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Medical Audit: The Views of Junior Doctors

N.A. Black (Health Services Research Unit, London School of Hygiene and Tropical Medicine)
E.M. Thompson (Health Services Research Unit, London School of Hygiene and Tropical Medicine)

Journal of Management in Medicine

ISSN: 0268-9235

Article publication date: 1 February 1993

121

Abstract

Reports exploratory research into the reasons why many junior doctors are critical of medical audit; the extent to which consultants are aware of juniors′ views; and what might be done to make audit more acceptable to juniors – using structured interviews amongst staff (28 consultants and 34 juniors) in four district general hospitals in South‐East England. Junior doctors were critical of audit for five main reasons: the additional work involved; the audit cycle being longer than their job contracts; the topics reflecting their consultants′ interests and not theirs; doubt about the effectiveness of audit; and audit meetings being boring, intimidating and even incriminatory. Some consultants were well aware of these problems, but others were not. To increase the support of juniors, audit needs to: involve them more and be more participatory; be organized better; be less of a trial and more supportive; recognize the extra demands on juniors′ time. Offers suggestions for the successful implementation of medical audit.

Keywords

Citation

Black, N.A. and Thompson, E.M. (1993), "Medical Audit: The Views of Junior Doctors", Journal of Management in Medicine, Vol. 7 No. 2, pp. 33-42. https://doi.org/10.1108/02689239310036936

Publisher

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MCB UP Ltd

Copyright © 1993, MCB UP Limited

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