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Empowering trainees through understanding learning theory and changes in medical education
Parag Singhal1, Stephen Craig1, Grace Boyd1
1Internal Medicine, University Hospitals Bristol and Weston NHS Foundation Trust, Weston-super-Mare, Somerset, BS23 4TQ, UK.
Mededpublish (2016)
|September 28, 2022
Summary
Limited consultant interaction hinders trainee development in clinical decision-making, impacting patient care and healthcare budgets. Enhancing feedback and supervision is crucial for effective medical training and improved outcomes.
Area of Science:
- Medical Education
- Healthcare Management
- Clinical Decision-Making
Background:
- Critical thinking in medical trainees is essential for National Health Service (NHS) efficiency and cost-effectiveness.
- A shift towards critical analysis and synthesis of information is occurring in medical education.
- Trainees and faculty roles are evolving, emphasizing system understanding and facilitative learning.
Purpose of the Study:
- To assess postgraduate trainees' participation in clinical decision-making.
- To evaluate the quality of consultant-trainee interaction in inpatient settings.
- To identify opportunities for improving medical training and patient care.
Main Methods:
- A survey of 100 postgraduate trainees from Severn Deanery conducted via SurveyMonkey.
- The survey included questions on trainee involvement in decision-making, investigation/management opinions, and patient communication.
- Data collected in March 2020 and January 2021.
Main Results:
- Only 35% of trainees had their findings regularly verified by consultants.
- One-third of trainees reported decisions made without their input.
- Trainee interaction with patients and understanding of investigation rationale during ward rounds was limited.
Conclusions:
- Poor consultant-trainee interaction is a missed opportunity for experiential learning and feedback.
- Training programs should foster analytical skills, problem-solving, and confidence in trainees.
- Improved training can lead to better patient outcomes and prevent healthcare budget depletion.
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