Evidence map›Paper›PMID 30158236›Full record

ArticleBMJ open2018

New graduate doctors' preparedness for practice: a multistakeholder, multicentre narrative study.

Lynn V Monrouxe, Alison Bullock, Gerard Gormley, Kathrin Kaufhold, Narcie Kelly, Camille Emilie Roberts, Karen Mattick, Charlotte Rees

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06842394 (Can Increased Medical Competence Reduce State Anxiety in Junior Doctors in the Emergency Department), which is not on this map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
8.7field-weighted citation impact, top 2% of its field
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.

NCT06842394 nacompletednot on this mapstarted 2025, after this paper: background citation

Can Increased Medical Competence Reduce State Anxiety in Junior Doctors in the Emergency Department: A Randomized Controlled Trial

TypeinterventionalSponsorCopenhagen Academy for Medical Education and SimulationRan2025 to 2025Enrolled233ConditionsState Anxiety, Psychological Stress, Education, Medical, E-learningArmsAdaptive E-learning
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 131 citations in OpenAlex.

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  5. A Qualitative Content Analysis Exploring Systems-Based Practice Across Health Professional Competency Standards.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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

8 authors at 7 institutions in 5 countries.

Lynn V MonrouxeChang Gung Medical Education Research Centre (CG-MERC), Chang Gung Memorial Hospital, Gueishan, Taiwan.ORCID 0000-0002-4895-1812
Alison BullockCardiff University, Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE), Cardiff, UK.
Gerard GormleyCentre for Medical Education, Queen's University Belfast, Belfast, UK.
Kathrin KaufholdEnglish Department, Stockholm University, Stockholm, UK.
Narcie KellyExeter Medical School, University of Exeter, Exeter, Devon, UK.
Camille Emilie RobertsSalisbury District Hospital, Salisbury, UK.
Karen MattickCentre for Research in Professional Learning, University of Exeter, Exeter, UK.
Charlotte ReesMonash University, Monash Centre for Scholarship in Health Education (MCSHE), Faculty of Medicine, Nursing & Health Sciences, Melbourne, Victoria, Australia.
University of Exeter · GBAustralian Regenerative Medicine Institute · AUCardiff University · GBMemorial Hospital of South Bend · USQueen's University Belfast · GBSalisbury District Hospital · GBStockholm University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhile previous studies have begun to explore newly graduated junior doctors' preparedness for practice, findings are largely based on simplistic survey data or perceptions of newly graduated junior doctors and their clinical supervisors alone. This study explores, in a deeper manner, multiple stakeholders' conceptualisations of what it means to be prepared for practice and their perceptions about newly graduated junior doctors' preparedness (or unpreparedness) using innovative qualitative methods.

designA multistakeholder, multicentre qualitative study including narrative interviews and longitudinal audio diaries.

settingFour UK settings: England, Northern Ireland, Scotland and Wales.

participantsEight stakeholder groups comprising n=185 participants engaged in 101 narrative interviews (27 group and 84 individual). Twenty-six junior doctors in their first year postgraduation also provided audio diaries over a 3-month period.

resultsWe identified 2186 narratives across all participants (506 classified as 'prepared', 663 as 'unprepared', 951 as 'general'). Seven themes were identified; this paper focuses on two themes pertinent to our research questions: (1) explicit conceptualisations of preparedness for practice; and (2) newly graduated junior doctors' preparedness for the General Medical Council's (GMC)

conclusionOur narrative findings highlight the complexities and nuances surrounding new medical graduates' preparedness for practice. We encourage stakeholders to develop a shared understanding (and realistic expectations) of new medical graduates' preparedness. We invite medical school leaders to increase the proportion of time that medical students spend participating meaningfully in multiprofessional teams during workplace learning.

Indexed as

Clinical CompetenceSelf ConceptAdultAttitude of Health PersonnelFemaleHumansMaleMedical Staff, HospitalMiddle AgedNarrationPhysiciansQualitative ResearchUnited KingdomYoung AdultPatent SafetyPost Graduate Medical EducationPreparedness For Practicequalitative researchQuality In Health Care

Identifiers

PMID30158236
PMCPMC6119440
OpenAlexW2889524245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.