An international study of trainee-trained transitions: Introducing the transition-to-trained-doctor (T3D) model

L. Gordon; P.W. Teunissen; D. Jindal-Snape; J. Bates; C.E. Rees; M. Westerman; R. Sinha; A. van Dijk

doi:10.1080/0142159X.2020.1733508

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An international study of trainee-trained transitions: Introducing the transition-to-trained-doctor (T3D) model

Journal article

Peer reviewed

An international study of trainee-trained transitions: Introducing the transition-to-trained-doctor (T3D) model

L. Gordon, P.W. Teunissen, D. Jindal-Snape, J. Bates, C.E. Rees, M. Westerman, R. Sinha and A. van Dijk

Medical Teacher, Vol.42(6), pp.679-688

2020

DOI: https://doi.org/10.1080/0142159X.2020.1733508

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Abstract

Background: Throughout their careers, doctors and other healthcare professionals experience numerous transitions. When supporting transitions, opportunities for development and learning should be maximized, while stressors having negative impacts on well-being should be minimized. Building on our international data, this study aimed to develop a conceptual model of the trainee-trained transition (i.e. the significant transitions experienced by doctors as they complete postgraduate training moving from trainee/resident status to medical specialist roles). Methods: Employing Multiple and Multidimensional Transitions (MMT) theory and current conceptualizations of clinical context, this study undertook secondary analysis of 55 interviews with doctors from three countries (Netherlands, Cananda and the UK) undergoing trainee-trained transitions. Results: Through this analysis, the Transition-To-Trained-Doctor (T3D) conceptual model has been developed. This model takes into consideration the multiple contexts and multiple domains in which transitions take place. Discussion: This model is significant in that it has several uses and is applicable across countries: to remind doctors, managers and medical educators of the complexity of transitions; to frame and facilitate supportive conversations; and as a basis to teach about transitions.

Details

Title: An international study of trainee-trained transitions: Introducing the transition-to-trained-doctor (T3D) model
Authors/Creators: L. Gordon (Author/Creator) - University of Dundee
P.W. Teunissen (Author/Creator) - Maastricht University
D. Jindal-Snape (Author/Creator) - University of Dundee
J. Bates (Author/Creator) - University of British Columbia
C.E. Rees (Author/Creator) - Murdoch University
M. Westerman (Author/Creator) - Franciscus Vlietland
R. Sinha (Author/Creator) - University of Saskatchewan
A. van Dijk (Author/Creator) - Maastricht University
Publication Details: Medical Teacher, Vol.42(6), pp.679-688
Publisher: Informa Healthcare
Identifiers: 991005544388107891
Murdoch Affiliation: College of Science, Health, Engineering and Education
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.14 Nursing; 1.14.363 Medical Training
Web Of Science research areas: Education, Scientific Disciplines; Health Care Sciences & Services
ESI research areas: Clinical Medicine