The impact of the new deal: Doctors' stress levels and their views

Doctors' stress levels were measured before and after the introduction of a partial shift system as a result of the New Deal, through the administrati on of the OSI questionnaire. Doctors' opinions regarding the introduction o f this new work pattern were collected through the use of an in-depth, semi -structured interview schedule. The study doctors working the on-call rota exhibited higher stress levels than the doctor 'norm' group, and higher tha n most other professional groups. The introduction of a partial shift syste m resulted in a marked reduction of stress levels in relation to mental wel l-being and job satisfaction, and a significant reduction in the effect of stress on physical health. The study doctors perceived that the introductio n of partial shifts would undermine the close relationship between continui ty of patient care, the 'firm' system and training. The on-call rota was pr eferred, providing the remuneration for its antisocial aspects was more app ropriate. The abolition of 24-hour working and improvements in residential accommodation were perceived as advantageous. Copyright (C) 1999 John Wiley & Sons, Ltd.