Guidance for Training Units

Published 22/02/2022

General Guidance for Rostering

All trainees must spend at least half of their working time (over a 24-hour period) during periods when consultants are rostered to be on site. If consultants have programmed activities on the Intensive Care Unit at other than usual office hours, these times may be counted towards the trainees’ normal daytime hours, as direct consultant supervision is the deciding factor.

It is important that a minimum proportionate degree of training time is spent at night and weekends since the nature of experience at night is qualitatively different from that during the day. This minimum proportion should be 12.5% for the hours 2200-0700hrs.

It is accepted that there will be a need, particularly in smaller intensive care units, for the first line of call at night to be drawn from a pool of resident doctors comprised of trainees and non-trainees, not all of whom may be attached to intensive care during the day. Local arrangements must be made in these circumstances to ensure that appropriate induction and lines of reporting are in place, that the cover is provided by those with adequate competencies and that an appropriate skill mix is always available. Within the limits of the EWTD there is no requirement for a working day to be of any particular duration.

More formal lecture and tutorial based teaching may be most effectively organised in larger blocks of perhaps 4 hours to be held when none of the trainees are scheduled to be present on the intensive care unit. Trainees should be expected to come to work solely to attend such organised teaching, so long as it forms part of a work programme compatible with EWTD and the relevant junior doctor contract.