Objectives To identify the tasks that should constitute the work of preregi
stration house officers to provide the basis for the development of a self
evaluation instrument
Design Literature review and modified Delphi technique.
Setting Northern Deanery within the Northern and Yorkshire office NHS execu
tive.
Subjects 67 educational supervisors of preregistration house officers.
Main outcome measures Percentage of agreement by educational supervisors to
tasks identified from the literature.
Results Over 61% of communication items, 70% of on call patient care items,
75% of routine patient care items, 45% of practical procedure items, and o
ver 63% of self management items achieved over 95% agreement that they shou
ld be part of the house job of preregistration house officers. Poor agreeme
nt was found for the laboratory and clinical investigations that house offi
cers could perform with or without supervision.
Conclusions The tasks of house officers were identified but issues in using
this method and in devising a universally acceptable list of tasks for pre
registration house officers were apparent.