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Multiple and multidimensional transitions from trainee to trained doctor: a qualitative longitudinal study in the UK.
- Source :
-
BMJ open [BMJ Open] 2017 Dec 01; Vol. 7 (11), pp. e018583. Date of Electronic Publication: 2017 Dec 01. - Publication Year :
- 2017
-
Abstract
- Objectives: To explore trainee doctors' experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors' successful transition experiences? (3) What is the impact of MMTs on trained doctors?<br />Design: A qualitative longitudinal study underpinned by MMT theory.<br />Setting: Four training areas (health boards) in the UK.<br />Participants: 20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews.<br />Methods: Data were analysed cross-sectionally and longitudinally using thematic Framework Analysis.<br />Results: Participants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee-trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees' children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees' new roles).<br />Conclusions: Priority should be given to developing supportive relationships (both formal and informal) to help trainees transition into their trained doctor roles, as well as providing more opportunities for learning. Further longitudinal qualitative research is now needed with a longer study duration to explore transition journeys for several years into the trained doctor role.<br />Competing Interests: Competing interests: None declared.<br /> (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Subjects :
- Cross-Sectional Studies
Education, Medical, Graduate methods
Education, Medical, Graduate standards
Female
Humans
Longitudinal Studies
Male
Occupational Stress psychology
Qualitative Research
United Kingdom
Adaptation, Psychological
Attitude of Health Personnel
Clinical Competence standards
Physician's Role psychology
Physicians psychology
Subjects
Details
- Language :
- English
- ISSN :
- 2044-6055
- Volume :
- 7
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- BMJ open
- Publication Type :
- Academic Journal
- Accession number :
- 29196486
- Full Text :
- https://doi.org/10.1136/bmjopen-2017-018583