RT Journal Article SR Electronic T1 The value of the post-take ward round: are new working patterns compromising junior doctor education? JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 323 OP 326 DO 10.7861/clinmedicine.9-4-323 VO 9 IS 4 A1 M Chaponda A1 M Borra A1 NJ Beeching A1 DS Almond A1 PS Williams A1 MA Hammond A1 VA Price A1 L Tarry A1 M Taegtmeyer YR 2009 UL http://www.rcpjournals.org/content/9/4/323.abstract AB This prospective observational study assessed the impact of the changes in junior doctors’ working hours and waiting-time initiatives on teaching and learning opportunities for junior doctors in acute medicine. An audit cycle of post-take ward rounds including all medical admissions to an urban teaching hospital was conducted. During two seven-day periods in July 2006 and 2008, 317 and 354 patients were admitted respectively. In the two-year interval a number of changes were implemented resulting in a significant increase in patients reviewed by a consultant within 24 hours of admission. Target waiting times were being met but there were many missed learning opportunities for junior staff. Senior doctors continue to perform the majority of post-take reviews in the absence of the doctors who had admitted the patient. Similar patterns are likely to be found in other hospitals attempting to balance training with government targets for waiting times and junior doctors’ working hours.