TITLE

With a grain of salt? Supervisor credibility and other factors influencing trainee decisions to seek in-consultation assistance: a focus group study of Australian general practice trainees

AUTHOR(S)
Sturman, Nancy; Jorm, Christine; Parker, Malcolm
PUB. DATE
February 2020
SOURCE
BMC Family Practice;2/7/2020, Vol. 21 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: 'Ad hoc' help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in seeking supervisor assistance, and trainee perceptions of the outcomes of this help-seeking (including the utility of supervisor responses). Methods: Focus groups with Australian general practice trainees were undertaken. All data was audio-recorded and transcribed, coded using in-vivo and descriptive codes, and analysed by the constant comparison of provisional interpretations and themes with the data. Findings are reported under the over-arching categories of help-seeking objectives, activities and outcomes. Results: Early in their general practice placements trainees needed information about practice facilities, and the "complex maze" of local patient resources and referral preferences: some clinical presentations were also unfamiliar, and many trainees were unaccustomed to making patient management decisions. Subsequent help-seeking was often characterised informally as "having a chat" or "getting a second opinion" so as not to "miss anything" when trainees were "not 100% sure". Trainees emphasised the importance of being (and demonstrating that they were) clinically safe. Workflow constraints, and supervisory and doctor-patient relationships, had a powerful influence on trainee help-seeking activities. An etiquette for providing help in front of patients was described. Trainees assessed the credibility of supervisors based on their approach to risk and their clinical expertise in the relevant area. Several trainees reported reservations about their supervisor's advice on occasions. Conclusion: A trainee's subsequent help-seeking is strongly influenced by how their supervisor responds when their help is sought. Trainees prefer to seek help from credible supervisors who respond promptly and maintain trainee 'face' in front of patients. Trainees learn through help-seeking to make their own clinical decisions but may remain uncertain about professional and societal expectations, and curious about how other general practitioners practise. Trainees value opportunities throughout their training to observe expert general practice.
ACCESSION #
141596711

 

Related Articles

  • Family Medicine Residents' Reactions to Introducing a Reflective Exercise into Training. Shaughnessy, Allen F.; Duggan, Ashley P. // Education for Health: Change in Learning & Practice;Dec2013, Vol. 26 Issue 3, p141 

    No abstract available.

  • Motivations to Pursue Physical Therapy Residency Training: A Q-Methodology Study of Stakeholder Perspectives. Osborne, Raine; Janson, Chris; Black, Lisa; Jensen, Gail M // Physical Therapy;Jan2020, Vol. 100 Issue 1, p57 

    Background Residency training is recognized as a valuable form of professional development and pathway to specialization. Currently residency is voluntary for physical therapists, with less than 12% of DPT students choosing to apply upon graduation. Motivations that drive the decision to pursue...

  • Evaluating out-of-hours GP training: the Northern Ireland experience. Johnston, Jennifer; Loughrey, Claire; Bonnar, Grainne // Education for Primary Care;Nov2013, Vol. 24 Issue 7, p466 

    The article discusses the evaluation of the out-of-hours (OOH) general practitioner (GP) training as based on their experienced in Northern Ireland. It states the refocusing of attention on the significant of OOH training together with the new local and national guidance on GP care delivery and...

  • Evaluation of the implementation of the Gerontological Nursing Competencies. Britten, Nicole; Traynor, Victoria // Australian Nursing & Midwifery Journal;Jul-Sep2019, Vol. 26 Issue 7, p44 

    The article presents a study on the implementation of the Gerontological Nursing Competencies (GerNurs Competencies) with registered nurses (RNs) working in residential care. Topics include decrease in the percentage of RN's working in aged care from 2003 to 2019, the GerNurs Competencies as a...

  • Group supervision: An introduction to annual reviews in midwifery supervision ? Roseghini, Manjit; Nipper, Bernie // British Journal of Midwifery;Dec2013, Vol. 21 Issue 12, p888 

    This article describes the implementation of group supervision at a large maternity unit in London and its subsequent evaluation from the midwives who participated. In October 2011, following a Care Quality Commission (CQC) visit to a London NHS Trust, concerns were raised in relation to...

  • Meeting the ACGME Milestones through Group Prenatal Care. Hartman, Scott; D'Cunha, Mila; Kolasa-Lenarz, Anastasia; Lis, Karolina // Family Doctor: A Journal of the New York State Academy of Family;Spring2015, p23 

    The article reports on the innovative way of meeting the Accreditation Counsel for Graduation Medical Education (ACGME) requirements in Family Medicine through the milestone project in a group prenatal care model called Centering pregnancy that focuses on patient involvement and empowerment.

  • Experiences of action learning groups for public health sector managers in rural KwaZulu-Natal, South Africa. Blanchard, C. P.; Carpenter, B. // Rural & Remote Health;Jul-Sep2012, Vol. 12 Issue 3, Special section p1 

    Introduction: The World Health Organisation identifies strengthening leadership and management as an essential component in scaling up health services to reach the UN's Millennium Development Goals. There is an identified need for informal, practically based management training programs, such as...

  • Does patient's sex influence treatment in primary care? Experiences and expressed knowledge among physicians -- a qualitative study. Loikas, Desirée; Karlsson, Linnéa; von Euler, Mia; Hallgren, Karin; Schenck-Gustafsson, Karin; Bastholm Rahmner, Pia // BMC Family Practice;10/13/2015, Vol. 16, p1 

    Background: Biological and sociocultural differences between men and women may play an important role in medical treatment. Little is known about the awareness of these differences among general practitioners (GPs) and if they consider such differences in their medical practice. The aim of this...

  • "Psychiatry is not a science like others"--a focus group study on psychotropic prescribing in primary care. Hedenrud, Tove M.; Svensson, Staffan A.; Wallerstedt, Susanna M. // BMC Family Practice;2013, Vol. 14 Issue 1, p115 

    Background: Psychotropic drug prescribing is problematic and knowledge of factors affecting the initiation and maintenance of such prescribing is incomplete. Such knowledge could provide a basis for the design of interventions to change prescribing patterns for psychotropics. The aim of this...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics