Working as a newly appointed consultant: a study into the transition from specialist registrar

Brown, Jeremy M.; Ryland, I.; Shaw, N J; Graham, David R.

doi:10.12968/hmed.2009.70.7.43126

Cited by 40 publications

(57 citation statements)

References 10 publications

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“…15,16 Those who were pragmatic about the move, had moved previously, had supportive spouses, or had previously lived in the city appeared to be less challenged by the move. This finding is similar to studies of physicians entering practice for the first time [11][12][13] and findings from a study conducted with physicians who had immigrated to Australia. 20 Physicians who joined functioning units that supported the physician both clinically and socially appeared to have fewer problems.…”

Section: Discussionsupporting

confidence: 87%

“…This study reaffirms the importance of institutional support structures to integrate the newcomer; collegial relationships within the workplace; and the importance of family, friends, and networks during this critical adjustment period. 2,12,13,[17][18][19][20] Educational programs (eg, rounds and longitudinal short courses) and mentorships may facilitate development of physician networks and support systems.…”

Section: Discussionmentioning

confidence: 99%

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Moving Into Medical Practice in a New Community: The Transition Experience

Lockyer

Wycliffe-Jones

Raman

et al. 2011

Journal of Continuing Education in the Health Professions

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This study demonstrates the critical nature of institutional support structures to integrate the newcomer, collegial relationships within the workplace, and the importance of family and friends in mediating the adjustment period. Consideration should be given to structured mentorship or peer-buddy programs and longitudinal educational programs (eg, rounds) that may enable physicians to establish networks and gain practical local knowledge quickly.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Moving Into Medical Practice in a New Community: The Transition Experience

Lockyer

Wycliffe-Jones

Raman

et al. 2011

Journal of Continuing Education in the Health Professions

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“…It is important for doctors in training to acquire a full range of skills to equip them for the transition to the consultant role which can be stressful, particularly if the new consultant feels poorly prepared for the role 1–6. The training role lays heavy emphasis on knowledge, skill and attitude acquisition to ensure that the trainee develops into a safe practitioner.…”

Section: Introductionmentioning

confidence: 99%

Subspecialty neonatal trainees views on being prepared for the consultant role

Shaw

Stenson

Fenton

et al. 2011

Arch Dis Child Educ Pract Ed

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Higher specialist training offers an opportunity to focus on non-clinical skills as well as clinical issues. The authors wished to determine whether doctors who complete neonatal higher specialist training in the UK feel prepared for the consultant role with respect to management, research and teaching, as well as clinical activities. A questionnaire related to the preparedness of the consultant to carry out a range of activities was sent to all doctors who were appointed to the UK higher specialist training programme in neonatology from 2002 to 2008 who were currently working as consultants. Seventy-one of the 83 eligible participants completed the questionnaire. Roles that consultants felt extremely well prepared for related to clinical care, communication, team-working, prioritising tasks, teaching and audit. Trainees reported that roles that they had been not at all well prepared for were related to roles in management and service delivery, medicolegal issues and complaints, job planning and personal development, supporting doctors in difficulty and chairing meetings. Four key themes emerged from the analysis of free-text responses regarding specialty training: the influence of shift patterns/service provision, the lack of non-clinical preparation, learning on the job as a consultant later on and problems with grid training itself. This study showed that for neonatal paediatrics in the UK, new consultants feel confident about managing ill babies but are unprepared for other aspects of the consultant's role. Neonatal higher specialist training needs to allow opportunities for non-clinical training.

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“…The first phase of this study by Brown et al. 1 investigated the experiences of newly appointed consultants in 2007 and reported on the challenges faced during and after the transition from Specialist training. This paper revisits the same cohort of hospital consultants approximately five years after they were first appointed to investigate in depth their reflections on establishing themselves in their senior clinical posts.…”

Section: Introductionmentioning

confidence: 99%

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

2013

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ObjectivesThis paper revisits the same cohort of hospital consultants approximately five years after they were first appointed to investigate their reflections on establishing themselves in their role.DesignMixed methods using a short survey and in-depth semistructured interviews.SettingThe study was conducted within one Deanery in the North of England.ParticipantsThe same 45 hospital consultants who were invited to participate in the study in 2007 were asked to take part in the second stage of the project in February 2011. These 45 consultants started their appointments no earlier than May 2006 within 12 National Health Service (NHS) Trusts in one Deanery. A total of 16 consultants participated. Six consultants who took part in semistructured interviews in 2007–2008 were invited to be interviewed again. Four consented and participated in a further interview in 2011.Main outcome measuresDo consultants feel they have completed their transition into their senior clinical posts? Yes, although the ever changing nature of the consultant role means new challenges are always having to be being addressed. What support mechanisms are valued by consultants? Informal support mechanisms are greatly valued by consultants and these are built up over time. Are consultants satisfied that they made the correct specialty choice? Yes, all respondents reported satisfaction in their specialty choice.ResultsAfter reflecting on five years in post, all agreed that Specialist training prepared them well for the clinical aspects of their role. Ten (62%) felt they were not prepared for dealing with Trust Management issues and 13 (81%) felt unprepared for financial management.Conclusionsconsultants learn on the job and eventually fulfil their potential in the role over time. However, the role is regularly changing so informal support mechanisms are valued to help deal with a highly complex role.

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Working as a newly appointed consultant: a study into the transition from specialist registrar

Abstract: Practising for the first time as a consultant can be extremely challenging. This study explored the experiences of 45 physicians and surgeons who had made the transition from specialist registrar to hospital consultant.

Cited by 40 publications

References 10 publications

Moving Into Medical Practice in a New Community: The Transition Experience

Moving Into Medical Practice in a New Community: The Transition Experience

Subspecialty neonatal trainees views on being prepared for the consultant role

The first five years: a mixed methods study investigating reflections on working as a hospital consultant

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