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    Perceptions of the learning environment in higher specialist training of doctors: implications for recruitment and retention.

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    Authors
    Cross, Vinette
    Hicks, Carolyn
    Parle, James
    Field, Stephen
    Issue Date
    2006
    
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    Abstract
    INTRODUCTION: Career choice, sense of professional identity and career behaviour are influenced, subject to change and capable of development through interaction with the learning environment. In this paper workplace learning discourses are used to frame ongoing concerns associated with higher specialist training. Data from the first stage of a multimethods investigation into recruitment into and retention in specialties in the West Midlands is used to consider some possible effects of the specialist learning environment on recruitment and retention. METHODS: The aim of the study was to identify issues, through interviews with 6 consultants and questionnaires completed by specialist registrars from specialties representing a range of recruitment levels. These would inform subsequent study of attributes and dispositions relevant to specialist practice and recruitment. The data were analysed using NVivo software for qualitative data management. RESULTS: Participants' perceptions are presented as bipolar dimensions, associated with: curriculum structure, learning relationships, assessment of learning, and learning climate. They demonstrate ongoing struggle between different models of workplace learning. CONCLUSION: Changes in the postgraduate education of doctors seem set to continue well into the future. How these are reflected in the balance between workplace learning models, and how they influence doctors' sense of identity as specialists suggests a useful basis for examination of career satisfaction and recruitment to specialties.
    Citation
    Medical Education, 40(2): 121-128
    Publisher
    Wiley InterScience
    Journal
    Medical Education
    URI
    http://hdl.handle.net/2436/7753
    DOI
    10.1111/j.1365-2929.2005.02382.x
    PubMed ID
    16451239
    Additional Links
    http://www3.interscience.wiley.com/journal/118729369/abstract
    Type
    Journal article
    Language
    en
    ISSN
    0308-0110
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2929.2005.02382.x
    Scopus Count
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    Faculty of Education, Health and Wellbeing

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