University of Exeter Medical School, University of Exeter, Exeter, UK.
Clin Teach. 2022 Aug;19(4):299-307. doi: 10.1111/tct.13487. Epub 2022 Apr 9.
In the United Kingdom, there is an increasing tendency for doctors in the first 2 years after graduation, to step off the training pathway and take up Clinical Teaching Fellow (CTF) positions. We aimed to explore stakeholder experiences of CTF positions to inform future planning and support.
Individual semi-structured interviews with 10 stakeholders (five CTFs and five education faculty members) from one institution in England were conducted. Interviews explored the participants' views of the CTF position, its benefits and challenges. Inductive thematic analysis was performed.
CTFs and education faculty views strongly aligned and three themes were identified. These were (1) developing a career, (2) developing confidence and competence as a clinical teacher and (3) developing a position that works for all. Participants reported that the CTF position allowed time for specialty decision making and curriculum-vitae strengthening and provide CTFs with the opportunity to work autonomously and to establish a better work-life balance by stepping away from training pressures and focusing on other aspects of life. There were differing thoughts on how the position should be structured, although retaining a clinical role with boundaries to constrain competing responsibilities was important.
A brief hiatus in clinical training, where individuals feel supported to progress personally and professionally and to renew their energy for the next steps of clinical training, seems important. The ideologies of providing the CTFs with autonomy, time to explore options, recharge and form connections with colleagues should be considered when structuring the posts.
在英国，越来越多的医生在毕业后的头 2 年选择离开培训路径，转而担任临床教学研究员 (CTF) 职位。我们旨在探讨利益相关者对 CTF 职位的经验，以为未来的规划和支持提供信息。
在英格兰的一家机构中，对 10 名利益相关者（5 名 CTF 和 5 名教育学院成员）进行了个人半结构化访谈。访谈探讨了参与者对 CTF 职位的看法、其好处和挑战。采用归纳主题分析。
CTF 和教育学院的观点非常一致，确定了三个主题。这些主题是：(1) 职业发展，(2) 作为临床教师发展信心和能力，以及 (3) 发展一个适合所有人的职位。参与者报告称，CTF 职位允许他们有时间做出专业决策和加强简历，并为 CTF 提供机会自主工作，并通过摆脱培训压力并专注于生活的其他方面来建立更好的工作与生活平衡。虽然保留具有边界的临床角色以限制竞争责任很重要，但对职位的结构存在不同的想法。
在临床培训中短暂停顿一下，让个人感到受到支持，可以在个人和职业上取得进展，并为临床培训的下一步重新充电，这似乎很重要。在构建职位时，应该考虑为 CTF 提供自主权、探索选择、充电和与同事建立联系的时间的理念。
