The Library
Perceptions of UK medical graduates' preparedness for practice : a multi-centre qualitative study reflecting the importance of learning on the job
Tools
Illing, Jan C., Morrow, Gill M., Rothwell nee Kergon, Charlotte R., Burford, Bryan C., Baldauf, Beate, Davies, Carol (Carol L.), Peile, Ed, Spencer, John A., Johnson, N. (Neil), Allen, Maggie E. and Morrison, Jill (Jillian M.) (2013) Perceptions of UK medical graduates' preparedness for practice : a multi-centre qualitative study reflecting the importance of learning on the job. BMC Medical Education, Volume 13 (Number 1). Article no. 34. doi:10.1186/1472-6920-13-34 ISSN 1472-6920.
|
Text
WRAP_Baldauf_1472-6920-13-34.pdf - Published Version Available under License Creative Commons Attribution 2.0.. Download (403Kb) | Preview |
Official URL: http://dx.doi.org/10.1186/1472-6920-13-34
Abstract
Background: There is evidence that graduates of different medical schools vary in their preparedness for their first post. In 2003 Goldacre etal. reported that over 40% of UK medical graduates did not feel prepared and found large differences between graduates of different schools. A follow-up survey showed that levels of preparedness had increased yet there was still wide variation. This study aimed to examine whether medical graduates from three diverse UK medical schools were prepared for practice.
Methods: This was a qualitative study using a constructivist grounded theory approach. Prospective and cross-sectional data were collected from the three medical schools.
A sample of 60 medical graduates (20 from each school) was targeted. They were interviewed three times: at the end of medical school (n = 65) and after four (n = 55) and 12 months (n = 46) as a Year 1 Foundation Programme doctor. Triangulated data were collected from clinicians via interviews across the three sites (n = 92). In addition three focus groups were conducted with senior clinicians who assess learning portfolios. The focus was on identifying areas of preparedness for practice and any areas of lack of preparedness.
Results: Although selected for being diverse, we did not find substantial differences between the schools. The same themes were identified at each site. Junior doctors felt prepared in terms of communication skills, clinical and practical skills and team working. They felt less prepared for areas of practice that are based on experiential learning in clinical practice: ward work, being on call, management of acute clinical situations, prescribing, clinical prioritisation and time management and dealing with paperwork.
Conclusions: Our data highlighted the importance of students learning on the job, having a role in the team in supervised practice to enable them to learn about the duties and responsibilities of a new doctor in advance of starting work.
Item Type: | Journal Article | ||||
---|---|---|---|---|---|
Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Social Sciences > Institute for Employment Research | ||||
Library of Congress Subject Headings (LCSH): | Physicians -- Training of -- Great Britain, Medical education -- Great Britain, Medicine -- Study and teaching -- Great Britain | ||||
Journal or Publication Title: | BMC Medical Education | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1472-6920 | ||||
Official Date: | 2013 | ||||
Dates: |
|
||||
Volume: | Volume 13 | ||||
Number: | Number 1 | ||||
Page Range: | Article no. 34 | ||||
DOI: | 10.1186/1472-6920-13-34 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 24 December 2015 | ||||
Date of first compliant Open Access: | 24 December 2015 |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year