Paper
Medical training alongside Covid-19: A qualitative analysis of the junior doctor experience
Published Jul 26, 2021 · C. Grafton-Clarke, Hussein Uraiby, S. Abraham
1
Citations
0
Influential Citations
Abstract
Background Covid-19 has had a seismic impact on medical training, in ways that are continually being realised. In response to the call to establish a ‘new normal’, we performed a detailed evaluation and thematic analysis of recent trainee experiences, which identifies the priorities for developing an innovative training framework that is adaptable during the peaks and troughs of a pandemic. Methods A 14-item survey was sent to junior doctors at a large teaching hospital. Data was analysed using a grounded theory framework and cycles of open and axial coding allowed for identification of emergent themes. Explanatory models were developed using inductive analysis to postulate thematic relationships. Results 137 junior doctors responded to the survey. Respondents across all grades reported benefits to themselves, clinical teams and the profession. A notable benefit to junior trainees was the greater consultant support, fostering a more supportive work environment. Respondents also identified several challenges to working practice, including the availability of suitable PPE, burnout and the general pressures on physical and mental wellbeing. Discussion Trainees’ perceived value was inferred typically from how ‘busy’ they were, possibly as postgraduate training is largely competence based. Educational bodies should attempt to highlight the equal value of non-technical skills, such as mentorship and problem-solving for a rounded curriculum. Trainees highlighted the inequity of opportunities due to sometimes inappropriate redeployment, suggesting that educational bodies should strive to develop personalised training programmes. Covid-19 has shown that a sense of personal physical and psychological safety to be of paramount importance to trainees.
Covid-19 has positively impacted junior doctors' experiences, but a rounded curriculum and personal safety are crucial for a successful medical training during pandemics.
Full text analysis coming soon...