Intern culture, internal resistance: uptake of peer review in two Australian hospital internship programs

To compare the uptake of peer review among interns in mandatory and voluntary peer-review programs.

All first and second year graduates (n=105) in two Australian hospitals.

Completion of peer review, and reported responses by doctors to peer review.

Eight of sixty interns undertaking the mandated program completed all steps. In the voluntary program, none of 45 interns did so. Resistance to peer review occurred at all stages of the trial, from the initial briefing sessions to the provision of peer-review reports. DISCUSSION; Hospital internship is a critical period for the development of professional identity among doctors. We hypothesise that resistance to peer review among novice doctors reflects a complex tension between the processes underpinning the development of a group professional identity in hospital, and a managerial drive for personal reflection and accountability. Peer review may be found threatening by interns because it appears to run counter to collegiality or 'team culture'. In this study, resistance to peer review represented a low-cost strategy in which the interns' will could be asserted against management.

To enhance uptake, peer review should be structured as key to clinical development, and modelled as a professional behaviour by higher-status colleagues.