HIV testing of junior doctors: exploring their experiences, perspectives and accounts.
OBJECTIVE
To explore the accounts and perspectives of junior doctors who were offered an HIV test by their employing National Health Service (NHS) trust and discuss ethical issues posed by this new policy.


METHODS
Qualitative in-depth interview study.


METHODS
4 NHS hospital trusts.


METHODS
24 junior doctors who had been offered an HIV test as part of their pre-employment occupational health checks.


RESULTS
The manner in which HIV tests were offered to junior doctors varied both between and within the NHS trusts. Overall, the doctors were highly critical of the way the HIV test was offered. Recurrent themes surrounding a lack of discussion and information regarding the indications for the test and implications of a positive result influenced the the doctors' perception of their experiences. As a consequence of the shortcomings of how the test was offered, most of the doctors held the misperception that HIV testing was mandatory and many felt unable to decline the test. The majority of doctors referred to patient protection as adequate justification for being offered an HIV test.


CONCLUSIONS
Junior doctors offered an HIV test under new Department of Health occupational health guidance were disparaging about how the test was offered. The findings of this study affect thousands of junior doctors in the UK, and the impact of these results is extensive. Participants' suggestions regarding how the process of offering an HIV test can be improved are discussed and ethical issues regarding the new Department of Health policy are highlighted.
Salkeld
L R
LR
North Bristol NHS Trust, Frenchay Hospital, Bristol, UK. leesalkeld@hotmail.com
McGeehan
S J
SJ
Chaudhuri
E
E
Kerslake
I M
IM
D015492:AIDS Serodiagnosis / Q000941:ethics* / Q000379:methods / Q000523:psychology; D000328:Adult; D001291:Attitude of Health Personnel; D003068:Coercion; D005260:Female; D015658:HIV Infections / Q000175:diagnosis; D006291:Health Policy; D006801:Humans; D007396:Internship and Residency; D008297:Male; D018580:Mandatory Testing / Q000941:ethics / Q000331:legislation & jurisprudence; D008505:Medical Staff, Hospital / Q000523:psychology*; D009313:National Health Programs; D036301:Qualitative Research; D006113:United Kingdom; D055815:Young Adult