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Junior doctors' experiences with interprofessional collaboration: Wandering the landscape.

Titia S van Duin1, Marco A de Carvalho Filho1,2, Peter F Pype3

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Summary

Junior doctors experience professional isolation during their transition, hindering interprofessional collaboration (IPC). Making IPC a collective, explicit learning goal with multisource feedback is crucial for effective integration into the healthcare team.

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Area of Science:

  • Medical Education
  • Healthcare Professional Development
  • Qualitative Research

Background:

  • The transition from medical student to junior doctor presents significant challenges.
  • Junior doctors must integrate into physician communities of practice (CoP) while navigating new responsibilities and interprofessional landscapes.
  • Understanding junior doctors' experiences with interprofessional collaboration (IPC) during this critical transition is essential.

Purpose of the Study:

  • To explore how junior doctors experience interprofessional collaboration (IPC).
  • To identify factors shaping junior doctors' IPC experiences during their transition to clinical practice.

Main Methods:

  • A multicentre qualitative study involving 13 junior doctors.
  • Participants created "rich pictures" depicting positive and negative IPC experiences.
  • Semi-structured interviews and inductive thematic analysis of visual and textual data.

Main Results:

  • Junior doctors primarily identify with the physician community of practice, shaping their professional identity.
  • Interprofessional learning is often implicit, leading to professional isolation and difficulties in understanding other healthcare professionals' roles.
  • This isolation impedes the development of integrative interprofessional collaboration.

Conclusions:

  • Interprofessional collaboration (IPC) learning should be a collective and explicit goal, utilizing multisource feedback.
  • Junior doctors require a safe environment with experienced facilitators to reflect on interprofessional interactions and emotions.
  • Integrating junior doctors effectively requires fostering a shared understanding across the interprofessional landscape.