Evidence map›Paper›PMID 29166902›Full record

ArticleBMC medical education2017

A national stakeholder consensus study of challenges and priorities for clinical learning environments in postgraduate medical education.

Caroline Kilty, Anel Wiese, Colm Bergin, Patrick Flood, Na Fu, Mary Horgan, Agnes Higgins, Bridget Maher, Grainne O'Kane, Lucia Prihodova and 3 more

Abstract read
In one paragraph

Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  19. Violence and Clinical Learning Environments in Medical Residencies.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Caroline KiltyMedical Education Unit, School of Medicine, University College Cork, Cork, Ireland.
Anel WieseMedical Education Unit, School of Medicine, University College Cork, Cork, Ireland.
Colm BerginTrinity College Dublin, Dublin, Ireland.
Patrick FloodDublin City University Business School, Dublin, Ireland.
Na FuTrinity College Dublin Business School, Dublin, Ireland.
Mary HorganSchool of Medicine, University College Cork, Cork, Ireland.
Agnes HigginsSchool of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Bridget MaherMedical Education Unit, School of Medicine, University College Cork, Cork, Ireland.
Grainne O'KaneRoyal College of Physicians of Ireland, Dublin, Ireland.
Lucia PrihodovaRoyal College of Physicians of Ireland, Dublin, Ireland.
Dubhfeasa SlatteryChildren's University Hospital, Temple St., Dublin, Ireland.
Slavi StoyanovOpen University of the Netherlands, Heerlen, Netherlands.
Deirdre BennettMedical Education Unit, School of Medicine, University College Cork, Cork, Ireland. d.bennett@ucc.ie.ORCID http://orcid.org/0000-0002-4469-9138

Funding

Health Research Board MERG-1980-899
6 · The paper itself

Abstract

backgroundHigh quality clinical learning environments (CLE) are critical to postgraduate medical education (PGME). The understaffed and overcrowded environments in which many residents work present a significant challenge to learning. The purpose of this study was to develop a national expert group consensus amongst stakeholders in PGME to; (i) identify important barriers and facilitators of learning in CLEs and (ii) indicate priority areas for improvement. Our objective was to provide information to focus efforts to provide high quality CLEs.

methodsGroup Concept Mapping (GCM) is an integrated mixed methods approach to generating expert group consensus. A multi-disciplinary group of experts were invited to participate in the GCM process via an online platform. Multi-dimensional scaling and hierarchical cluster analysis were used to analyse participant inputs in regard to barriers, facilitators and priorities.

resultsParticipants identified facilitators and barriers in ten domains within clinical learning environments. Domains rated most important were those which related to residents' connection to and engagement with more senior doctors. Organisation and conditions of work and Time to learn with senior doctors during patient care were rated as the most difficult areas in which to make improvements.

conclusionsHigh quality PGME requires that residents engage and connect with senior doctors during patient care, and that they are valued and supported both as learners and service providers. Academic medicine and health service managers must work together to protect these elements of CLEs, which not only shape learning, but impact quality of care and patient safety.

Indexed as

ConsensusEducation, Medical, GraduateFaculty, MedicalInternship and ResidencyInterprofessional RelationsIrelandMedical Staff, HospitalPersonnel Staffing and SchedulingWorkloadClinical learning environmentDuty hours regulationsEuropean working time directiveGraduate medical educationGroup concept mappingPostgraduate medical education

Identifiers

PMID29166902
PMCPMC5700623

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.