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Enhancing Physicians' Autonomy through Practical Trainings.

Giuseppe Stirparo1,2, Luca Gambolò1, Dario Bottignole1

  • 1SIMED (Società Italiana di Medicina e Divulgazione Scientifica), Parma, Italy.

Annali Di Igiene : Medicina Preventiva E Di Comunita
|May 27, 2024
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Summary
This summary is machine-generated.

Newly qualified physicians often lack autonomy and practical emergency training, impacting patient care. Experienced doctors report higher confidence and autonomy in managing critical situations.

Keywords:
Emergencies; newly licensed physicians; Training; Professional Autonomy; Medical Education

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Physician Training

Background:

  • Standardized clinical protocols are vital in medical emergencies for optimal patient outcomes.
  • Newly qualified physicians in Italy often face critical patient management autonomously with limited practical training.
  • Many universities lack simulation programs, leaving new doctors unprepared for real-world emergencies.

Purpose of the Study:

  • To assess the impact of emergency medical training on physician autonomy.
  • To compare the perceived autonomy of newly qualified versus experienced physicians in various clinical settings.

Main Methods:

  • A cross-sectional study involving 2,168 physicians (newly licensed and experienced).
  • Questionnaires assessed participation in standardized emergency courses (e.g., Basic Life Support, Advanced Cardiac Life Support).
  • Perceived autonomy in five work settings was measured using a 5-point Likert scale.

Main Results:

  • Newly qualified doctors comprised 68.7% of participants.
  • Basic Life Support training was most common (77.5%), Advanced Trauma Life Support least common (15.9%).
  • Physicians reported highest autonomy in Primary Care (63.1%) and lowest in Emergency Departments (24.0%). Experienced physicians demonstrated significantly higher autonomy than newly qualified ones across all settings (31.4% vs 8.1%).

Conclusions:

  • Newly qualified physicians have lower perceived autonomy, especially in emergency settings, highlighting a training gap.
  • Increased participation in standardized emergency medical training is crucial for enhancing physician confidence and competence.
  • Addressing deficiencies in practical emergency training is essential for improving healthcare delivery by early-career physicians.