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Identifying attributes required by Foundation Year 1 doctors in multidisciplinary teams: a tool for performance
Patricia McGettigan1, Jean McKendree, Nick Reed
1William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, London, UK.
BMJ Quality & Safety
|January 31, 2013
Summary
This study evaluated attributes for effective multidisciplinary team (MDT) functioning in doctors. UK-trained graduates outperformed non-UK-trained doctors, highlighting the need for targeted training and support.
Area of Science:
- Healthcare professional development
- Medical education research
- Teamwork dynamics in medicine
Background:
- Effective multidisciplinary team (MDT) working is crucial for optimal healthcare outcomes.
- While teamwork characteristics are known, individual MDT member attributes require investigation.
- This study focuses on newly qualified Foundation Year 1 (FY1) doctors' MDT performance.
Purpose of the Study:
- To develop and test a tool for evaluating FY1 doctors' performance within MDTs.
- To identify key attributes essential for FY1 doctors to function effectively in an MDT setting.
Main Methods:
- Repertory grid technique was employed to elicit necessary attributes for FY1 doctors in MDTs.
- Experienced MDT members evaluated FY1 doctor colleagues using these elicited attributes.
- Data from 57 FY1 doctors and 95 MDT members across five hospitals were collected.
Main Results:
- The repertory grid effectively differentiated FY1 doctors' MDT performance.
- UK-trained graduates were rated significantly higher than non-UK-trained graduates.
- A tension was observed between clinical and 'social' attributes for effective team functioning.
Conclusions:
- Repertory grid methodology is a valuable tool for identifying attributes critical to effective teamworking.
- This approach can be used to evaluate MDT performance of junior doctors.
- Findings suggest a need to refine training and support for FY1 doctors to enhance MDT integration.
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