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New graduate doctors' preparedness for practice: a multistakeholder, multicentre narrative study.
Lynn V Monrouxe1, Alison Bullock2, Gerard Gormley3
1Chang Gung Medical Education Research Centre (CG-MERC), Chang Gung Memorial Hospital, Gueishan, Taiwan.
BMJ Open
|August 31, 2018
Summary
This study reveals diverse stakeholder views on junior doctor preparedness, highlighting a need for shared understanding and realistic expectations for new medical graduates entering practice.
Area of Science:
- Medical Education
- Healthcare Professional Development
- Qualitative Research Methods
Background:
- Previous research on junior doctor preparedness relies on limited data.
- Existing studies often focus solely on junior doctors' or supervisors' perspectives.
- A deeper understanding of preparedness across multiple stakeholder groups is needed.
Purpose of the Study:
- To explore multiple stakeholders' conceptualizations of preparedness for medical practice.
- To assess perceptions of newly graduated junior doctors' preparedness using qualitative methods.
- To identify variations in preparedness across different General Medical Council (GMC) outcomes.
Main Methods:
- Multicentre, multistakeholder qualitative study.
- Narrative interviews (n=101) and longitudinal audio diaries (n=26).
- Inclusion of eight stakeholder groups across four UK nations.
Main Results:
- Identified 2186 narratives categorizing preparedness, unpreparedness, or general themes.
- Stakeholders conceptualize preparedness as short-term, long-term, practical, and emotional.
- Perceptions of preparedness varied significantly among stakeholders and across GMC outcomes.
Conclusions:
- Preparedness for medical practice is complex and nuanced.
- Promote a shared understanding and realistic expectations for new medical graduates.
- Advocate for increased meaningful participation in multiprofessional teams during medical training.