Consultants and registrars were felt to provide most intern supervision, but this varied depending on shift times, with registrars more likely to provide supervision on night shift and at weekends.
In general, consultants and registrars were reported by participants as being more likely to provide supervision to interns in the ED; 66% (63/95 indicated that consultants provided most supervision to interns while 55% (52/95) indicated that most intern supervision was provided by registrars.
There was agreement on the limited learning, clinical facilities and social support available at district hospitals including, according to interns, inadequate supervision.
Of these, 40/160 items for ED Directors/DEMT and 24/97 items for registrar and intern participants concerned supervision and feedback.
Secondly, the night and evening duties are mainly covered by resident and intern doctors, under supervision of a specialist, who often is not available physically but is on call.
Whereas the interns felt that supervision was inadequate, their supervisors felt that the interns did not communicate well and in a timely manner.
During a two-week overlap period, the new interns apprenticed with the departing interns, practicing under the supervision of experienced peers.
This junior doctor explains the deficit in local clinical supervision for intern doctors: Because in here, in Somaliland, supervision is so poor.
Under the new guidelines, for example, interns must have direct supervision at all times.
The American legation was taken from Berlin by special train to the town of Bad Nauheim, where it was interned, incommunicado, under the supervision of the Gestapo.
Re "Magical Medicine on TV": I have worked as an attending physician in a New York City teaching hospital for close to 50 years mentoring residents and fellows and played a key role in the development and monitoring of the New York State regulations that rationalized the working hours and the supervision of interns and residents.
