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Behind the Screen: Exploring Trainee Experiences With Consultant-Involved Conflicts Through Reddit Narratives
B T B Preti1,2,3, B Shih4, M Merrick4
1Department of Oncology, Division of Medical Oncology, Western University, London, Ontario, Canada.
Medical trainees experience various conflicts with consultants, including communication issues and moral disagreements. Developing conflict resolution skills and safe debriefing spaces is crucial for navigating these challenges in medical education.
Area of Science:
- Medical Education
- Healthcare Professional Development
- Social Media in Medicine
Background:
- Medical trainees frequently share candid experiences on anonymous platforms like Reddit.
- Conflicts involving consultants significantly impact the medical learning environment and trainee experience.
Purpose of the Study:
- To explore trainee experiences with consultant-involved conflicts in medical education.
- To identify types, drivers, and management strategies of these conflicts from trainee perspectives.
Main Methods:
- Analysis of 208 Reddit narratives from medical trainees over one year.
- Utilized narrative and content analysis to understand conflict dynamics.
Main Results:
- Identified five conflict types: communication, medical culture, practice disagreements, mindset dissonance, and moral conflicts.
- Discovered four conflict drivers: self-perception, professionalism interpretation, learning desire, and moral values.
- Found five conflict management strategies: anger, awareness, seeking help, communication, and avoidance.
Conclusions:
- Highlights the necessity for safe spaces for trainees to debrief consultant-related conflicts.
- Emphasizes the need for enhanced conflict resolution and dialogue skills training for medical learners.
- Recommends integrating real-world conflict examples and resolution training into medical curricula.
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