QJM : monthly journal of the Association of Physicians
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Across the UK, there are vacant physician posts at every level. This increases workload and stress for those who remain, in turn making substantive jobs less attractive. ⋯ Career choices are influenced by role models and informal careers advice. Efforts must be made to improve the experience trainees, particularly those in core training. Current physicians, both trainees and consultants, have an important role in recruiting the next generation of trainee physicians-this must be supported.
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Acute medical units (AMUs) are a central component of the admission pathway for the majority of medical patients presenting to hospital in the United Kingdom and other international settings. Detail on multidisciplinary staffing provision on weekdays and weekends is lacking. Equity of staffing across 7 days is a strategic priority for national health services in the United Kingdom. ⋯ There is a contrast between weekday and weekend staffing on the AMU, with reductions at weekends in total staff hours, the proportion of dedicated vs. undedicated staff and the seniority of nursing staff. The weekday/weekend difference was far more pronounced for allied healthcare professional staff than any other group. These findings have potential implications for patient outcomes, quality of care, hospital flow and workforce planning.