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Exploring Complexity in Out-of-Hospital Clinical Supervision Using Rich Pictures.

Florence M den Boer1,2, Nelleke Noeverman-Poel3, Esther Helmich4

  • 1Amsterdam UMC, Department of General Practice, The Netherlands.

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Summary
This summary is machine-generated.

Physicians perceive healthcare complexity as an interplay of multiple issues and systems. Understanding intersystemic factors is key to improving training for trainees and supervisors in out-of-hospital settings.

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Area of Science:

  • Medical Education
  • Healthcare Complexity
  • Out-of-Hospital Care

Background:

  • The healthcare environment is increasingly complex, challenging physicians and trainees.
  • Balancing learner autonomy with patient safety is crucial in complex medical situations.
  • Understanding trainee and supervisor perceptions of complexity is vital for effective medical education.

Purpose of the Study:

  • To investigate how Elderly Care Medicine and General Practice trainees and supervisors perceive complexity in out-of-hospital settings.
  • To identify factors contributing to the perception of complexity in medical training.
  • To inform improvements in learning and supervision for trainees in complex care environments.

Main Methods:

  • A constructivist paradigm using "Rich Pictures" and semi-structured interviews.
  • Purposeful sampling of trainees and supervisors from training institutions.
  • Reflexive thematic analysis of drawn complex care situations and interview data.

Main Results:

  • Complexity is perceived as an interplay of multiple problems across various dimensions.
  • Patient-surrounding systems, stakeholder interactions, and human interactions significantly influence perceived complexity.
  • Trainee-supervisor relationships and work experience impact the perception of complexity.

Conclusions:

  • Intersystemic factors significantly contribute to perceived complexity in out-of-hospital settings, beyond medical, psychosocial, and intrasystemic elements.
  • Recognizing the role of intersystemic factors is essential for advancing workplace training.
  • This understanding can enhance the supervision and learning experiences of trainees in complex out-of-hospital care.