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Junior doctors' experiences with vulnerability: A rich picture study.

Titia S van Duin1,2, Anne de la Croix3,4,5, A Debbie C Jaarsma1,6

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Junior doctors face vulnerability during their transition to practice, experiencing emotions like uncertainty and shame. Embracing these feelings with support can foster growth and professional development.

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Area of Science:

  • Medical Education
  • Psychology
  • Qualitative Research

Background:

  • Junior doctors experience significant emotional challenges during their transition to practice.
  • The role of vulnerability in this critical period remains underexplored.
  • Vulnerability can lead to emotional distress but also presents opportunities for growth and connection.

Purpose of the Study:

  • To explore junior doctors' experiences of vulnerability during their transition to practice.
  • To understand the emotions associated with vulnerability in this context.
  • To investigate how junior doctors make sense of their vulnerability.

Main Methods:

  • A qualitative, cross-sectional, observational study involving 14 junior doctors.
  • Utilized rich pictures (visual representations) and semi-structured interviews to capture experiences.
  • Employed reflexive inductive thematic analysis for iterative analysis of rich pictures and transcripts.

Main Results:

  • Junior doctors perceived vulnerability as feeling overwhelmed, uncertain, powerless, and lonely.
  • A core theme was the mismatch between ideal and actual self, leading to feelings of inadequacy and shame.
  • Lack of support intensified isolation and disengagement; engaging with emotions facilitated reflection and change.

Conclusions:

  • Acknowledging, expressing, regulating, and understanding emotions are key to leveraging vulnerability for transformative learning.
  • Integrating emotional engagement and critical reflection into clinical supervision supports junior doctors' development and connection.
  • Facilitating transformative learning through vulnerability enhances personal, professional, and social growth.