Department of Postgraduate Medical Education, Aalborg University Hospital, Aalborg, Denmark.
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
BMC Med Educ. 2022 Aug 5;22(1):604. doi: 10.1186/s12909-022-03655-6.
Newly graduated doctors find their first months of practice challenging and overwhelming. As the newly graduated doctors need help to survive this period, collaborators such as peers, senior doctors, registered nurses and other junior doctors are crucial. However, little is known about what characterise these collaborations, and how much is at stake when newly graduated doctors are striving to establish and maintain them. This study aims to describe and explore the collaborations in depth from the newly graduated doctors' point of view.
We conducted 135 h of participant observations among newly graduated doctors (n = 11), where the doctors were observed throughout their working hours at various times of the day and the week. Furthermore, six semi-structured interviews (four group interviews and two individual) were carried out. The data was analysed thematically.
Newly graduated doctors consulted different collaborators (peers, senior doctors, registered nurses, and other junior doctors) dependent on the challenge at hand, and they used different strategies to get help and secure good relationships with their collaborators: 1) displaying competence; 2) appearing humble; and 3) playing the game. Their use of different strategies shows how they are committed to engage in these collaborations, and how much is at stake.
Newly graduated doctors rely on building relationships with different collaborators in order to survive their first months of practice. We argue that the collaboration with peer NGDs and registered nurses has not received the attention it deserves when working with the transition from medical school. We highlight how it is important to focus on these and other collaborators and discuss different work-agendas, mutual expectations, and interdependence. This could be addressed in the introduction period and be one way to ensure a better learning environment and a respectful interprofessional culture.
新毕业的医生在最初的几个月里会发现他们的工作极具挑战性且难以招架。由于新毕业的医生在这段时间需要帮助才能生存下去，因此同伴、资深医生、注册护士和其他初级医生等协作者至关重要。然而，人们对这些协作的特点以及新毕业医生在努力建立和维持这些协作时面临的风险知之甚少。本研究旨在从新毕业医生的角度深入描述和探讨这些协作。
我们对 11 名新毕业医生（n=11）进行了 135 小时的参与式观察，在一天中的不同时间和一周的不同时段观察医生的工作。此外，还进行了六次半结构化访谈（四次小组访谈和两次个人访谈）。数据采用主题分析法进行分析。
新毕业医生根据手头的挑战咨询不同的协作者（同伴、资深医生、注册护士和其他初级医生），并采用不同的策略来获得帮助并与协作者建立良好的关系：1）展示能力；2）表现谦虚；3）玩游戏。他们使用不同的策略表明了他们致力于参与这些协作，以及其中的风险。
新毕业医生依靠与不同协作者建立关系来在最初的几个月里生存下来。我们认为，与同伴 NGD 和注册护士的协作在从医学院过渡到工作场所时并没有得到应有的重视。我们强调了关注这些协作者以及其他协作者的重要性，并讨论了不同的工作议程、相互期望和相互依存性。这可以在入职期间加以关注，并成为确保更好的学习环境和尊重的跨专业文化的一种方式。
