A medical student's path is marked by a lot of anxiety and a bit of insecurity, and the same is true when their first medical shift arrives!
This is often the time when the beginning doctor has the first opportunity to effectively put their knowledge into practice as a professional and no longer as a student.
So, yes. It's normal to feel anxious and insecure on your first shift, but with proper preparation, that nervousness can be reduced and your first experience can be much more relaxed.
In this article, you will understand what a medical shift is, how it works, and how to prepare for it.
What is a doctor's on-call shift?
Medical on-call duty is a work format in which healthcare professionals provide services for at least 12 uninterrupted hours in emergency rooms, Intensive Care Units (ICUs), ambulances, and even at large events such as concerts, etc.
In other words, a doctor's on-call service, although more common, is not limited to care provided only in hospitals and other health facilities.
This is a very important format for handling unpredictable incidents such as accidents, urgent situations, and emergencies. In short: when the patient needs immediate assistance.
Who can work on a medical shift?
Generally speaking, any medical graduate with an active CRM (Brazilian Medical Council registration) can work on a medical shift. That is, newly graduated doctors, general practitioners, and even specialists choose to work medical shifts.
However, many hospitals require that the doctor also have completed a specialization or medical residency in specific areas depending on the type of shift.
Main specialties in the medical on-call service
Even though general practitioners and recent graduates can work on medical shifts, CFM Resolution 1.451/1995 stipulates that emergency room facilities, both public and private, must be comprised of, at a minimum, the following specialties:
- Anesthesiology;
- Medical Clinic;
- Pediatrics;
- General Surgery;
- Orthopedics.
Work schedule
There are shifts ranging from 6 to 72 hours in duration, but doctors can only work up to 24 uninterrupted hours. After that, a break for rest is mandatory.
For this purpose, there are rest rooms for on-call doctors.
They can also be used, even when the duration does not exceed 24 hours, as long as there is no demand from patients.
This break is still a topic of much discussion, especially considering the need to have a doctor always on alert for emergencies at any time during their shift. Therefore, these breaks would theoretically affect the availability of professionals.
At the same time, they serve to ensure that the on-call doctor is not fatigued and can offer the highest quality of care.
How to prepare for your first medical shift?
Now that you understand the basics of what a medical shift is and how it works, let's move on to preparation.
Preparing for your first medical shift involves more than just reviewing theoretical content. Here are some practical tips:
Study the hospital protocols
Try to understand the protocols of the hospital where you will be working. These protocols can vary from one institution to another, so it's always good to try to understand the patient flow and routines.
Organize your materials and plan your routine
Of course, a medical shift is, for the most part, unpredictable, but you can prepare by planning and packing your uniform, snacks, and meals.
And, if you deem it necessary, you can also bring other materials such as your own stethoscope, notepad, etc.
Don't forget to bring your own water bottle. This is for hygiene reasons and to stay hydrated during your shift.
Your physical and mental health
Taking care of your health is also a way to prepare for your medical shift.
Get a good night's sleep the night before and maintain a healthy diet. Remember that being well-rested will help your performance.
Communicate with the team and ask for help!
Talk to the team!
It's always a good idea to get to know the people you'll be working with during your shifts, since they'll be there for you during stressful times, such as emergency calls.
Furthermore, don't forget that there should be no barriers of shame or insecurity when asking questions or clearing up doubts.
During your first shifts, seek help from other professionals whenever you have questions or need assistance with anything.
Stay calm
Stay calm above all else! Remember that it's normal to feel nervous, but a medical shift is a practical learning experience and your first opportunity to practice as a doctor.
The first medical shift is a unique and challenging experience, but one that can be very rewarding.
With the right preparation, you can face this new stage with confidence and security.
Remember that practice and experience are fundamental to your professional growth.
