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  • Titulo Artículo: Multiple and multidimensional transitions from trainee to trained doctor: a qualitative longitudinal study in the UK.
  • Resumen: Objectives To explore trainee doctors’ experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors’ successful transition experiences? (3) What is the impact of MMTs on trained doctors? Design A qualitative longitudinal study underpinned by MMT theory. Setting Four training areas (health boards) in the UK. Participants 20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews. Methods Data were analysed cross-sectionally and longitudinally using thematic Framework Analysis. Results Participants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee–trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees’ children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees’ new roles).
  • Autores: Divya Jindal-Snape, Jill Morrison, Janine Muldoon, Gillian Needham, Sabina Siebert, Charlotte Rees, Lisi Gordon, .
  • Titulo Revista: BMJ Open, .
  • Numero: 11
  • Volumen:7
  • Fecha de publicación: 2017.
  • Base de Datos Bibliográfica: Otra , .
  • Suplemento:
  • Idioma: Inglés
  • Página Inicial: 1 Página Final: 12
  • ISBN: 2044-6055