a common subject of debate both in Australia and overseas. While total work hours are recognised to increase the risk of fatigue-related complications for both junior doctors and their patients, patterns of work are less commonly described. Multiple low quality evidence recommendations exist to guide rostering practices to reduce predominantly the risk of fatigue-associated error and burnout, but also to avoid disruptions to continuity of care and provide adequate training opportunities. Given available evidence is poor, further centre and specialty-specific studies are required to delineate optimal rostering patterns for Australian junior doctors.
Keywords: doctor wellbeing, fatigue, junior doctors, medical careers, medical education, medical workforce, rostering, workforce planning.
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