Advice centre

The BMA has announced further industrial action in its ongoing dispute with the Department of Health over the proposed junior doctor contracts. The first ‘emergency care only’ action is to take place 6 – 8 April, with full withdrawal of labour on 26 and 27 April.

Working nights is a great learning opportunity for new doctors to cover unfamiliar specialties, have increased clinical responsibility and deal with acutely ill patients for the first time. But, a lack of sleep can strongly impair human functioning.

Dr Charles Brantly shares his advice from learning on the job. He was an F1 in ICU at Chelsea and Westminster Hospital.

Doctors who received training to improve their communication skills report a significantly lower rate of difficult interactions.

Patient dissatisfaction with the decision making process about their treatment options can increase the risk of complaints or claims against a doctor.

Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. The notes will also form the basis of the hospital’s defence should there be any future litigation against your hospital.

The foundation years can be a shock to the system – being aware of the challenges can help to identify, and prevent, burnout, says Professor Jim Lucey.