As part of the work to limit the impact of rotations on IiTs there are opportunities for departments of ICM and their associated Clinical Directors and Faculty Tutors to make a significant difference. We also wish to recognise the work already done within ICUs across the four nations to support and develop the next generation of Intensivists. This work often goes unnoticed, and we are grateful for all the support that is given.
Part of the strain associated with rotating into a new department can be alleviated through planning and preparation by the receiving department. We would encourage departments to review their current practice in line with the following recommendations.
RECOMMENDATION 10: Delivery of induction and rota management
Intensivists in Training are particularly impacted by induction and shift allocations due to multiple employer changes, so all employers/HR departments are required to ensure they:
- Liaise closely with Units and Faculty Tutors to ensure that new starter contact information is provided to the relevant personnel coordinating rotas and local inductions.
- Provide work schedules at least eight weeks in advance and finalised duty rosters six weeks in advance.
- Improve rota management by exploring the opportunities technology offers to move towards greater self-rostering, so IiTs have greater control over their lives while meeting the needs of the service.
- Where rota changes are required with less than six weeks’ notice, impacted IiTs should be involved in creating the new rota. In such situations all pre-existing leave arrangements must be accommodated.
