Evidence map›Paper›PMID 34256755›Full record

ArticleBMC medical education2021

Understanding junior doctors' experiences of teaching on the acute take: a qualitative study.

Charlotte Hayden, Jedd Raidan, Jonathan Rees, Abhishek Oswal

Abstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
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  9. Effective bedside teaching as a foundation doctor.Clinical medicine (London, England) · 2023
    Article
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

4 authors.

Charlotte HaydenBristol Royal Infirmary, South Bristol Academy, University Hospitals of Bristol and Weston NHS Foundation Trust, Upper Maudlin Street, BS2 8HW, Bristol, UK. charlotte.hayden@uhbw.nhs.uk.
Jedd RaidanBristol Royal Infirmary, South Bristol Academy, University Hospitals of Bristol and Weston NHS Foundation Trust, Upper Maudlin Street, BS2 8HW, Bristol, UK.
Jonathan ReesBristol Royal Infirmary, South Bristol Academy, University Hospitals of Bristol and Weston NHS Foundation Trust, Upper Maudlin Street, BS2 8HW, Bristol, UK.
Abhishek OswalBristol Royal Infirmary, South Bristol Academy, University Hospitals of Bristol and Weston NHS Foundation Trust, Upper Maudlin Street, BS2 8HW, Bristol, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew medical graduates are significantly unprepared to manage acutely unwell patients due to limited first-hand clinical exposure in the undergraduate curriculum. Supporting undergraduate learning in the acute setting can be challenging for junior doctors when balancing teaching and clinical responsibilities. Our aim was to explore junior doctors' first-hand experiences of supporting undergraduate education in the acute admissions environment(take).

methodsFourteen junior doctors in one teaching hospital in South West England took part in semi-structured focus groups (4-6 participants in each) which were audio-recorded, transcribed, and thematically analysed.

resultsJunior doctors described their educational role as comprising: teaching, demonstrating, coaching, and supervising. They perceived the acute take as a highly variable, unpredictable setting that offered a broad scope for learning. Tensions between doctors' clinical and educational roles were described, influenced by internal and external factors. Clinical work was prioritised over teaching and participants lacked confidence in supervisory and clinical skills. Doctors felt pressured to meet students' expectations and lacked understanding of their educational needs. Senior colleagues were highly influential in establishing an educational culture and were often a source of pressure to deliver timely clinical care. Organisations were perceived not to value teaching due to the lack of provision of dedicated teaching time and prioritisation of limited resources towards patient care. Participants managed tensions by attempting to formally separate roles, demoting students to passive observers, and they sought greater continuity in placements to better understand students' abilities and expectations.

conclusionsEducational opportunities for undergraduate students on the acute take are varied and highly valuable. This study provides insight into the provision of workplace education and its challenges from junior doctors' perspectives. We highlight areas for improvement of relevance to educational providers.

Indexed as

CurriculumMedical Staff, HospitalClinical CompetenceEnglandHumansQualitative ResearchTeachingAcute careClinical teachingWorkplace learning

Identifiers

PMID34256755
PMCPMC8278645

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LicenceCC BY
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Registered trials

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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.