Family Medicine & Primary Care Review
eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2025
vol. 27
 
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abstract:
Original paper

Evaluating physician interns’ readiness for night and holiday healthcare service: a self-assessment study

Monika Rozmarynowska
1
,
Julia Modelska
1
,
Krzysztof Sadowski
1
,
Bartosz Lastowiecki
1
,
Julia Nienartowicz
1
,
Patrycja Marta Jankowska
1
,
Roland Podlewski
1
,
Tomasz Kłosiewicz
1

  1. Department of Medical Rescue, Poznan University of Medical Sciences
Family Medicine & Primary Care Review 2025; 27(3): 305-309
DOI: https://doi.org/10.5114/fmpcr.2025.153091
Online publish date: 2025/09/29
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Background
Transitioning from medical school to clinical practice is a critical phase in a physician’s career. In Poland, this happens during a mandatory postgraduate internship. Many junior doctors undertake work in Night and Holiday Healthcare Services (NHHS).

Objectives
The aim of the study was to explore the motivation and preparation of medical interns for work in NHHS and to assess major potential gaps in pre-graduate training.

Material and methods
We prepared a 31-question online survey to assess the skills of medical trainees in the following areas: differential diagnosis, basic medical procedures, basic life support skills, and administration and communication skills. Participants were asked to evaluate their proficiency using a 5-point Likert scale, with 1 representing very poor skills and 5 indicating very good skills. A weighted mean was calculated based on the number of responses received in each category.

Results
The study involved 124 participants. The main motives for interns to work in NHHS were financial reasons and the desire to gain experience. Almost half of the respondents assessed their preparation for work as average. The respondents judged their differential diagnostic skills as poor (2.67). The surveyed individuals rated their skills in pediatric care particularly low (2.44). However, the respondents rated themselves quite well in terms of basic life support (BLS) (4.06) and communication (3.86).

Conclusions
The results suggest the preparation of interns for work in NHHS is at an average level. The current medical education system in Poland may require modification to better prepare young doctors for differential diagnosis of the symptoms, as well as pediatric urgencies.

keywords:

quality of health care, medical staff, ambulatory care facilities, education, medical

  
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