From challenge to growth: Exploring physician narratives of patient complaints during residency.
Introduction: Patient complaints are an important feedback mechanism for healthcare quality improvement and medical education, and their impact on postgraduate medical trainees (residents) remains under‐explored. This study investigates the narratives of physicians who received formal patient compla...
| Publicado en: | Medical Education Vol. 59; no. 11; pp. 1204 - 1214 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188606709&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188606709 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Nov2025 vid: 59 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 188606709 185249072 188606709 188606709 10.1111/medu.15716 188606709 ppf: 1204 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: From challenge to growth: Exploring physician narratives of patient complaints during residency. aug: au: McDougall, Allan Claudio, Fernanda Pound, Catherine Pacheco, Karen Fortier, Jacqueline Garber, Gary affil: The Canadian Medical Protective Association, Ottawa Ontario,, Canada sug: subj: Physician Attitudes Narratives Internship and Residency Professional Development Patient Attitudes Feedback Human Semi-Structured Interview Descriptive Statistics Conceptual Framework Data Analysis Software Mentorship Stigma Stress, Psychological Professional Identity ab: Introduction: Patient complaints are an important feedback mechanism for healthcare quality improvement and medical education, and their impact on postgraduate medical trainees (residents) remains under‐explored. This study investigates the narratives of physicians who received formal patient complaints during residency, focusing on how these incidents influenced their professional development and career trajectories. Methods: Using narrative inquiry, we conducted semi‐structured interviews with 35 physicians who experienced formal patient complaints during their residency. We applied Ricoeur's narrative theory to explore the impact of these complaints on physicians. Results: The analysis revealed two main elements of participants' narratives: emplotment and refiguration. During emplotment, participants initially constructed narratives centered on distress and stigma, often positioning themselves as confused and isolated. This process frequently involved a reevaluation of their professional capabilities and identity as an effective physician. Refiguration demonstrated how participants integrated these experiences into their long‐term professional identities, revealing impacts on clinical practices, specialty choices and career paths. Despite initial challenges, many participants reframed their early complaint experiences as catalysts for professional growth, particularly in areas such as communication and collegial support. Conclusions: Patient complaints during residency can have a destabilizing effect on professional identity formation. However, supportive educational environments and adequate mentorship can mitigate these effects and enhance learning. This study underscores the need for medical education programmes to incorporate systems that support residents in effectively addressing and learning from patient complaints while maintaining a focus on patient safety and quality improvement. How do patient complaints during residency shape physicians' careers? New #MedEd research by @phdhpe & @CMPAmembers reveals the long‐term impacts on professional identity & practice pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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