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A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support

BACKGROUND: Following the implementation of a new final Year 5 curriculum in one medical school we carried out a study to explore the experience of the transition from final student year to Pre-Registration House Officer (PRHO). This study looks at the experiences of two successive cohorts of PRHOs...

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Autores principales: Lempp, Heidi, Cochrane, Mac, Rees, John
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079846/
https://www.ncbi.nlm.nih.gov/pubmed/15757520
http://dx.doi.org/10.1186/1472-6920-5-10
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author Lempp, Heidi
Cochrane, Mac
Rees, John
author_facet Lempp, Heidi
Cochrane, Mac
Rees, John
author_sort Lempp, Heidi
collection PubMed
description BACKGROUND: Following the implementation of a new final Year 5 curriculum in one medical school we carried out a study to explore the experience of the transition from final student year to Pre-Registration House Officer (PRHO). This study looks at the experiences of two successive cohorts of PRHOs in relation to team work, support and shared responsibility in their transition from final year students to qualified doctors. The involvement of PRHOs in teams is likely to change in the development of Foundation programmes. METHODS: A qualitative study with semi-structured interviews with 33 PRHOs, stratified by gender, ethnicity and maturity, from two study cohorts, qualifying in 2001 and 2002, from one medical school in the UK, in their first three months following medical graduation. RESULTS: Most PRHOs reported positive experiences for their inclusion as a full member of their first ward teams. This contributed to their increasing confidence and competence in this early period of career transition. However, a number of organisational barriers were identified, e.g. incomplete teams, shift work, which produced problems in their integration for one third of newly qualified doctors. CONCLUSION: Recently introduced policies, intended to improve the working lives of newly qualified doctors have produced both benefits and unintended adverse impacts on PRHOs. The changes of the new PRHO Foundation programme will have further impact. Foundation doctors may need to relate to wider teams with more interaction and less protection. Such changes will need to be managed carefully to protect the PRHO at a vulnerable time.
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spelling pubmed-10798462005-04-15 A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support Lempp, Heidi Cochrane, Mac Rees, John BMC Med Educ Research Article BACKGROUND: Following the implementation of a new final Year 5 curriculum in one medical school we carried out a study to explore the experience of the transition from final student year to Pre-Registration House Officer (PRHO). This study looks at the experiences of two successive cohorts of PRHOs in relation to team work, support and shared responsibility in their transition from final year students to qualified doctors. The involvement of PRHOs in teams is likely to change in the development of Foundation programmes. METHODS: A qualitative study with semi-structured interviews with 33 PRHOs, stratified by gender, ethnicity and maturity, from two study cohorts, qualifying in 2001 and 2002, from one medical school in the UK, in their first three months following medical graduation. RESULTS: Most PRHOs reported positive experiences for their inclusion as a full member of their first ward teams. This contributed to their increasing confidence and competence in this early period of career transition. However, a number of organisational barriers were identified, e.g. incomplete teams, shift work, which produced problems in their integration for one third of newly qualified doctors. CONCLUSION: Recently introduced policies, intended to improve the working lives of newly qualified doctors have produced both benefits and unintended adverse impacts on PRHOs. The changes of the new PRHO Foundation programme will have further impact. Foundation doctors may need to relate to wider teams with more interaction and less protection. Such changes will need to be managed carefully to protect the PRHO at a vulnerable time. BioMed Central 2005-03-09 /pmc/articles/PMC1079846/ /pubmed/15757520 http://dx.doi.org/10.1186/1472-6920-5-10 Text en Copyright © 2005 Lempp et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lempp, Heidi
Cochrane, Mac
Rees, John
A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title_full A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title_fullStr A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title_full_unstemmed A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title_short A qualitative study of the perceptions and experiences of Pre-Registration House Officers on teamwork and support
title_sort qualitative study of the perceptions and experiences of pre-registration house officers on teamwork and support
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079846/
https://www.ncbi.nlm.nih.gov/pubmed/15757520
http://dx.doi.org/10.1186/1472-6920-5-10
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