A Springboard for physicians returning to practice

Mullender, Claire; Gowland, Emily; Ford, Charlotte; Moore, Anna; Fisk, Marie; Bryant, Catherine; Ball, Karen L.; Deaner, Andrew; Birns, Jonathan

doi:10.1111/tct.13318

Cited by 4 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We consider this is a very valuable insight about the necessity of continuing medical education 21. It has been demonstrated that physicians who pause training have decreased confidence and poor performance ratings on their return 22. On this subject, clinical refresher courses may be useful at restoring clinical skills to a level comparable to their contemporaries23; this is important regardless of whether the applicant gets into a medical residency programme.…”

Section: Discussionmentioning

confidence: 95%

National examination for medical residency admission: academic performance in a high-stakes test and the need for continuing education

Gaxiola-García

Villalpando-Casas²,

García-Minjares

et al. 2022

Postgraduate Medical Journal

View full text Add to dashboard Cite

IntroductionPerformance and selection rate of non-newly graduated physicians in a medical residency admission test as an indicator for the need of continuing education.MethodsA database comprising 153 654 physicians who took a residency admission test in the period 2014–2018 was analysed. Performance and selection rates were assessed in relation to year of graduation and performance in medical school.ResultsThe whole sample scored at a mean of 62.3 (SD ±8.9; range 1.11–91.11). Examinees who took the test in their year of graduation performed better (66.10) than those who took the test after their year of graduation (61.84); p<0.001.Selection rates differed accordingly; 33.9% for newly graduated physicians compared with 24.8% in those who took the test at least 1 year after graduation; p<0.001. An association between selection test performance and medical school grades was established using Pearson’s correlation: r=0.40 for newly graduated physicians and r=0.30 for non-newly graduated physicians. There were statistically significant differences in selection rates for every ranking group of grades in medical school based on the χ2 test (p<0.001). The selection rates are decreased years after graduation even for candidates with high grades in medical school.DiscussionThere is an association between performance in a medical residency admission test and academic variables of the candidates: medical school grades and time elapsed from graduation to test taking. The evidence of decrease in retention of medical knowledge since graduation highlights the pertinence of continuing education interventions.

show abstract

Section: Discussionmentioning

confidence: 95%

National examination for medical residency admission: academic performance in a high-stakes test and the need for continuing education

Gaxiola-García

Villalpando-Casas²,

García-Minjares

et al. 2022

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…This program trained 540 doctors between 2014 and 2019, not an insignificant number of physicians returning to work. 5 It is a 2day training program reintroducing them into practice. As far as we could find, no such program exists in the United States.…”

mentioning

confidence: 99%

Supporting Fellows during Pregnancy

Freidin,

Campbell

2024

CJASN

View full text Add to dashboard Cite

National Survey of Pregnancy and Parenthood Among US Physician Trainees: A Focus on Nephrology Fellowship" by Dixon et al. highlights the challenges of pregnancy during medical training, an issue that is not often discussed during nephrology fellowship. 1 This is the first study to describe pregnancy accommodations and complications, parental leave, fertility concerns, breastfeeding accommodations, and childcare among nephrology fellows. The study echoes known risks to pregnant physicians 2 and highlights the confusing tangle of policies that fellows and program directors must navigate, including the Family and Medical Leave Act (FMLA), and the parental, family, and medical leave policies from the American Board of Internal Medicine (ABIM) and the Accreditation Council for Graduate Medical Education (ACGME). Pregnancy was not a rare event, and 27% of female fellows and 33% of male fellows planned on a pregnancy during nephrology training. Alarmingly, 38% of fellows who had been pregnant during training suffered pregnancy-related complications. Fellows also indicated poor knowledge of local institutional policies regarding family leave and pregnancy and lactation accommodations. Thirty percent of fellows did not know if their programs allowed for time for doctor appointments. When fellows took parental leave, their service obligations were most likely to be covered by co-fellows, often without additional payment. Twenty-five percent of female fellows reported perceiving negative emotions from co-fellows directed at fellows who take family leave.Perhaps not surprisingly, female fellows had fewer children compared with male fellows.The investigators found that pregnancy and parenthood do not threaten careers. This finding should be reassuring to fellows considering pregnancy and parental leave. It is concerning that this belief still permeates through medical training, partly due to the traditional structure of medical education. 3 Given that .50% of graduating physicians are female, this culture will shift but it has been slow to do so. This belief may also stem from the type of training that a

show abstract

The paramedic experience of return to clinical practice: A reflexive thematic analysis

Odgers,

Rochecouste,

Williams

2024

Paramedicine

View full text Add to dashboard Cite

Background The Australian paramedic workforce has significantly expanded and evolved in the past few decades. Professionalisation, increasing demand and evolving clinical practice have contributed to pressure on paramedics to meet community expectations of service delivery. Returning to clinical practice after an absence presents a substantial challenge for paramedics who will need to navigate this transitional phase while readjusting to the fast-paced environment of pre-hospital care. This study aims to explore and understand the experience of paramedics returning to clinical practice. Methods: Paramedics were invited to discuss their experiences returning to clinical practice in ambulance services within Australia. A qualitative reflexive thematic analysis was conducted utilising an inductive approach, underpinned by the theoretical framework of the organisational support theory. An experiential orientation was supported by a critical realist ontology, which intersected and overlapped with epistemological contextualism. Results: Three major themes were identified: (1) perceived organisational support, (2) the reality of flexible work, and (3) clinician identity. Theme one was further broken down into three sub-themes relating to structure, work engagement, and clinical support. Conclusions: Our findings provide insight into the lived experiences of paramedics returning to clinical practice. These experiences and challenges should inform the application of organisational policy and resource allocation to better support returning paramedics in the future. Strategies should include enhanced leadership capability, flexible work, robust clinical education, and structured programmes with in-built flexibility to reintegrate staff with an emphasis on communication and support.

show abstract

A Springboard for physicians returning to practice

Cited by 4 publications

References 8 publications

National examination for medical residency admission: academic performance in a high-stakes test and the need for continuing education

National examination for medical residency admission: academic performance in a high-stakes test and the need for continuing education

Supporting Fellows during Pregnancy

The paramedic experience of return to clinical practice: A reflexive thematic analysis

Contact Info

Product

Resources

About