Do junior doctors practise to the UK General Medical Council standards?

Palmer, R. F.; Cragg, Robert; Wall, David

doi:10.1111/j.1743-498x.2009.00339.x

“…The study investigated overall competence (3)(4), rather than competence in one specific area (23)(32). It focused on interns' ability to carry out relevant tasks grouped according to the CanMEDS roles; other studies investigated competence in relation to national guidelines (13) (15). In this study interns rated themselves more highly than their supervisors did (12), rather than the other way around (7)(31).…”

Section: Discussionmentioning

confidence: 98%

“…For instance some studies have evaluated how well interns are prepared against official standards such as General Medical Council recommendations in the United Kingdom (13) (15) (33). Where preparedness was measured against national standards, interns were sometimes not achieving them (15). On the other hand, other studies have focused on the effect of programmes to prepare students for specific competencies such as disaster preparedness (18), emotion regulation (19), memorable 'firsts' (20), infant lumbar punctures (21), basic medical procedures (22), career preparation and guidance (23), vaccination (24), health advocacy (residents/registrar in this case) (25), a particular internship rotation (26), or developing a professional identity (27).…”

mentioning

confidence: 99%

Manuscript: Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

Prozesky

¹

,

Molwantwa

²

,

Kebaetse

³

et al. 2019

Preprint

0

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Background The purpose of this study was to determine whether the first cohort of graduates from a new undergraduate medical programme in Botswana were adequately prepared for internship. Methods The authors surveyed 27 interns and 13 intern supervisors on site, who rated intern preparedness for 44 tasks using a previously validated instrument. Tasks were grouped according to the seven roles of the physician in the CanMEDS framework and Cronbach α values confirmed internal consistency. To determine the direction of differences between intern and supervisor ratings for tasks Likert scale ratings were treated as interval data and mean scores calculated. Rating frequencies for each role were compared using the χ 2 statistic. Reasons for differences between intern and supervisor ratings were explored by determining correlations between scores using the Spearman ρ statistic, and analysing qualitative data generated by the questionnaire. Results Preparedness for all seven roles and the majority of tasks was found to be between ‘Fairly well prepared’ and ‘Well prepared’. The ratings for four roles (Medical expert, Communicator, Collaborator, Professional) differed statistically, but not for the three others (Leader, Health advocate, Scholar). Interns rated their proficiency higher than their supervisors for the tasks in six roles; for the ‘Professional’ role intern ratings were mostly lower. Correlations between intern and supervisors scores were only significant for three roles (Medical expert, Communicator, Collaborator). Qualitative data provided further insights into the reasons for these associations. Conclusions Intern preparedness for tasks and roles varied but was generally satisfactory. Based on the analysis of the data seeming discrepancies in between interns and supervisor ratings were investigated and explanations are offered. For three roles the data indicate that their component tasks are understood in the same way by interns and supervisors, but not for the other roles. The Dunning-Kruger effect offers a plausible explanation for higher intern scores for tasks in six of the roles. For the ‘Professional’ role differences between interns’ internal, individual understanding and supervisors’ external, group understanding may explain lower intern scores. The fact that respondents may understand the tasks they rate differently has implications for all research of this nature.

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“…7 More emphasis needs to be placed on data management in hospital induction procedures for new employees, and security measures, such as encryption software, should be made more widely available. 7 More emphasis needs to be placed on data management in hospital induction procedures for new employees, and security measures, such as encryption software, should be made more widely available.…”

Section: Discussionmentioning

confidence: 99%

Data Protection Among Junior Medical Staff

Titchener¹,

Ramoutar²,

Ramoutar³

et al. 2013

Journal of Patient Safety

1

0

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Despite having statutory duties toward the management of patient identifiable information, many physicians are not aware of their responsibilities and obligations. This is unlikely to be an isolated local issue. More emphasis needs to be placed on data management in hospital induction procedures for new employees, and security measures, such as encryption software, should be made more widely available.

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“…Studies have investigated both general and specific aspects of preparedness. For instance some studies have evaluated how well interns are prepared against official standards such as General Medical Council recommendations in the United Kingdom (13) (15) (33). Where preparedness was measured against national standards, interns were sometimes not achieving them (15).…”

mentioning

confidence: 99%

“…For instance some studies have evaluated how well interns are prepared against official standards such as General Medical Council recommendations in the United Kingdom (13) (15) (33). Where preparedness was measured against national standards, interns were sometimes not achieving them (15). On the other hand, other studies have focused on the effect of programmes to prepare students for specific competencies such as disaster preparedness (18), emotion regulation (19), memorable 'firsts' (20), infant lumbar punctures (21), basic medical procedures (22), career preparation and guidance (23), vaccination (24), health advocacy (residents/registrar in this case) (25), a particular internship rotation (26), or developing a professional identity (27).…”

mentioning

confidence: 99%

Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

Prozesky

¹

,

Molwantwa

²

,

Kebaetse

³

et al. 2019

Preprint

0

View full text Add to dashboard Cite

Background The purpose of this study was to determine whether the first cohort of graduates from a new undergraduate medical programme in Botswana were adequately prepared for internship. Methods The authors surveyed 27 interns and 13 intern supervisors on site, who rated intern preparedness for 44 tasks using a previously validated instrument. Tasks were grouped according to the seven roles of the physician in the CanMEDS framework and Cronbach α values confirmed internal consistency. To determine the direction of differences between intern and supervisor ratings for tasks Likert scale ratings were treated as interval data and mean scores calculated. Rating frequencies for each role were compared using the χ 2 statistic. Reasons for differences between intern and supervisor ratings were explored by determining correlations between scores using the Spearman ρ statistic, and analysing qualitative data generated by the questionnaire. Results Preparedness for all seven roles and the majority of tasks was found to be between ‘Fairly well prepared’ and ‘Well prepared’. The ratings for four roles (Medical expert, Communicator, Collaborator, Professional) differed statistically, but not for the three others (Leader, Health advocate, Scholar). Interns rated their proficiency higher than their supervisors for the tasks in six roles; for the ‘Professional’ role intern ratings were mostly lower. Correlations between intern and supervisors scores were only significant for three roles (Medical expert, Communicator, Collaborator). Qualitative data provided further insights into the reasons for these associations. Conclusions Intern preparedness for tasks and roles varied but was generally satisfactory. Based on the analysis of the data seeming discrepancies in between interns and supervisor ratings were investigated and explanations are offered. For three roles the data indicate that their component tasks are understood in the same way by interns and supervisors, but not for the other roles. The Dunning-Kruger effect offers a plausible explanation for higher intern scores for tasks in six of the roles. For the ‘Professional’ role differences between interns’ internal, individual understanding and supervisors’ external, group understanding may explain lower intern scores. The fact that respondents may understand the tasks they rate differently has implications for all research of this nature.

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Do junior doctors practise to the UK General Medical Council standards?

Cited by 7 publications

References 6 publications

Manuscript: Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

Manuscript: Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

Data Protection Among Junior Medical Staff

Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

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