Unravelling residents’ and supervisors’ workplace interactions: an intersubjectivity study

Olmos-Vega, Francisco M.; Dolmans, Diana; Guzmán-Quintero, Carlos; Stalmeijer, Renée E.; Teunissen, Pim W.

doi:10.1111/medu.13603

Cited by 15 publications

(9 citation statements)

References 35 publications

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“…Medical residents with better skills negotiated more often with supervisors, probably because of their higher level of confidence, which could also explain why more experienced medical residents negotiated more often. This is consistent with the findings of Olmos-Vega and colleagues who described how medical residents use negotiation as an adaptation strategy to their day-to-day changing supervisors and how they as their skills increase form their own working repertoire 23 . This observation advocates for the incorporation of negotiation training in the first years of residency to improve medical residents’ NS, which we anticipate would have a positive influence on the frequency of negotiations, interaction with supervisors 23 and empower medical residents in their future careers.…”

Section: Discussionsupporting

confidence: 91%

“…This is consistent with the findings of Olmos-Vega and colleagues who described how medical residents use negotiation as an adaptation strategy to their day-to-day changing supervisors and how they as their skills increase form their own working repertoire 23 . This observation advocates for the incorporation of negotiation training in the first years of residency to improve medical residents’ NS, which we anticipate would have a positive influence on the frequency of negotiations, interaction with supervisors 23 and empower medical residents in their future careers. Surprisingly, a hierarchical working environment was found to stimulate medical residents to negotiate more often with their supervisors.…”

Section: Discussionsupporting

confidence: 91%

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Exploring medical residents’ perceived need for negotiation skills training

et al. 2019

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ObjectivesThis study explores the optimal focus for negotiation skills development training by investigating how often medical residents negotiate in practice, and how they perceive the effectiveness of their negotiation capabilities. MethodsAn exploratory study was performed using a questionnaire regarding the medical residents’ working environment, negotiation frequency, knowledge and skills using a 5-point Likert scale, multiple choice questions and open questions. Exploratory factor analysis with principal component analysis, varimax rotation, reliability analysis, and content analysis were used to reduce the number of variables. Descriptive and interferential statistics and multiple regression analysis were used to analyze the data. ResultsWe analyzed the responses of 60 medical residents. The findings showed that the perceived development of their negotiation knowledge (M=3.06, SD=0.83) was less than their negotiation skills (M=3.69, SD=0.47). Their attitude during negotiations, especially females, differed substantially in the interactions with nurses than with their supervisors. Medical residents with more working experience, better negotiation skills or who worked in hierarchical environments negotiated more frequently with their supervisors. Medical residents with better collaboration skills and negotiation knowledge demonstrated better negotiation skills. ConclusionsThis study underlines medical residents’ need for negotiation training. In addition to the basic negotiation knowledge and skills, training programs in negotiation should focus on the medical residents’ awareness of their attitudes during negotiations, combining the assertiveness shown in interactions with supervisors with the empathy and emotional engagement present in interactions with nurses. Furthermore, attention should be paid to the influence of the environmental hierarchy on negotiation skill development.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Exploring medical residents’ perceived need for negotiation skills training

et al. 2019

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“…By performing questions in that way, residents could more easily access opportunities to demonstrate their ability to work independently (eg being granted to perform a surgical procedure), safeguard their credibility as a physician and secure a position as an accepted team member. Various studies described how supervisors greatly vary in their supervisory preferences 43,44 and how through tailoring processes (eg altering questions), a shared interaction pattern could be created between residents and supervisors 44,45 . While our results point to similar processes, we also highlighted how residents actively develop their understanding of supervisors’ preferences, partially through ‘checking’ the validity and legitimacy of their questions with other health care team members before asking supervisors.…”

Section: Discussionmentioning

confidence: 50%

An act of performance: Exploring residents’ decision‐making processes to seek help

et al. 2021

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Context Residents are expected to ask for help when feeling insufficiently confident or competent to act in patients’ best interests. While previous studies focused on the perspective of supervisor‐resident relationships in residents’ help‐seeking decisions, attention for how the workplace environment and, more specifically, other health care team members influence these decisions is limited. Using a sociocultural lens, this study aimed to explore how residents’ decision‐making processes to seek help are shaped by their workplace environment. Methods Through a constructivist grounded theory methodology, we purposively and theoretically sampled 18 residents: 9 juniors (postgraduate year 1/2) and 9 seniors (postgraduate year 5/6) at Amsterdam University Medical Centers. Using semi‐structured interviews, participating residents’ decision‐making processes to seek help during patient care delivery were explored. Data collection and analysis were iterative; themes were identified using constant comparative analysis. Results Residents described their help‐seeking decision‐making processes as an ‘act of performance’: they considered how asking for help could potentially impact their assessments. They described this act of performance as the product of an internal ‘balancing act’ with at its core the non‐negotiable priority for providing safe and high‐quality patient care. With this in mind, residents weighed up demonstrating the ability to work independently, maintaining credibility and becoming an accepted member of the health care team when deciding to seek help. This ‘balancing act’ was influenced by sociocultural characteristics of the learning environment, residents’ relationships with supervisors and the perceived approachability of other health care team members. Conclusions This study suggests that sociocultural forces influence residents to experience help‐seeking as an act of performance. Especially, a safe learning environment resulting from constructive relationships with supervisors and the approachability of other health care team members lowered the barriers to seek help. Supervisors could address these barriers by having regular conversations with residents about when to seek help.

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“…Entering and engaging with CoCPs entails collaborating with the diverse members of the healthcare team, including supervisors, peers, nurses and, for instance, administrative personnel. Much of the existing literature has focused on how residents learn in the workplace from their interactions with clinical supervisors (Brown et al 2017;Olmos-Vega et al 2018;Olmos-Vega et al 2017;Ong et al 2016;Teunissen et al 2007a, b), with few studies delving into the role of other actors, including nurses (Burford et al 2013;Varpio et al 2014) and pharmacists (Noble et al 2017). Moreover, there is no empirical literature on how residents engage with the broader CoCP.…”

Section: Introductionmentioning

confidence: 99%

Disentangling residents’ engagement with communities of clinical practice in the workplace

Olmos-Vega

Dolmans

Guzmán-Quintero

et al. 2019

Adv in Health Sci Educ

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Unravelling residents’ and supervisors’ workplace interactions: an intersubjectivity study

Cited by 15 publications

References 35 publications

Exploring medical residents’ perceived need for negotiation skills training

Exploring medical residents’ perceived need for negotiation skills training

An act of performance: Exploring residents’ decision‐making processes to seek help

Disentangling residents’ engagement with communities of clinical practice in the workplace

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