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dc.contributor.authorRoland, Damian
dc.contributor.authorMatheson, David
dc.contributor.authorCoats, Timothy
dc.contributor.authorMartin, Graham
dc.date.accessioned2017-12-18T16:44:46Z
dc.date.available2017-12-18T16:44:46Z
dc.date.issued2015-11-04
dc.identifier.citationRoland, G., and Matheson, DJ., and Coats, T., and Martin, G. (2015) 'A qualitative study of self-evaluation of junior doctor performance: is perceived ‘safeness’ a more useful metric than confidence and competence?' BMJ Open, 5 (11)
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2015-008521
dc.identifier.urihttp://hdl.handle.net/2436/621008
dc.description© 2015 The Authors. Published by BMJ. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: http://dx.doi.org/10.1136/bmjopen-2015-008521
dc.description.abstractObjectives: The terms confidence and competence have been poorly defined and are often misused by junior doctors. Given safe practice relies on healthcare professionals being aware of their own skill sets improving self-assessment of confidence and competence is important. The aim of this work was to explore junior doctors’ understanding of how they perceive their own performance in respect of managing feverish children in an emergency department. Setting: A children’s emergency department in a tertiary hospital in the East Midlands, UK. Participants: 22 Junior doctors volunteered to undertake focus groups via a meta-planning methodology over 2 years (14 participants in the first year and 8 in the second). Results: Although doctors were aware of the difference between confidence and competence they were not able to distinguish between them in practical terms. The feeling of being ‘safe’ emerged as a term in which there was a shared understanding compared to reported confidence and competence. Conclusions: A perception of ‘safeness’ is a concept that may aid self-evaluation and we present a matrix that might be used by supervisors and educators to examine this and its relationship with confidence and competence.
dc.description.sponsorshipNIHR
dc.language.isoen
dc.publisherBMJ
dc.relation.urlhttp://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2015-008521
dc.subjectpatient video clips
dc.subjectself-perceptions
dc.subjectevaluation
dc.titleA qualitative study of self-evaluation of junior doctor performance: is perceived ‘safeness’ a more useful metric than confidence and competence?
dc.typeJournal article
dc.identifier.journalBMJ Open
dc.identifier.articlenumbere008521
dc.date.accepted2015-10-14
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.source.volume5
dc.source.issue11
refterms.dateFOA2018-08-21T14:41:37Z
html.description.abstractObjectives: The terms confidence and competence have been poorly defined and are often misused by junior doctors. Given safe practice relies on healthcare professionals being aware of their own skill sets improving self-assessment of confidence and competence is important. The aim of this work was to explore junior doctors’ understanding of how they perceive their own performance in respect of managing feverish children in an emergency department. Setting: A children’s emergency department in a tertiary hospital in the East Midlands, UK. Participants: 22 Junior doctors volunteered to undertake focus groups via a meta-planning methodology over 2 years (14 participants in the first year and 8 in the second). Results: Although doctors were aware of the difference between confidence and competence they were not able to distinguish between them in practical terms. The feeling of being ‘safe’ emerged as a term in which there was a shared understanding compared to reported confidence and competence. Conclusions: A perception of ‘safeness’ is a concept that may aid self-evaluation and we present a matrix that might be used by supervisors and educators to examine this and its relationship with confidence and competence.


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