The training of young doctors is at a crisis point. Over the last four years I have seen suicides. I have seen severe depression. I have seen doctors virtually catatonic under the stresses they face. I have seen doctors failing to come to work because they can no longer cope. I have attempted to console doctors who are inconsolable and have broken down before me. I have seen doctors leave the branch of medicine which they love. I have seen doctors cease medicine altogether.
Over this time, as the workload has increased for all, I have noticed senior staff becoming more frustrated with the inexperience of their juniors. A sense prevails that they have paid their dues and now it is time for the next generations to pay theirs. But this fails to acknowledge the new challenges of the increasingly complex modern medical environment, including rigorous governance expectations and the threat of litigation.
It is not easy to solve the working hours problem. It is not simply a matter of money. In fact, the cost of increasing the pool of doctors is negligible because in doing so overtime rates are decreased. But if you increase the number of doctors within a training stream each doctor obtains less experience and there is already a deep concern that young doctors today are not getting enough operative experience.
All Australian drs and med students have access to a free, confidential helpline in their state or territory. Details available at: VDHP3 DocHealthQLD KiaraCannizzaro (DHAS SA/NT) VDHP3 DHAS_WA DHASNSW
One trainee I administered suicided due to the stress of the Fellowship exam. A lovely man but the stress killed him and left his young children fatherless and his wife a widow
Why all this stress ? 😔
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