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What to Do About the Transition to Residency? Exploring Problems and Solutions From Three Perspectives
1B.C. O'Brien is associate professor, Department of Medicine, and educational researcher, Center for Faculty Educators, University of California, San Francisco, San Francisco, California; ORCID: http://orcid.org/0000-0001-9591-5243.
Summary
The transition from medical school to residency presents challenges that can hinder professional growth. Reframing these transitions as transformative processes can improve medical education and support for learners.
Area of Science:
- Medical Education
- Professional Development
- Learner Transitions
Background:
- The transition from medical school to residency is a critical developmental period.
- This transition is often perceived as burdensome, impacting learner performance and development.
- Current challenges necessitate a re-evaluation of support systems for medical trainees.
Discussion:
- Problematizing the medical school to residency transition through three lenses: transactional, transfer, and trajectory issues.
- Examining existing strategies and identifying gaps in addressing these multifaceted challenges.
- Proposing an overarching framework of transitions as transformative processes in medical education.
Key Insights:
- Learner transitions, particularly into residency, pose significant challenges impacting professional development.
- Current approaches to managing this transition are fragmented and may not fully address learner needs.
- A holistic view of transitions as transformative processes is crucial for effective solutions.
Outlook:
- Adopting a transformative process framework can lead to more comprehensive support for medical trainees.
- This reframing encourages a more holistic approach to problem-solving in medical education transitions.
- Future efforts should focus on integrating support across transactional, transfer, and trajectory aspects of residency entry.
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