THE JMO CENSUS
The HETI JMO Forum Census Working Party
Dr. Nicholas Webb
Dr. Lucy McKenzie
Dr. Praveen Gounder
Dr. Nicole Bulman
Dr. Kate Kearney
Dr. Heather Ford
Dr. Kate Brown
Dr. Maria Bernadi
Tuesday, 5th November 2013
The 2013 JMO Census
A comprehensive survey of Junior Medical Officers in NSW and
the ACT, investigating the state of JMO welfare, education and
training in our public hospitals.
Domains of Enquiry
1. Demographics
2. Health and Welfare
3. Supervision
4. Education
5. Career Development
6. Hospital Systems
The 2012 JMO Census Pilot
A comprehensive survey of Junior Medical Officers in NSW and the
ACT, investigating the state of JMO welfare, education and training in
our public hospitals.
Goals
1. Expand the evidence base on the state of JMOs
2. Develop a tool for multifactorial data analysis by interested parties
3. Gain buy in from parties who wish to survey JMOs
4. Encourage collaboration and information sharing between
stakeholders
5. Reduce survey fatigue
6. Deliver a statewide census based on pilot survey results and
feedback from stakeholders
Pilot Study
Survey Design and Delivery
•
43 questions comprising 124 parts
•
•
•
•
•
•
•
Including the Kessler-10 measure of
psychological distress
Predominantly LIKERT scales
• Questions related to current term
Paper based
Pilot delivered in October 2012, Week 8 of
Term 4
10 candidates randomly selected in each of
the 16 hospital networks in NSW/ACT
HETI JMO Forum representatives delivered
survey to participants
Surveys mailed to HETI, data de-identified
2013 Census
 81 questions
 PHEEM
 Kessler-10
 Via Survey Monkey
Demographics
 83 Respondents from 19 hospital sites
 82% of respondents were PGY1
 57% Female
 42% Male
 Median age was 27
 spread from 23-44 years of age
Demographics
 The majority of respondents were single, with no children
(67%)
 18% married
 14% partnered/de-facto
 12% with children
 60% were born in Australia, though none identified as
Indigenous Australians
Teaching
 The majority of
respondents (51%) had
between 2-4 hours of
formal teaching per week
0-2hrs
2-4hrs
4-6hrs
6-8hrs
8+
Teaching
 Most respondents had at
least 1 hour per week of
pager free teaching
0hrs
1hrs
2hrs
3hrs
4+
Attendance
 Attendance varied across
respondents, with 38% of
respondents attending the
recommend 75-100% of
all teaching
0-25%
25-50%
50-75%
75-100%
Satisfaction
 58% of respondents were satisfied with the amount of
teaching they attended
 87% felt supported to attend teaching
 However, only 7% of respondents indicated they were not
supported to attend teaching
 The majority of respondents were satisfied with
teaching overall (64%)
 Self education:
 58% up to 5 hours/week
Rostered Hours
61-70
hours/week
(10%)
51-60
hours/week
(20%)
38-50
hours/week
(70%)
Unrostered Hours
Unrostered Hours Worked
Unrostered Hours Claimed
0hrs
0hrs
0-5hrs
0-5hrs
6-10hrs
6-10hrs
11-15hrs
11-15hrs
15+
15+
Kessler Psychological Distress Scale
Very high
(30-50)
4%
High (22-29)
9%
Moderate
(16-21)
30%
K10 Total Score Levels
10-15 Low
16-21 Moderate
22-29 High
30-50 Very high
Low (10-15)
57%
ABS K10 score groupings and
categorisation
Health and Welfare
 Only 59% of respondents have a GP of their own!
 None had used the Doctor’s Health Advisory Service
Defined Career Goal
Clearly Defined Career Goal
Career Intention
35
14
30
12
25
10
20
8
15
6
10
4
5
2
0
Strongly
agree
Agree
Not sure
Disagree
Strongly
disagree
0
Surgery
Anaesthetics
Paediatrics
General Practice
Future Practice
City Practice
Disagree
4%
Not
sure
10%
Agree
52%
Strongly
disagree
2%
Strongly
agree
32%
Future Practice
Rural Practice
Strongly
disagree
4%
Disagree
12%
Strongly
agree
1%
Agree
45%
Not sure
38%
Future Practice
Remote Practice
Strongly
disagree
23%
Strongly
agree
Agree
0%
7%
Not sure
35%
Disagree
35%
Recommendation of Current Hospital
 80% of the pilot group felt
their current hospital was
an enjoyable place to
work, and 80% would
recommend their current
hospital!
Disagree
6%
Not sure
13%
Agree
46%
Strongly
disagree
1%
Strongly
agree
34%
Given the Choice Again, Would You
Not Study Medicine?
35
Most applicants agreed
that, given their time
again, they would have
still studied medicine
30
25
20
15
10
5
0
Strongly
agree
Agree
Not sure
Disagree
Strongly
disagree
Training = Doctor
50
28% of
respondents
were unsure, or
disagreed, that
their medical
student training
prepared them
for internship
45
40
35
30
25
20
15
10
5
0
Strongly agree
Agree
Not sure
Disagree
Key Figures in the Hospital
45
JMO Manager
40
35
DPET
30
25
Hospital Comittees
Available for JMO
Education and Training
20
15
10
5
0
Strongly agree
Agree
Not sure
Disagree
Strongly disagree
Concerns in the Hospital
 Of the pilot group, 73% believed they knew how to raise
concerns, however only 60% of respondents agree or
strongly agree that they would be comfortable raising
concerns
 Very few respondents (17%) felt they knew how to raise
an industrial dispute, and a similar amount (20%) would
feel comfortable to do so
 In addition, 23% of respondents had experienced
workplace bullying in the last year
Leave and Benefits
Leave:
 58% of respondents believe they understand their leave
entitlements
 However, 66% of respondents believed they have
appropriate access to leave
Benefits:
 71% access an employer benefit program
Representation
50
45
40
AMA
35
30
HSU
25
MIO
20
15
10
5
0
Strongly agree
Agree
Not sure
Disagree
Strongly disagree
Next Steps
 Rollout of Census statewide
 Return datasets to stakeholders
 Deliver Census annually
 Aim for national rollout in 2014
 Publication of summary document
and data online
Wefeelfine
.org
Issues Identified
 Privacy
 Safety
 Responsible use of data
 Who will benefit?
Final thoughts
nicholas-webb@hotmail.com
Thank you!