There is a clear need for change in the process of trainee doctor changeover (the time when junior doctors rotate their position). The beginning of August brings an apparent increase in patient morbidity and evidence suggesting increased mortality. It is a time that trainee doctors find stressful and difficult. Royal Colleges, Deans and employers all say that greater uniformity at the time of changeover would enhance service organisation and would be welcomed by trainers.

This paper explores the need for variation in the current system for trainee doctor changeover dates.

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