About the Hospital Health Check Survey

In 2022, 1,766 doctors-in-training respondents completed the survey, from 35 hospitals across NSW*.

Doctors-in-training were asked to answer questions based on a hospital in which they had worked in the last 12 months.

The data gathered from the survey was used to provide hospitals with grades in six different domains and to calculate an overall rating for each facility.

*Hospitals with less than 10 respondents were not included in the individual hospital analysis.

The six domains measured are:

  • Rostering

  • Overtime

  • Leave

  • Unacceptable behaviours

  • Sick leave

  • Hospital facilities

Summary of the Key Findings

Download a summary of the 2022 Hospital Health Check here.

About the respondents

Doctors-in-Training took the 2022 Hospital Health Check
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The breakdown of respondents by gender was:
Women 58%
Men 41%
Non-binary 1%
Breakdown of respondents by stage of training:
Accredited specialty training registrar - 30%
Resident - 25%
Intern - 23%
Senior resident medical officer - 9%
Unaccredited specialty training registrar - 8%
Fellow - 3%
Other - 2%

Key Findings

Unrostered Overtime Worked

In 2022, 72% of respondents reported working more than five hours of unrostered overtime in an average fortnight. In 2021, 60% of respondents reported working more than five hours of unrostered overtime in an average fortnight, compared with 49% in 2020.

2022

72%

In 2022, 72% of respondents reported working more than five hours of unrostered overtime in an average fortnight.

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2021

2020

2019

Unrostered Overtime Claimed and Paid

The number of doctors-in-training claiming all of their overtime in 2022 was similar to the previous year.

In 2022, 73% of DITs received all of their UROT payment, a result that is on par with 2021.

UROT Claimed

UROT Paid

UROT Claimed by gender

Women don’t claim as much overtime as men. In 2022, 30% of women claim ALL of their overtime, compared to 39% of men.

30%

of women claim all of their overtime compared to 39% of men.

Surgery

In 2022, 38% of women claim all of their overtime, behind their male colleagues, 57% of whom claim all of their overtime.

Emergency

23% of female emergency med trainees and 23% of male emergency med trainees claim all of their overtime.

Rosters matching expectations

24%

Almost always

One quarter (24%) of DITs said their rosters ‘almost always’ matched expectations in 2022, this is a slight decrease from 2021 (25%).

41%

Sometimes

Less than half (41%) of DITs said their rosters ‘sometimes’ matched expectations in 2022, this is a decrease from 2021 (46%).

35%

Almost never

A third (35%) of DITs said their rosters ‘almost never’ matched expectations in 2022, this is an increase from 2021 (29%).

Bullying, Intimidation and Discrimination

Bullying

37%

Less than half of all respondents reported experiencing bullying at work, with senior medical colleges the most likely source.

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Intimidation at work

27%

Less than a third of respondents felt intimidated at work, with the main sources of intimidation being:

  1. Patients’ families (the dominant source)
  2. Senior medical colleagues
  3. Nurses
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Discrimination

25%

A quarter of all respondents experienced discrimination.

31%

of females experienced discrimination.

16%

of males experienced discrimination.

Fatigue and Personal Health and Safety

Fatigue

46%

In total, 46% of participants reported that they had made a fatigue-induced error.

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Personal Health and Safety

56%

More than half (56%) of all respondents had felt concern for their personal safety due to fatigue associated with long hours.

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Feeling valued / Would you recommend your hospital?

46%

Less than half of respondents said they feel valued by their hospitals.

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54%

Just over half of respondents said they would recommend their hospital.

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