Abstract
BackgroundThe UK General Medical Council recommends that medical students have the opportunity of shadowing the outgoing new doctor whose post they will soon undertake. At the University of Nottingham the two-week shadowing period was preceded by two weeks of lectures/seminars wherein students followed sessions on topics such as common medical/surgical emergencies, contracts, time management, surviving the first two years of clinical practice, careers advice and so on.The present study aimed to gain a better knowledge and understanding of the lasting impact of a four-week preparation course for new Foundation Year 1 doctors [F1 s - interns]. The objectives chosen to achieve this aim were:1/ to determine the extent to which the lecture/seminar course and shadowing period achieved their stated aim of smoothing the transition from life as a medical student to work as a new doctor;2/ to evaluate perceptions of the importance of various forms of knowledge in easing the transition between medical student and new doctorMethodIn the spring of 2007, 90 graduates from Nottingham were randomly selected and then emailed a link to a short, online survey of quantitative and qualitative questions. Of these 76 responded. Analysis of quantitative data was carried out using SPSS 16.0 and employed McNemar's test. Analysis of the qualitative data was carried out using the constant comparative method.ResultsOnly 31% of respondents strongly agreed or agreed that the lecture/seminar part of the course prepared them well for their first FY1 post; 14% agreed that during their first job they drew on the knowledge gained during the lecture/seminar course; 94% strongly agreed or agreed that the shadowing part of the course was more useful than the lecture/seminar part.Experiential knowledge gained in the shadowing was the most highly valued, followed by procedural knowledge with propositional knowledge coming far behind.ConclusionsOur study shows that new doctors retrospectively value most the knowledge they are able to transfer to the workplace and value least material which seems to repeat what they had learned for their final exams.
Highlights
The UK General Medical Council recommends that medical students have the opportunity of shadowing the outgoing new doctor whose post they will soon undertake
Only 31% of respondents strongly agreed or agreed that the lecture/seminar part of the course prepared them well for their first Foundation Year 1 (FY1) post; 14% agreed that during their first job they drew on the knowledge gained during the lecture/seminar course; 94% strongly agreed or agreed that the shadowing part of the course was more useful than the lecture/seminar part
Our study shows that new doctors retrospectively value most the knowledge they are able to transfer to the workplace and value least material which seems to repeat what they had learned for their final exams
Summary
The UK General Medical Council recommends that medical students have the opportunity of shadowing the outgoing new doctor whose post they will soon undertake. Before and after Tomorrow's Doctors [2,3] there have been concerns that new graduates lacked both clinical skills and confidence and that the transition from medical student to new doctor should be more seamless [4,5,6,7,8,9,10,11,12]. Goodfellow [4] questioned whether medical students were ready to be house officers at the moment they sat their final exams and expressed concern that many were not; Jones et al [5] found that graduating medical students were least prepared in diagnosis and decision-making, suturing and inserting a nasogastric tube but best prepared in knowing their limitations and asking for help - a point we have confirmed elsewhere [13]; Smith and Poplett [6] found gaps in new doctors' knowledge of acute care; while Goldacre et al [7] found a lack of self-confidence among medical students as they transited into their new roles as doctors
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