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Updated: Jul 28, 2025
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First year junior doctors and medical uncertainty - a qualitative study
Eirik Hugaas Ofstad1, Karoline Asdal2, Bruno Nightingale3
1Medisinsk klinikk, Nordlandssykehuset.
Summary
First-year junior doctors in Norway experience significant insecurity managing medical uncertainty. Their training and workplace support are crucial for developing confidence in clinical practice.
Area of Science:
- Medical Education
- Clinical Practice
- Healthcare Professionals
Background:
- Limited research exists on how physicians in Norway manage medical uncertainty.
- Understanding junior doctors' experiences is vital for improving medical training.
Purpose of the Study:
- To explore the perceptions and management strategies of first-year junior doctors regarding medical uncertainty.
- To identify factors influencing their ability to navigate uncertainty in clinical settings.
Main Methods:
- Qualitative study involving 10 first-year junior doctors in Norway.
- Interviews conducted after a mapping questionnaire, analyzed using systematic text condensation.
Main Results:
- Junior doctors interchangeably used 'certain/uncertain' and 'secure/insecure'.
- Key themes included managing uncertainty, personal responses, and the impact of the work environment.
- Doctors reported struggling with uncertainty and feeling insecure, especially early in their training.
Conclusions:
- Undergraduate medical education inadequately prepares junior doctors for clinical uncertainty.
- Workplace reception and feedback significantly impact doctors' sense of security and ability to manage uncertainty.
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