When a nurse reports that a co-intern is not attending calls or fulfilling duties properly, what is the most appropriate first step for you as a junior doctor?

When a nurse reports that a co-intern is not attending calls or fulfilling duties properly, what is the most appropriate first step for you as a junior doctor?

• A. Discuss with the nurse about their concerns regarding the co-intern
• B. Talk directly to the co-intern privately and preserve confidentiality, be non-judgemental
• C. If behaviour continued, escalate to registrar or consultant
• D. Ensure missed tasks are documented and report to supervisor

Answer: (B)

Address concerns directly with the co-intern in a private, non-judgemental conversation. This approach respects confidentiality, gives them a chance to explain any underlying issues, and sets a constructive tone focused on patient safety and team functioning. By talking privately, you can clarify expectations, discuss specific instances of missed calls or duties, and collaboratively agree on a plan to improve performance. It also helps prevent unnecessary escalation or damage to professional relationships, since the issue is addressed at its source and you preserve trust within the team. If the behavior continues after this direct conversation, escalation to a registrar or consultant is appropriate, and there should be appropriate documentation and supervision. Discussing concerns with the nurse about the intern, rather than addressing the intern themselves, risks breaching confidentiality and may not resolve the underlying problem.

Address concerns directly with the co-intern in a private, non-judgemental conversation. This approach respects confidentiality, gives them a chance to explain any underlying issues, and sets a constructive tone focused on patient safety and team functioning. By talking privately, you can clarify expectations, discuss specific instances of missed calls or duties, and collaboratively agree on a plan to improve performance. It also helps prevent unnecessary escalation or damage to professional relationships, since the issue is addressed at its source and you preserve trust within the team. If the behavior continues after this direct conversation, escalation to a registrar or consultant is appropriate, and there should be appropriate documentation and supervision. Discussing concerns with the nurse about the intern, rather than addressing the intern themselves, risks breaching confidentiality and may not resolve the underlying problem.