Table 3.

Summary of principal findings

Intervention level	Theme	Priority intervention	Specific related interventions
Primary	Well resourced, well rested, adequately replaced	Review of staffing levels, cover and leave practices at hospital level to ensure allocation of statutory leave and adequate cover for all doctors	Floating staff members. Pooled, paid, voluntary locum system. Policy for call duties during pregnancy. Review support staff levels. National review of staffing levels, cover and leave practices to identify and spread best practice.
	Everyday psychological support	Integration of psychological support into the everyday working environment of doctors	Debriefs following difficult cases and adverse events. Psychological check-ins with supervisor. Psychological service for self-reflection, leadership development and career planning
Secondary	Education and the power of the recovered doctor	Education intervention to highlight risks of work stress, normalise its occurrence and communicate care pathways	Interventions to encourage and support recovered doctors to share their stories as part of formal training or informally.
	Self-care, boundaries and model behaviour	Training intervention in self-care
Tertiary	Tuning in and reaching out	Intervention to train all doctors in how to identify and support struggling colleagues	Implementation of systems to support struggling doctors where lacking.
	Effective line management for the sick doctor	Revision of responsibilities of clinical line managers to include more effective people management	Training for line managers on how to support doctors they supervise through help seeking, recovery and return to work.