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On call: a valuable training experience for senior house officers?

Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Vincent Drive, Edgbaston, Birmingham B15 2QZ

Gabra Hanna, Specialist Registrar in Psychiatry

Queen Elizabeth Psychiatric Hospital, Birmingham

Nick Brown, Consultant Psychiatrist

Lyndon Clinic, Solihull

Christopher Vassilas, Consultant Psychiatrist

Queen Elizabeth Psychiatric Hospital, Birmingham

Declaration of interest

None.

AIMS AND METHOD

To describe the experiences of psychiatric senior house officers (SHOs) of being on call. A survey of SHOs on three on-call rotas across south Birmingham was conducted to investigate their opinions about on-call work and to consider how time on call is spent.

RESULTS

SHOs in psychiatry gain a broad range of experience out of hours on a traditional on-call rota. On-call periods were valued as a learning experience and 63% of SHOs were confident in their decision-making while on call. However, on-call work was often viewed as isolating, and not all SHOs felt that they were working as part of a team when on call.

CLINICAL IMPLICATIONS

As changes to working patterns are introduced, for example in order to implement the European Working Time Directive, care must be taken to retain the positive aspects of current on-call systems. Such changes should be seen as an opportunity to improve working lives so that SHOs feel less isolated when providing out-of-hours cover.

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