FY1 doctors’ ethicolegal challenges in their first year of clinical practice: an interview study

Vivekananda-Schmidt, Pirashanthie; Vernon, Bryan

doi:10.1136/medethics-2011-100391

Cited by 18 publications

(24 citation statements)

References 13 publications

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“…This con rms previous observations in different populations (39). Senior management remains however sometimes insu cient for young physicians (24,25,43,44).…”

Section: Discussionsupporting

confidence: 89%

General Practitioner Residents and Patients End-of Life: Involvement and Consequences

Haardt¹,

Cambriel²,

Hubert³

et al. 2020

Preprint

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The ageing of the population and the increased number of chronicle diseases are associated with an increased frequency of end of life care in hospital settings. Residents rotating in hospital wards play a major part in their care, regardless of their specialty. General practitioner (GP) residents are confronted to such activities in hospital settings during their training.Our aim was to know how they feel about this kind of work, very different from the one they are training to do.MethodWe surveyed all GP trainees of “Ile de France”. The survey was made of 41 questions regarding advanced directives divided in 7 sections about patients’ care, communication, mentoring and repercussion on personal life. The survey was done one time, during two pre-specified days. Results:525 residents (53.8%) accepted to fulfill the survey. 74.1% of the residents thought that palliative care could have been better. Possible ways of improvements were unreasonable obstinacy (59.6%), patient’s (210 answers, 40%) relative’s communication (199 answers 37.9%). Residents also reported a lack of knowledge regarding end-of-life care specific treatments (411 answers, 79.3%) and 298 (47.2%) wished for better mentoring. Those difficulties were associated with repercussion on their private life (353 answers, 67.2%), particularly with their close relatives (55.4%). Finally, 56.2% of trainees thought that a systematic psychological follow up should be instituted for those working in “at risk” hospital settings. Conclusion:Self-perception management of dying patients by MG resident emphasize their lack of training and supervision. The feeling of suboptimal care is associated with consequences on personal life.

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“…This con rms previous observations in different populations (39). Senior management remains however sometimes insu cient for young physicians (24,25,43,44).…”

Section: Discussionsupporting

confidence: 89%

General Practitioner Residents and Patients End-of Life: Involvement and Consequences

Haardt¹,

Cambriel²,

Hubert³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…19 A key theme in their data was trainees knowing their place, i.e., reporting ''tensions between their perception of the right thing to do and what they perceived as clinical norms''. Their trainees noted that challenging authority was an important but difficult part of ethical practice as a trainee.…”

Section: Discussionmentioning

confidence: 99%

Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study

Bould

Sutherland

Sydor

et al. 2015

Can J Anesth/J Can Anesth

124

101

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“…Despite this curriculum being in place, research indicates that junior doctors do not feel well prepared to make ethical decisions in clinical practice,5 6 suggesting deficiencies in the educational process. Furthermore, it is possible to graduate from several UK medical schools having failed both medical ethics7 and medical law8 assessments, such that even when curriculum content meets IME standards, problems with implementation and student engagement may ultimately cause a failure to meet the expectations laid out in Tomorrow's Doctors 1.…”

Section: Introductionmentioning

confidence: 99%

Teaching, learning and assessment of medical ethics at the UK medical schools

Brooks

Bell

2016

J Med Ethics

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IME recommendations are not followed in all cases, and ethics teaching is not universally well integrated into clinical placement. Barriers to assessment lead to inadequacies in this area, and there are few consequences for failing ethics assessments. As such, tomorrow's patients will be treated by doctors who are inadequately prepared for ethical decision making in clinical practice; this needs to be addressed by ethics leads with support from medical school authorities.

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FY1 doctors’ ethicolegal challenges in their first year of clinical practice: an interview study

Cited by 18 publications

References 13 publications

General Practitioner Residents and Patients End-of Life: Involvement and Consequences

General Practitioner Residents and Patients End-of Life: Involvement and Consequences

Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study

Teaching, learning and assessment of medical ethics at the UK medical schools

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