Exploring communities of practice in the NHS: A core medical trainee experience

Amery, Carolyn; Griffin, Ann

doi:10.7861/fhj.2019-0034

Cited by 12 publications

(6 citation statements)

References 13 publications

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“…Locum contracts can be ended early following even low-level concerns and locums may have less access to communities of practice within Trusts for providing appropriate governance, leadership and support, meaning remedying performance problems may be more difficult. Similarly, Amery and Griffin (2020) found that short training rotas limited the ability of medical trainees to engage in communities of practice in order to engage in activities and form mutual relationships [ 35 ]. This may in part explain why locums are more likely to have formal complaints about them to the professional regulator than permanent doctors [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

The use of locum doctors in the NHS – results of a national survey of NHS Trusts in England

Stringer,

Ferguson,

Walshe

et al. 2023

BMC Health Serv Res

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Background Locum working in healthcare organisations has benefits for individual doctors and organisations but there are concerns about the impact of locum working on continuity of care, patient safety, team function and cost. We conducted a national survey of NHS Trusts in England to explore locum work, and better understand why and where locum doctors were needed; how locum doctors were engaged, supported, perceived and managed; and any changes being made in the way locums are used. Methods An online survey was sent to 191 NHS Trusts and 98 were returned (51%) including 66 (67%) acute hospitals, 26 (27%) mental health and six (6%) community health providers. Data was analysed using frequency tables, t-tests and correlations. Free-text responses were analysed using thematic analysis. Results Most NHS Trusts use locums frequently and for varying lengths of time. Trusts prefer to use locums from internal locum banks but frequently rely on locum agencies. The benefits of using locums included maintaining workforce capacity and flexibility. Importantly, care provided by locums was generally viewed as the same or somewhat worse when compared to care provided by permanent doctors. The main disadvantages of using locum agencies included cost, lack of familiarity and impact on organisational development. Some respondents felt that locums could be unreliable and less likely to be invested in quality improvement. NHS Trusts were broadly unfamiliar with the national guidance from NHS England for supporting locums and there was a focus on processes like compliance checks and induction, with less focus on providing feedback and support for appraisal. Conclusions Locum doctors provide a necessary service within NHS Trusts to maintain workforce capacity and provide patient care. There are potential issues related to the way that locums are perceived, utilised, and supported which might impact the quality of the care that they provide. Future research should consider the arrangements for locum working and the performance of locums and permanent doctors, investigating the organisation of locums in order to achieve safe and high-quality care for patients.

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Section: Discussionmentioning

confidence: 99%

The use of locum doctors in the NHS – results of a national survey of NHS Trusts in England

Stringer,

Ferguson,

Walshe

et al. 2023

BMC Health Serv Res

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“…Published evidence also describes a similar role of CoP in healthcare institutions where CoP are frequently encourage collaborative culture and knowledge utilization. Organizations like the National Health Services (NHS) of UK recommend that for a sustainable change within an organization, it is vital to link the process of change with active CoP 11 . Informal CoP functions as morning meetings to discuss difficult clinical cases or academic challenges.…”

Section: Discussionmentioning

confidence: 99%

Communities of Practice: Redressal of Medical Education Leadership Challenges through a Workplace-Based Learning Approach

Ahmad

2023

J Fatima Jinnah Med Univ

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Background: There is a realization that learning leadership skills is beyond classroom teaching and requires leaders to participate in communities of practice (CoP) that enables them to learn from the wisdom of seasoned leader because such leaders don’t ask budding leaders to follow their instructions, they rather set examples of best practices in medical education. However, dearth of published evidence both locally and internationally suggests that there is a need to investigate how have communicates of practice impacted leadership skills of physicians as medical education leaders. Participants and Methods: A transcendental phenomenological study was conducted, involving seven physician leaders working as medical teachers from both basic and clinical sciences, heading the medical college and/or their departments as professors in a medical college on the basis of convenience sampling and their experiences as medical education leaders who had presumably experienced the phenomenon of ‘learning leadership skills’. The researcher conducted hour-long one-on-one interviews with participants at their workplace offices and one interview was conducted at the researcher’s home office. One of the participants was interviewed twice as additional gaps were identified from the initial analysis. Interviews conducted in the surgeon’s office were interrupted many a times by theatre assistants, but the continuity was resumed successfully. The qualitative data was analyzed manually by using the Stevick-Colaizzi-Keen method. Results: One major theme namely ‘communities of practice impacting leadership skills’ emerged from the transcripts whereas, two subthemes namely ‘gaining wisdom’ and ‘uplifting emotional wellbeing’ were identified as main aspects that had a major influence on leadership skills of physicians in the medical education milieu. Conclusion: CoP has a positive impact on leadership skills. It enables leaders in medical education to learn wisdom to solve difficult leadership problems. Evidence supports that CoP also uplifts emotional wellbeing of leaders by preventing their burn out.

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“…A ‘community of practice’ is a powerful concept in learning. It describes a group of people ‘who share a common concern or a passion for something they do and learn how to do better as they interact regularly.’ 19 Communities of practice within the field of echocardiography are crucial because they facilitate learning from the moment a novice enters the echo room for the first time. Communities of practice powerfully signal the legitimacy of the individual participant, however inexperienced they are, whether that is within an actual practice environment or within a wider concept of a community, for example through the BSE.…”

Section: Solutions: a 10-year Roadmapmentioning

confidence: 99%

State of the art: A roadmap for the national echocardiography team 2023

Colebourn

2024

Future Healthcare Journal

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Exploring communities of practice in the NHS: A core medical trainee experience

Cited by 12 publications

References 13 publications

The use of locum doctors in the NHS – results of a national survey of NHS Trusts in England

The use of locum doctors in the NHS – results of a national survey of NHS Trusts in England

Communities of Practice: Redressal of Medical Education Leadership Challenges through a Workplace-Based Learning Approach

State of the art: A roadmap for the national echocardiography team 2023

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