The early experience of doctors training in pediatrics: patient safety culture and the role and influence of the registrar

Catherine Diskin; Dara Byrne; Charles Normand; Michael B. O’Neill

doi:10.1007/s11845-021-02520-7

The early experience of doctors training in pediatrics: patient safety culture and the role and influence of the registrar

Catherine Diskin^*, Dara Byrne, Charles Normand, Michael B. O’Neill

^*Corresponding author for this work

Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Introduction: Postgraduate medical training incorporates education, both formal and informal, combined with clinical service. This study explored the early training experience of pediatricians in Ireland and its potential impact on patient safety. Aim: We sought to identify factors that contribute to the patient safety experience of new entrant pediatric trainees. Methods: Trainees, or senior house officers (SHOs), in their first year of postgraduate training, participated in an interview conducted using a critical interview technique (CIT). They described an adverse event where the medical care delivered to the patient was not ideal. Thematic analysis identified themes that influenced the described event. Results: Thirteen trainees participated in the interviews. This study identified influences on the relationship between the SHO and patient safety, including the SHO themselves, teamwork and communication. Colleagues within the workplace, including consultants, registrars, and nurses, also affect this relationship. The registrar is described as a central figure holding an active role in clinical care in 11 of the 13 stories told. In the participants’ experience, the registrar was the senior decision-maker, teacher, team builder, and communication intermediary within the teams’ hierarchical structure. The registrars’ previous clinical experience, communication style, along with their ability to supervise and provide feedback shaped the SHO experience. Conclusions: Through a process designed to focus on exploring patient safety, it emerged that the registrar plays a crucial role in the working experience of their junior colleagues. The influence of the registrar needs to be recognized within clinical teams and by postgraduate training bodies.

Original language	English
Journal	Irish Journal of Medical Science
DOIs	https://doi.org/10.1007/s11845-021-02520-7
Publication status	Accepted/In press - 2021

Keywords

Postgraduate medical education
Registrar
Senior house officers (SHOs)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11845-021-02520-7

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title = "The early experience of doctors training in pediatrics: patient safety culture and the role and influence of the registrar",

abstract = "Introduction: Postgraduate medical training incorporates education, both formal and informal, combined with clinical service. This study explored the early training experience of pediatricians in Ireland and its potential impact on patient safety. Aim: We sought to identify factors that contribute to the patient safety experience of new entrant pediatric trainees. Methods: Trainees, or senior house officers (SHOs), in their first year of postgraduate training, participated in an interview conducted using a critical interview technique (CIT). They described an adverse event where the medical care delivered to the patient was not ideal. Thematic analysis identified themes that influenced the described event. Results: Thirteen trainees participated in the interviews. This study identified influences on the relationship between the SHO and patient safety, including the SHO themselves, teamwork and communication. Colleagues within the workplace, including consultants, registrars, and nurses, also affect this relationship. The registrar is described as a central figure holding an active role in clinical care in 11 of the 13 stories told. In the participants{\textquoteright} experience, the registrar was the senior decision-maker, teacher, team builder, and communication intermediary within the teams{\textquoteright} hierarchical structure. The registrars{\textquoteright} previous clinical experience, communication style, along with their ability to supervise and provide feedback shaped the SHO experience. Conclusions: Through a process designed to focus on exploring patient safety, it emerged that the registrar plays a crucial role in the working experience of their junior colleagues. The influence of the registrar needs to be recognized within clinical teams and by postgraduate training bodies.",

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author = "Catherine Diskin and Dara Byrne and Charles Normand and O{\textquoteright}Neill, {Michael B.}",

year = "2021",

doi = "10.1007/s11845-021-02520-7",

language = "English",

journal = "Irish Journal of Medical Science",

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AU - Byrne, Dara

AU - Normand, Charles

AU - O’Neill, Michael B.

PY - 2021

Y1 - 2021

N2 - Introduction: Postgraduate medical training incorporates education, both formal and informal, combined with clinical service. This study explored the early training experience of pediatricians in Ireland and its potential impact on patient safety. Aim: We sought to identify factors that contribute to the patient safety experience of new entrant pediatric trainees. Methods: Trainees, or senior house officers (SHOs), in their first year of postgraduate training, participated in an interview conducted using a critical interview technique (CIT). They described an adverse event where the medical care delivered to the patient was not ideal. Thematic analysis identified themes that influenced the described event. Results: Thirteen trainees participated in the interviews. This study identified influences on the relationship between the SHO and patient safety, including the SHO themselves, teamwork and communication. Colleagues within the workplace, including consultants, registrars, and nurses, also affect this relationship. The registrar is described as a central figure holding an active role in clinical care in 11 of the 13 stories told. In the participants’ experience, the registrar was the senior decision-maker, teacher, team builder, and communication intermediary within the teams’ hierarchical structure. The registrars’ previous clinical experience, communication style, along with their ability to supervise and provide feedback shaped the SHO experience. Conclusions: Through a process designed to focus on exploring patient safety, it emerged that the registrar plays a crucial role in the working experience of their junior colleagues. The influence of the registrar needs to be recognized within clinical teams and by postgraduate training bodies.

AB - Introduction: Postgraduate medical training incorporates education, both formal and informal, combined with clinical service. This study explored the early training experience of pediatricians in Ireland and its potential impact on patient safety. Aim: We sought to identify factors that contribute to the patient safety experience of new entrant pediatric trainees. Methods: Trainees, or senior house officers (SHOs), in their first year of postgraduate training, participated in an interview conducted using a critical interview technique (CIT). They described an adverse event where the medical care delivered to the patient was not ideal. Thematic analysis identified themes that influenced the described event. Results: Thirteen trainees participated in the interviews. This study identified influences on the relationship between the SHO and patient safety, including the SHO themselves, teamwork and communication. Colleagues within the workplace, including consultants, registrars, and nurses, also affect this relationship. The registrar is described as a central figure holding an active role in clinical care in 11 of the 13 stories told. In the participants’ experience, the registrar was the senior decision-maker, teacher, team builder, and communication intermediary within the teams’ hierarchical structure. The registrars’ previous clinical experience, communication style, along with their ability to supervise and provide feedback shaped the SHO experience. Conclusions: Through a process designed to focus on exploring patient safety, it emerged that the registrar plays a crucial role in the working experience of their junior colleagues. The influence of the registrar needs to be recognized within clinical teams and by postgraduate training bodies.

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KW - Registrar

KW - Senior house officers (SHOs)

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The early experience of doctors training in pediatrics: patient safety culture and the role and influence of the registrar

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Keywords

UN SDGs

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