Becoming a general practice supervisor: A longitudinal multi-case study exploring key supportive factors

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-02-01 DOI:10.1111/tct.13738

Belinda Garth, Catherine Kirby, Debra Nestel, James Brown

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Abstract

Introduction

Supervision of trainees in the health care professions is recognised internationally as core to safe and effective patient care. A supervisor workforce in general practice (GP) is critical to the profession and to the communities where they work and can be demanding as general practitioners incorporate workplace-based education and support of their trainees into their daily consulting work. Little is known about how this is experienced by new supervisors; therefore, this research sought to understand factors that play a significant role in the first semester of becoming a supervisor.

Methods

An exploratory multi-case study design was used; new general practice supervisors were the unit of analysis. Four data sources were captured longitudinally: semi-structured interviews at the beginning and end of the semester, audio diaries throughout and a mid-semester focus group. Template analysis was used, sensitised by a community of practice theoretical framework.

Results

Seven new supervisors participated. Five interdependent key factors played a significant role in general practitioners becoming supervisors: (1) making meaning of the role, (2) reconciling multiple roles, (3) building a relationship with the trainee, (4) receiving support from the training practice and the training programme and (5) joining peer communities of new and experienced supervisors.

Conclusion

Becoming a general practice supervisor is situated in the context of a workplace delivering clinical services, a training programme and personal life circumstances. It can be challenging and rewarding. Insufficient support may result in unintended attrition. Learning in this role is facilitated by enabling the new supervisor to find meaning in the role; structured allocation of time to engage effectively; a positive trainee–supervisor relationship; administrative support by practices; information, advice and remuneration from the training programme; and interactions with new and experienced supervisor peers.

Abstract Image

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成为一名全科医生主管：探索关键支持因素的纵向多案例研究。

导言：国际公认，对医疗保健专业受训人员的督导是安全有效的病人护理的核心。全科医生（GP）的督导人员队伍对该行业及其所在社区至关重要，而且要求很高，因为全科医生要将基于工作场所的教育和对受训人员的支持纳入其日常咨询工作中。人们对新任督导如何体验这一工作知之甚少；因此，本研究试图了解在成为督导的第一个学期中发挥重要作用的因素：采用探索性多案例研究设计；以新任全科督导为分析单位。纵向采集了四个数据源：学期初和学期末的半结构化访谈、整个学期的录音日记和学期中的焦点小组。在实践社区理论框架的感召下，采用了模板分析法：结果：七名新督导参与了研究。五个相互依存的关键因素在全科医生成为督导的过程中发挥了重要作用：(1) 使角色具有意义；(2) 协调多重角色；(3) 与受训者建立关系；(4) 从培训实践和培训计划中获得支持；(5) 加入新督导和有经验督导的同行社区：结论：成为一名全科实习督导需要结合提供临床服务的工作场所、培训计划和个人生活环境。它可能充满挑战，也可能收获颇丰。支持不足可能会导致意外的流失。让新任督导找到角色的意义、有计划地分配时间以有效参与、学员与督导之间的积极关系、实习单位的行政支持、培训计划提供的信息、建议和报酬，以及与新任督导和有经验的督导同行之间的互动，都有助于在这个角色上的学习。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.