Becoming the medical registrar: a qualitative study of a professional transition as a transformative learning event

Q3 Medicine Acute Medicine Pub Date : 2023-07-01 DOI:10.52964/amja.0949
Zachary Ferguson, Rebecca Selman
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Abstract

Background: The medical registrar is a daunting role to take on for the first time. While studies have explored how preparedness can be improved through simulation, less has been written about how doctors learn to be registrars through clinical practice. Method: Doctors working as medical registrars were invited to participate in semi-structured interviews. The qualitative data collected underwent thematic analysis. Results: The clinical environment was considered fertile ground for transformative experiential learning, but opportunities for debriefing and guided reflection were rare. Participants felt they needed additional support from supervisors after difficult experiences and mistakes, but this support was not always forthcoming. Conclusion: Acute physicians involved in supervising new medical registrars must facilitate meaningful independent practice to encourage the next generation of medical generalists.
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成为一名医疗注册员:一项定性研究,将专业过渡作为一种变革性的学习事件
背景:第一次担任医疗注册师是一个令人生畏的角色。虽然研究已经探讨了如何通过模拟来改善准备工作,但关于医生如何通过临床实践学习成为注册员的研究却很少。方法:采用半结构式访谈法对从事医疗注册的医生进行访谈。对收集到的定性数据进行专题分析。结果:临床环境被认为是变革式体验学习的沃土,但汇报和指导反思的机会很少。在经历了困难和错误之后,参与者觉得他们需要来自主管的额外支持,但这种支持并不总是会到来。结论:急诊医师参与监督新的医疗注册必须促进有意义的独立实践,以鼓励下一代医学通才。
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来源期刊
Acute Medicine
Acute Medicine Medicine-Emergency Medicine
CiteScore
1.50
自引率
0.00%
发文量
32
期刊介绍: These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.
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