Jon-Chao Hong, Kai-Hsin Tai, Ming-Yueh Hwang, Pei-Hsin Lin
Comparing the Effects of Stroke-Appearing and Stroke-Disappearing on Learning the Order of Strokes in Chinese Characters
Frontiers in psychology
transition undergraduate postgraduate training crucial career step physicians several international studies shown graduates feel insufficiently prepared perform various aspects clinical practice publication national framework undergraduate medical education triggered major curricular reforms institution study explored perceptions preparedness practice junior residents graduated new curriculum crosssectional triangulation mixedmethods quantitative qualitative study among junior residents senior physicians 13 hospitals western switzerland administered two online questionnaires aimed exploring perceptions five areas clinical competence knowledge clinical skills clinical reasoning communication collaboration well selfconfidence coping daily work qualitative part consisted six semistructured focus groups junior residents aimed clarifying perceptions circumstances preparedness verbatim transcriptions analysed thematic analysis fiftynine 433 junior residents 68 265 senior physicians completed questionnaire among residents 542 considered curriculum adequately prepared practice however residents felt underperforming particularly developing therapeutic strategies communicating patientsrsquo relatives writing discharge letters 508 95 confidence interval 375641 felt overwhelmed workload 39 felt unfulfilled work perceptions senior physicians residentsrsquo clinical competences often agreed young colleagues nineteen residents volunteered participate six focus groups thematic analysis allowed us highlight six areas associated perceptions underpreparedness 1 adequacy undergraduate instruction 2 ability work efficiently within interprofessional team 3 ability communicate patients colleagues 4 effect curriculum development critical inquiry approach learning 5 difficulties managing daily clinical work 6 negative emotions experienced beginning postgraduate training several important aspects daily clinical practice appear insufficiently mastered first months residency resulting stress anxiety negatively affect job satisfaction study provides concrete examples guidance program directors educators better prepare students postgraduate training