Becoming a doctor—The potential of a change laboratory intervention
Bibliographic Data
| ID | 21448632 |
|---|---|
| Authors | Tine Lass Klitgaard (0000-0003-0863-0720, Aalborg University Hospital, corresponding author), Sofie Gjessing (0000-0002-3748-7727, Aalborg University Hospital), Mads Skipper (0000-0003-3383-2762, Postgraduate Medical Educational Region North, Viborg, Denmark), Susanne Backman Nøhr (0000-0003-0849-0035, Aalborg University Hospital) |
| Year | 2022 |
| Volume | 44 |
| Issue | 12 |
| Pages | 1376-1384 |
| Publication date | 2022-12-02 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Teacher (JOURNAL) |
| Journal identifiers | ISSN: 0142-159X • E-ISSN: 1466-187X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0142159x.2022.2098099 |
| PMID | 35862640 |
| OpenAlex | W4286494269 |
| Language | EN |
| References cited | 22 |
In a previous ethnographic field study, we found that newly graduated doctors (NGDs) found their first months of practice challenging and overwhelming. By including an organisational perspective (Cultural Historical Activity Theory), we were able to identify contextual factors within the hospital organisation, which influence the NGDs’ challenges. This raised the question: What can be done about it? To address this, we designed a Change Laboratory intervention (CL), consisting of six sessions, involving NGDs, junior doctors, and consultants across eight departments (on average, 18 doctors participated in each session). Through the CL, the participants were able to get a mutual understanding across departments and develop two initiatives to support the NGDs: An NGD introduction day with a ‘need-to-know’ focus, where the NGDs meet their future collaborators, and are introduced to important work procedures, and are given the opportunity to establish a peer network. This is followed up by a monthly NGD forum with a ‘nice-to-know’ focus, where new topics are introduced, allowing time for reflections, and supporting the further strengthening of a peer community. The CL approach promoted agency among participants and the results show how CL offers a unique opportunity for stakeholders to challenge and rethink their work practices within the hospital organisation
Agency (philosophy) · Business · Ethnography · Focus group · Intervention (counseling) · Medical education · Nice · Perspective (graphical) · Political science · Public relations · Session (web analytics) · Sociology · Work (physics) · Computer Science · Education, Healthcare and Sociology Research · Engineering · Innovative Education and Learning Practices · Interprofessional Education and Collaboration · Medicine · Nursing · Psychology
| Highly cited | No |
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