The Junior Doctor Contract

'The Junior Doctor Contract' course is an online, video-based, interactive teaching course designed by foundation doctors for junior doctors. The course covers the 2016 Junior Doctor Contract, including:

- Work schedules and how to check them

- Exception reporting

- The Junior Doctors’ Forum and Guardian of Safe Working Hours

- How your pay is calculated


The course differs from other educational resources as it shares our experience, provides practical advice and contains interactive tests and tasks. The video also emphasises how even an FY1 you can have an impact and how the 2016 Junior Doctor Contract can help you achieve that.

The course has been extensively peer-reviewed by the BMA. The peer reviewers were Arrash Yassaee, Pete Campbell and Adam Collins.

We would like to thank Professor Caroline Fertleman, without whom none of this would have been possible. 

This course approximately takes one hour to complete.

Foundation Programme Curriculum

This course covers the following Foundation Programme Curriculum areas:

1. Acts professionally

3. Behaves in accordance with ethical and legal requirements

18. Recognises and works within limits of personal competence

About the instructors

Dr Emma Cox and  Dr  Vidushi Golash
Dr Emma Cox and Dr Vidushi Golash

Emma Cox

Emma Cox is the Quality Improvement and Emergency Medicine Fellow at Barnet Hospital, Royal Free Trust and the Chief Product Officer at Medics.Academy. Throughout her career she has worked to improve access to education. She has taught abroad, delivered Access talks for Trinity College, and developed and delivered an Access programme for Brampton Manor Academy. She lectures on the 2016 Junior Doctor Contract at the University College London, Bart’s and King’s College London and has published and presented internationally on the topic. Emma has examined for UCL and written questions for the Medical Schools Council Assessment Alliance. She has also hosted a conference about the 2016 Junior Doctor Contract which was attended by the BMA and NHS Employers.


Vidushi Golash

Vidushi Golash is an ophthalmic surgeon in training with a passion for medical education, technological innovation and clinical leadership. She’s the Clinical Product Manager at Medics.Academy, co-leading the creation of our e-learning tool “F | Docs”. Throughout her undergraduate training Vidushi has been a student representative for the Junior Association for Study of Medical Education (JASME). She has organised pioneering medical education conferences at University of Leeds, written exam questions for the Medical Schools Council Assessment Alliance (MSCAA) and published innovative ideas for the improvement of medical education in the accredited journal BMJ Leader.



Background

As Foundation Year 1 doctors we were frequently working longer than our contracted hours. We decided to investigate whether there was room to increase our working hours so we would be fairly paid for the hours we worked. However when we looked at the work schedules we found:

- All of the FY1s were rostered to work more hours that they were paid for (average difference 2¼ hrs/wk and an underpayment of £1,499.25 per annum)

- Annual leave and bank holidays were omitted from the salary calculations
 
- All of the FY1s were paid to work different hours for the same job (range 42 hrs/wk to 46 hrs/wk).

We shared our findings with the Junior Doctors’ Forum, the Guardian Of Safe Working Hours and Human Resources, and a back payment for the extra hours was issued. With stakeholder involvement, we created new work schedules and a rota which were fair and reflective of the hours actually worked.

During this process we were struck by how little doctors had engaged with the 2016 Junior Doctor Contract. When we surveyed junior doctors at a London hospital over half (58%) of the respondents did not fully understand what a work schedule was.  Nearly all (85%) did not feel confident about how they were being paid (n=45). We therefore created a teaching programme about the 2016 Junior Doctor Contract. We deliver the programme to final year students at several London universities.

About the peer-reviewer

Arrash Yassaee
Arrash Yassaee
Peer Reviewer - NHS Clinical Leadership Fellow

Dr Arrash Yassaee completed Foundation training in 2017 and is currently a Clinical Fellow at NHS Improvement, working on 7 day hospital services and systems-level support for challenged providers as well as the national child obesity strategy at NHS England. He has held leadership positions at the BMA and the RCP, and has undertaken policy work for the Department of Health, UN bodies and national organisations. To date, Arrash has been commissioned by the Academy of Medical Royal Colleges and several UK parliamentarians and he now chairs the FMLM Think Tank. He is passionate about clinical leadership and is particularly keen to engage early stage healthcare professionals in policy and leadership roles.

About the peer-reviewer

Adam Collins
Adam Collins
Peer Reviewer - Junior Doctor

Adam is the a Junior Doctor working in Emergency Medicine and Anaesthetics in Scotland. He has been a BMA representative since graduating medical school and has held a number of senior elected positions including chairing the Scottish Junior Doctors Committee. Clinically he has an interest in human factors, simulation based learning, and pre-hospital and trauma care; whilst as a representative his main focus has been on terms and conditions of service and safe working conditions.

Adam has taken an interest in education since medical school, designing and running a number of teaching projects there, as well as delivering face to face and online induction during his foundation programme. He has designed and delivered both undergraduate and foundation level simulation teaching, and regularly undertakes clinical teaching at the bedside.

About the peer-reviewer

Dr Pete Campbell
Dr Pete Campbell
Peer Reviewer - Junior Doctor

Pete Campbell is an NHS Junior Doctor and recently worked as the BMA Junior Doctors Committee Deputy Chair. He writes extensively on topics surrounding junior doctors at aHealthyBlog.svbtle.com

What's included?

32 Videos
3 Quizzes
1 Survey
5 Texts
1.0

References

  1. Terms and Conditions of Service for NHS Doctors and Dentists in Training (England) 2016 v4