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Factors influencing effectiveness in postgraduate medical education - a qualitative study of experiences of the responsible clinical consultants
Karolinska Institutet.
Karolinska Institutet.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0001-8489-0757
Karolinska University Hospital.
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2019 (English)In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 19, article id 3Article in journal (Refereed) Published
Abstract [en]

BackgroundMedical education leaders are important for educational quality in postgraduate medical education. Their work tasks are complex and contain different components. However, factors that are influencing leaders effectiveness in completing these tasks are unexplored. Understanding and developing these factors is most likely essential to strengthen postgraduate medical education and to consequently improve the quality in health care delivery. This study explores the experiences of factors that influence effectiveness of clinical consultants responsible for postgraduate medical education at clinical departments. Effectiveness was defined as fulfillment of work tasks.MethodsA qualitative study was performed with data gathered through semi-structured face-to-face interviews with 17 consultants responsible for postgraduate medical education. Data was analyzed by qualitative content analysis.ResultsFindings clustered into four themes of factors influencing effectiveness: individual (being an expert, social competence), relational (support and cooperation, communication), attitudinal (shared vision, organizational values, colleagues' attitudes) and structural (organizational characteristics, regulations and guidelines, conditions for the role). The factors were experienced to influence effectiveness in a positive or a negative direction.Conclusions This study shed light on the complex and interrelated factors experienced to have impact on the role of consultant responsible for postgraduate medical education. Viewing the result through the concept of power, the role mainly relies on personal power sources like expert and referent power whereas power connected to the position often are lacking. To increase effectiveness of the role, a differentiated strategy which involves activities at both individual, group and organizational levels is needed.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 19, article id 3
Keywords [en]
Qualitative research, Medical education, Leadership, Effectiveness, Professional development, Clinical consultant, Educational effectiveness, Postgraduate
National Category
Other Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-79735DOI: 10.1186/s12909-018-1433-6ISI: 000454904700003PubMedID: 30606174Scopus ID: 2-s2.0-85059494374OAI: oai:DiVA.org:lnu-79735DiVA, id: diva2:1281683
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-08-29Bibliographically approved

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Heikkilä, Kristiina

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  • apa
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