Department of General Internal Medicine, Sandwell and West Birmingham Hospitals, Birmingham, UK.
Department of Paediatrics, Royal Cornwall Hospital, Truro, UK.
Br J Hosp Med (Lond). 2021 Feb 2;82(2):1-9. doi: 10.12968/hmed.2021.0021. Epub 2021 Feb 17.
Research carried out in 2016 by the authors investigated the challenges that doctors in training experience around leadership and followership in the NHS. The study explored contemporary healthcare leadership culture and the role of followership from the perspective of early career doctors. It found that the leadership and followership challenges for these doctors in training were associated with issues of social and professional identity, communication, the medical hierarchy, and relationships with senior colleagues (support and trust). These challenges were exacerbated by the busy and turbulent clinical environment in which they worked. To cope with various clinical situations and forms of leadership, doctors in training engage in a range of different followership behaviours and strategies. The study raised implications for medical education and training and suggested that followership should be included as part of formal training in communication and team working skills. The importance of both leadership and followership in the delivery of safe and effective patient care has been brought sharply into focus by the COVID-19 pandemic. This article revisits these challenges in light of the pandemic and its impact on the experiences of doctors in training.
2016 年，作者开展了一项研究，调查了培训中的医生在 NHS 中所面临的领导力和追随力方面的挑战。该研究从早期职业医生的角度探讨了当代医疗保健领导力文化和追随力的作用。研究发现，这些培训中的医生所面临的领导力和追随力挑战与社会和职业认同、沟通、医疗等级制度以及与资深同事的关系（支持和信任）等问题有关。他们工作的繁忙和动荡的临床环境使这些挑战更加恶化。为了应对各种临床情况和领导形式，培训中的医生采用了一系列不同的追随行为和策略。该研究对医学教育和培训提出了影响，并建议将追随力作为沟通和团队合作技能正式培训的一部分。COVID-19 大流行使领导力和追随力在提供安全有效的患者护理方面的重要性得到了极大的关注。本文结合大流行及其对培训中的医生的影响，重新审视了这些挑战。
