Evidence map›Paper›PMID 34503500›Full record

ArticleBMC medical education2021

Transfer of training from an internal medicine boot camp to the workplace: enhancing and hindering factors.

Joanne Kerins, Samantha Eve Smith, Suzanne Anderson Stirling, Judy Wakeling, Victoria Ruth Tallentire

Open access · goldAbstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 17% 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.

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

8 citing papers in PubMed, 14 citations in OpenAlex.

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  6. Teaching of Clinical Reasoning Guided by Illness Script Theory.Arquivos brasileiros de cardiologia · 2022
    Article
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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

5 authors at 3 institutions in 1 country.

Joanne KerinsScottish Centre for Simulation and Clinical Human Factors, Stirling Road, Scotland, FK5 4WR, Larbert, UK. joanne.kerins@ggc.scot.nhs.uk.ORCID http://orcid.org/0000-0001-9558-849X
Samantha Eve SmithNHS Lothian, Scotland, Edinburgh, UK.
Suzanne Anderson StirlingNHS Education for Scotland, Glasgow, UK.
Judy WakelingNHS Education for Scotland, Glasgow, UK.
Victoria Ruth TallentireScottish Centre for Simulation and Clinical Human Factors, Stirling Road, Scotland, FK5 4WR, Larbert, UK.
NHS Education for Scotland · GBNHS Lothian · GBScottish Government · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe transfer of training to the workplace is the aim of training interventions. Three primary factors influence transfer: trainee characteristics, training design and work environment influences. Within medical education, the work environment factors influencing transfer of training remain underexplored. Burke and Hutchins' review of training transfer outlined five work environment influences: opportunity to perform, supervisor/peer support, strategic link, transfer climate and accountability. This study aimed to explore the ways in which work environment factors influence the transfer of training for medical trainees.

methodsInternal Medicine Training in Scotland includes a three-day boot camp involving simulation-based mastery learning of procedural skills, immersive simulation scenarios and communication workshops. Following ethical approval, trainees were invited to take part in interviews at least three months after following their boot camp. Interviews were semi-structured, anonymised, transcribed verbatim and analysed using template analysis. Member checking interviews were performed to verify findings.

resultsA total of 26 trainees took part in interviews between January 2020 and January 2021. Trainees reported a lack of opportunities to perform procedures in the workplace and challenges relating to the transfer climate, including a lack of appropriate equipment and resistance to change in the workplace. Trainees described a strong sense of personal responsibility to transfer and they felt empowered to change practice in response to the challenges faced.

conclusionsThis study highlights barriers to transfer of training within the clinical workplace including procedural opportunities, a transfer climate with challenging equipment availability and, at times, an unsupportive workplace culture. Trainees are driven by their own sense of personal responsibility; medical educators and healthcare leaders must harness this enthusiasm and take heed of the barriers to assist in the development of strategies to overcome them.

Indexed as

Internal MedicineTransfer, PsychologyClinical CompetenceEducation, Medical, GraduateHumansWorkplace

Identifiers

PMID34503500
PMCPMC8428956
OpenAlexW3197440450

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.