A national stakeholder consensus study of challenges and priorities for clinical learning environments in postgraduate medical education

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dc.contributor.authorKilty, Caroline
dc.contributor.authorWiese, Anel
dc.contributor.authorBergin, Colm
dc.contributor.authorFlood, Patrick
dc.contributor.authorFu, Na
dc.contributor.authorHorgan, Mary
dc.contributor.authorHiggins, Agnes
dc.contributor.authorMaher, Bridget M.
dc.contributor.authorO'Kane, Grainne
dc.contributor.authorPrihodova, Lucia
dc.contributor.authorSlattery, Dubhfeasa
dc.contributor.authorStoyanov, Slavi
dc.contributor.authorBennett, Deirdre
dc.contributor.funderHealth Research Board
dc.date.accessioned2018-02-06T13:36:27Z
dc.date.available2018-02-06T13:36:27Z
dc.date.issued2017
dc.description.abstractBackground: High quality clinical learning environments (CLE) are critical to postgraduate medical education (PGME). The understaffed and overcrowded environments in which many residents work present a significant challenge to learning. The purpose of this study was to develop a national expert group consensus amongst stakeholders in PGME to; (i) identify important barriers and facilitators of learning in CLEs and (ii) indicate priority areas for improvement. Our objective was to provide information to focus efforts to provide high quality CLEs. Methods: Group Concept Mapping (GCM) is an integrated mixed methods approach to generating expert group consensus. A multi-disciplinary group of experts were invited to participate in the GCM process via an online platform. Multi-dimensional scaling and hierarchical cluster analysis were used to analyse participant inputs in regard to barriers, facilitators and priorities. Results: Participants identified facilitators and barriers in ten domains within clinical learning environments. Domains rated most important were those which related to residents’ connection to and engagement with more senior doctors. Organisation and conditions of work and Time to learn with senior doctors during patient care were rated as the most difficult areas in which to make improvements. Conclusions: High quality PGME requires that residents engage and connect with senior doctors during patient care, and that they are valued and supported both as learners and service providers. Academic medicine and health service managers must work together to protect these elements of CLEs, which not only shape learning, but impact quality of care and patient safety.en
dc.description.sponsorshipHealth Research Board (Exploring Clinical Learning Environments for Postgraduate Medical Education and Training (MERG-899)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid226
dc.identifier.citationKilty, C., Wiese, A., Bergin, C., Flood, P., Fu, N., Horgan, M., Higgins, A., Maher, B., O’Kane, G., Prihodova, L., Slattery, D., Stoyanov, S. and Bennett, D. (2017) 'A national stakeholder consensus study of challenges and priorities for clinical learning environments in postgraduate medical education', BMC Medical Education, 17, 226 (9pp). doi: 10.1186/s12909-017-1065-2en
dc.identifier.doi10.1186/s12909-017-1065-2
dc.identifier.endpage9
dc.identifier.journaltitleBMC Medical Educationen
dc.identifier.startpage1
dc.identifier.urihttps://hdl.handle.net/10468/5378
dc.identifier.volume17
dc.language.isoenen
dc.publisherBioMed Central Ltden
dc.relation.urihttps://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-017-1065-2
dc.rights© 2017, the Authors. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectGraduate medical educationen
dc.subjectPostgraduate medical educationen
dc.subjectClinical learning environmenten
dc.subjectEuropean working time directiveen
dc.subjectDuty hours regulationsen
dc.subjectGroup concept mappingen
dc.titleA national stakeholder consensus study of challenges and priorities for clinical learning environments in postgraduate medical educationen
dc.typeArticle (peer-reviewed)en
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