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Not ready in the ways that count- a qualitative exploration of junior doctor's perceived preparedness for practice
Stuart Redvers Pattinson1,2, Hans Savelberg3, Anique Atherley4,5
1Unit for Undergraduate Medical Education (UUME), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa. stuart.pattinson@wits.ac.za.
Advances in Health Sciences Education : Theory and Practice
|October 7, 2024
Summary
Newly qualified doctors struggle with internship transition. Despite clinical readiness, they lack personal and social competencies, leading to a stressful shift from student to doctor.
Area of Science:
- Medical Education
- Professional Development
- Qualitative Research
Background:
- Newly qualified doctors face challenges transitioning to internship.
- Concerns exist regarding alignment between medical school preparation and internship role expectations.
Purpose of the Study:
- To understand competencies required for junior doctor practice.
- To explore junior doctors' perceived preparedness for internship.
Main Methods:
- Qualitative descriptive study using focus groups with 32 first-year internship doctors.
- Data analyzed using reflective thematic analysis and Legitimation Code Theory (LCT) specialisation dimension.
Main Results:
- Internship success relies on personal attributes like adaptability, organization, and proactivity.
- Doctors felt prepared in clinical knowledge but not in responsibility, communication, and confident application of knowledge.
- A shift exists from academic performance in medical school to personal/social competencies in internship.
Conclusions:
- A significant gap exists between graduates' perceived preparedness and internship demands.
- This mismatch results in a difficult and stressful transition from medical student to junior doctor.
- LCT highlights the differing bases of achievement between medical school and internship.
Keywords:
Legitimation code theoryPreparedness for practiceTransition from student to doctorUndergraduate medical educationMore Related Videos
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