From healthcare professional to degree apprentice

IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Clinical Teacher Pub Date : 2023-12-06 DOI:10.1111/tct.13714
Alexandra Picts, Anne-Marie Russell
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Abstract

Background

In the UK, new degree apprenticeship opportunities are enabling non-medical practitioners to develop advanced roles. Frameworks to structure and standardise this development are also becoming more common. Knowing that historically healthcare professionals moving into advanced roles have experienced a transition period, we undertook a qualitative study to explore how this role transition – from healthcare professional to Advanced Clinical Practitioner (ACP) – was experienced in a degree apprentice programme.

Methods

First year ACP degree apprentices were purposively selected from a cohort of 28 enrolled on a 3-year Masters programme at a UK University in 2021/22. Consenting participants took part in in-depth qualitative online semi-structured interviews, which were recorded, transcribed and analysed thematically.

Findings

The five participants were in their first year of ACP training and represented core professional groups and primary, secondary and tertiary healthcare sectors. Five themes were identified: 1. what ACP apprentices bring; 2. reflections on how they see themselves; 3. how others see them; 4. effects of employing organisation's support; and 5. experience of Masters level learning.

Conclusion

ACP apprentices experienced a strong and often difficult transition period at the beginning of their training. The themes identified as influencing this could be used by higher education providers and clinical workplaces to better understand this period in training. Specifically, having a clear transition point to a defined role; a reduced workload during the transition period; and improved information sharing to better prepare workplaces for trainees, could all improve the experience.

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从保健专业人员到学位学徒
背景:在英国,新的学位学徒机会使非医疗从业人员能够发展高级职位。结构化和标准化发展框架也变得越来越普遍。我们了解到,从历史上看,医疗保健专业人员进入高级角色都会经历一个过渡期,因此我们开展了一项定性研究,以探索学位学徒课程中如何经历这种角色转变--从医疗保健专业人员到高级临床执业医师(ACP):方法:我们从 2021/22 年在英国一所大学就读三年硕士课程的 28 名学徒中,有目的性地挑选了一年级高级临床执业医师(ACP)学位学徒。经过同意的参与者参加了深入的定性在线半结构式访谈,访谈进行了录音、转录和专题分析:五位参与者都是 ACP 培训的第一年学员,代表了核心专业群体以及初级、二级和三级医疗保健部门。确定了五个主题:1.ACP学徒带来了什么;2.他们如何看待自己的反思;3.他人如何看待他们;4.雇主组织支持的效果;5.硕士水平学习的经验:ACP学徒在培训初期经历了一段艰难的过渡期。高等教育机构和临床工作单位可利用已确定的影响过渡时期的主题来更好地理解这段培训期。具体来说,明确过渡点,确定角色;减少过渡时期的工作量;加强信息共享,让工作场所为学员做好准备,这些都可以改善学员的经历。
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来源期刊
Clinical Teacher
Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.90
自引率
5.60%
发文量
113
期刊介绍: The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.
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