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Junior doctors' learning and development in foundation year 1 posts in palliative medicine
Catherine Morrison1, Karen Forbes
1Department of Palliative Medicine, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK. catherine.morrison@glos.nhs.uk
Palliative Medicine
|August 12, 2011
Summary
Foundation Year 1 doctors in palliative medicine posts gain valuable generic skills. These UK-based palliative care rotations positively influence doctors
Area of Science:
- Medical Education
- Palliative Care
- Doctor Training
Background:
- Palliative care is a crucial clinical skill for all doctors.
- Junior doctors often lack confidence in key palliative care areas like breaking bad news and pain management.
- There's a recognized need to improve palliative care training for early-career physicians.
Purpose of the Study:
- To investigate the experiences of doctors in their Foundation Year 1 (F1) palliative medicine posts.
- To understand the learning opportunities and challenges faced by F1 doctors in palliative care settings.
- To assess the impact of these posts on the development of essential clinical skills.
Main Methods:
- Semi-structured interviews were conducted with F1 doctors.
- Interpretative Phenomenological Analysis (IPA) was used to analyze interview transcripts.
- A purposive sample of six F1 doctors from UK National Health Service (NHS) Trusts and hospices participated.
Main Results:
- F1 doctors reported satisfaction with learning opportunities, balancing support and autonomy.
- Learning occurred through daily interactions with staff, including specialist nurses, and hands-on practice.
- Doctors developed generic skills such as symptom control, end-of-life diagnosis, and breaking bad news.
- While split posts and on-call duties sometimes disrupted palliative care learning, they offered opportunities for broader F1 skill acquisition.
Conclusions:
- Foundation Year 1 palliative medicine posts in the UK positively impact doctors' perceived generic skills development.
- These experiences enhance practical skills and confidence in delivering palliative care.
- The study suggests that incorporating more palliative medicine rotations could be beneficial for future medical training programs.
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