Perceptions of the learning environment in higher specialist training of doctors: implications for recruitment and retention.

INTRODUCTION: Career choice, sense of professional identity and career behaviour are influenced, subject to change and capable of development through interaction with the learning environment. In this paper workplace learning discourses are used to frame ongoing concerns associated with higher speci...

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Publicado en:Medical Education Vol. 40; no. 2; pp. 121 - 129
Autores principales: Cross V, Hicks C, Parle J, Field S
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2006
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Perceptions of the learning environment in higher specialist training of doctors: implications for recruitment and retention.
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          Cross V
          Hicks C
          Parle J
          Field S
        affil: School of Health, University of Wolverhampton, Molineaux Street, Wolverhampton WV1 1SB, UK; vinette.cross@wlv.ac.uk
      sug:
        subj:
          Learning Environment Psychosocial Factors
          Specialties, Medical
          Attitude of Health Personnel
          Convenience Sample
          Curriculum Evaluation
          Data Analysis Software
          Data Analysis, Statistical
          Exploratory Research
          Female
          Funding Source
          Interviews
          Job Satisfaction
          Male
          Professional Autonomy
          Human
          Female
          Male
      ab: INTRODUCTION: Career choice, sense of professional identity and career behaviour are influenced, subject to change and capable of development through interaction with the learning environment. In this paper workplace learning discourses are used to frame ongoing concerns associated with higher specialist training. Data from the first stage of a multimethods investigation into recruitment into and retention in specialties in the West Midlands is used to consider some possible effects of the specialist learning environment on recruitment and retention. METHODS: The aim of the study was to identify issues, through interviews with 6 consultants and questionnaires completed by specialist registrars from specialties representing a range of recruitment levels. These would inform subsequent study of attributes and dispositions relevant to specialist practice and recruitment. The data were analysed using NVivo software for qualitative data management. RESULTS: Participants' perceptions are presented as bipolar dimensions, associated with: curriculum structure, learning relationships, assessment of learning, and learning climate. They demonstrate ongoing struggle between different models of workplace learning. CONCLUSION: Changes in the postgraduate education of doctors seem set to continue well into the future. How these are reflected in the balance between workplace learning models, and how they influence doctors' sense of identity as specialists suggests a useful basis for examination of career satisfaction and recruitment to specialties.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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