scholarly journals The leadership and followership challenges of doctors in training during the COVID-19 pandemic

Author(s):  
Nathan Boardman ◽  
Jack Munro-Berry ◽  
Judy McKimm

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.

Semiotica ◽  
2017 ◽  
Vol 2017 (216) ◽  
pp. 297-316
Author(s):  
Muhammad Y Gamal

AbstractInterpreting for the police is the backbone of legal interpreting. Yet it is grossly overshadowed by the more visible and more public court interpreting. This paper describes the setting of police interpreting, highlighting some of the major issues and challenges in the field that place a lot more than linguistic pressure on the interpreter. It examines the task of interpreters working within the Australian police setting and casts light on three prevailing practices that tend to challenge the interpreter. The practices relate to the selection, briefing, and training of interpreters working for law enforcement investigations. The paper argues that the current training, instructions, and perception of the role of the police interpreter are inadequate. It further argues that for police interpreting to become professional, formal training in the context of police investigations and pre-committal proceedings is required.


2013 ◽  
Vol 7 (11-12) ◽  
pp. 456 ◽  
Author(s):  
Jonathan Pace ◽  
Melanie Jaeger ◽  
J. Curtis Nickel ◽  
David Robert Siemens

Introduction: We explore the attitudes and experience of urology residents toward acute and chronic pain management during their training.Method: A convenience sample of Canadian Urology chief residents were invited to complete an anonymous questionnaire involving both open and closed-ended questions using a 5-point Likert scale. Descriptive and quantitative statistics were used to analyze the attitudes toward pain management, including their experience and training issues.Results: The response rate was 97%. Most residents agreed or strongly agreed that more formal training in acute pain (77% agreement, mean 4.03 ± 0.98 SD) and chronic pain (68%, 3.97 ± 0.95) management would be valuable in urology residency with only 1 respondent disagreeing that training should be mandatory. There was a significant difference of training experience in chronic versus acute pain management, with only 13% agreement (2.99 ± 0.67) that their training in chronic pain was adequate. Most residents agreed (74%, 3.84 ± 1.00) that most of their training in pain management came from their senior residents or fellows. Many of the residents (65%, 3.61 ± 0.84) felt that they could manage their patients’ acute pain issues independently, even in the absence of an acute pain service, although apparent knowledge of opioids was poor.Conclusions: The results of this survey suggest that urology residents attain their knowledge of pain management experientially with what may be insufficient formal training, particularly in chronic pain. These observations are limited by the relatively small number of respondents and by the nature of a cross-sectional, self-reported survey; however, they would appear to underscore a need to redouble efforts in residency education.


2019 ◽  
Vol 10 ◽  
Author(s):  
Zbigniew Waśkiewicz ◽  
Pantelis T. Nikolaidis ◽  
Dagmara Gerasimuk ◽  
Zbigniew Borysiuk ◽  
Thomas Rosemann ◽  
...  

eLife ◽  
2020 ◽  
Vol 9 ◽  
Author(s):  
Nicolas Robinson-Garcia ◽  
Rodrigo Costas ◽  
Cassidy R Sugimoto ◽  
Vincent Larivière ◽  
Gabriela F Nane

Research careers are typically envisioned as a single path in which a scientist starts as a member of a team working under the guidance of one or more experienced scientists and, if they are successful, ends with the individual leading their own research group and training future generations of scientists. Here we study the author contribution statements of published research papers in order to explore possible biases and disparities in career trajectories in science. We used Bayesian networks to train a prediction model based on a dataset of 70,694 publications from PLoS journals, which included 347,136 distinct authors and their associated contribution statements. This model was used to predict the contributions of 222,925 authors in 6,236,239 publications, and to apply a robust archetypal analysis to profile scientists across four career stages: junior, early-career, mid-career and late-career. All three of the archetypes we found - leader, specialized, and supporting - were encountered for early-career and mid-career researchers. Junior researchers displayed only two archetypes (specialized, and supporting), as did late-career researchers (leader and supporting). Scientists assigned to the leader and specialized archetypes tended to have longer careers than those assigned to the supporting archetype. We also observed consistent gender bias at all stages: the majority of male scientists belonged to the leader archetype, while the larger proportion of women belonged to the specialized archetype, especially for early-career and mid-career researchers.


2010 ◽  
Vol 92 (2) ◽  
pp. 46-50 ◽  
Author(s):  
A Young ◽  
N Redfern ◽  
L Sher

It has long been acknowledged that hospital doctors train their juniors with only limited extra time or support and little formal training for their role. The introduction of job planning was intended to recognise formally the additional time needed for this and other activities and the new Postgraduate Medical Education and Training Board (PMETB) standards for trainers are intended to address the need for faculty development. If these Standards for trainers are to be achieved, regulators may need to provide clearer guidance to trusts about the time required in job plans to deliver the expected standard of educational and clinical supervision and other deanery and royal college educational roles.


2017 ◽  
Vol 74 (7) ◽  
pp. 1957-1964 ◽  
Author(s):  
Evangelia G. Drakou ◽  
Charlène Kermagoret ◽  
Adrien Comte ◽  
Brita Trapman ◽  
Jake C. Rice

Abstract As the environmental issues facing our planet change, scientific efforts need to inform the sustainable management of marine resources by adopting a socio-ecological systems approach. Taking the symposium on “Understanding marine socio-ecological systems: including the human dimension in Integrated Ecosystem Assessments (MSEAS)” as an opportunity we organized a workshop to foster the dialogue between early and advanced-career researchers and explore the conceptual and methodological challenges marine socio-ecological systems research faces. The discussions focused on: a) interdisciplinary research teams versus interdisciplinary scientists; b) idealism versus pragmatism on dealing with data and conceptual gaps; c) publishing interdisciplinary research. Another major discussion point was the speed at which governance regimes and institutional structures are changing and the role of researchers in keeping up with it. Irrespective of generation, training or nationality, all participants agreed on the need for multi-method approaches that encompass different social, political, ecological and institutional settings, account for complexity and communicate uncertainties. A shift is needed in the questions the marine socio-ecological scientific community addresses, which could happen by drawing on lessons learnt and experiences gained. These require in turn a change in education and training, accompanied by a change in research and educational infrastructures.


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