Perceptions of UK medical graduates' preparedness for practice : a multi-centre qualitative study reflecting the importance of learning on the job

Illing, Jan C. and Morrow, Gill M. and Rothwell nee Kergon, Charlotte R. and Burford, Bryan C. and Baldauf, Beate K. and Davies, Carol L. and Peile, Ed B. and Spencer, John A. and Johnson, Neil and Allen, Maggie and Morrison, Jill (2013) Perceptions of UK medical graduates' preparedness for practice : a multi-centre qualitative study reflecting the importance of learning on the job. Medical Education, 13: 34. ISSN 0308-0110

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BACKGROUND: There is evidence that graduates of different medical schools vary in their preparedness for their first post. In 2003 Goldacre et al. reported that over 40% of UK medical graduates did not feel prepared and found large differences between graduates of different schools. A follow-up survey showed that levels of preparedness had increased yet there was still wide variation. This study aimed to examine whether medical graduates from three diverse UK medical schools were prepared for practice. METHODS: This was a qualitative study using a constructivist grounded theory approach. Prospective and cross-sectional data were collected from the three medical schools.A sample of 60 medical graduates (20 from each school) was targeted. They were interviewed three times: at the end of medical school (n = 65) and after four (n = 55) and 12 months (n = 46) as a Year 1 Foundation Programme doctor. Triangulated data were collected from clinicians via interviews across the three sites (n = 92). In addition three focus groups were conducted with senior clinicians who assess learning portfolios. The focus was on identifying areas of preparedness for practice and any areas of lack of preparedness. RESULTS: Although selected for being diverse, we did not find substantial differences between the schools. The same themes were identified at each site. Junior doctors felt prepared in terms of communication skills, clinical and practical skills and team working. They felt less prepared for areas of practice that are based on experiential learning in clinical practice: ward work, being on call, management of acute clinical situations, prescribing, clinical prioritisation and time management and dealing with paperwork. CONCLUSIONS: Our data highlighted the importance of students learning on the job, having a role in the team in supervised practice to enable them to learn about the duties and responsibilities of a new doctor in advance of starting work.

Item Type:
Journal Article
Journal or Publication Title:
Medical Education
Additional Information:
© 2013 Illing et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords:
?? adultclinical competencecross-sectional studieseducation, medicalfemalegreat britainhumanslearningmalephysiciansprospective studiesschools, medicalself-assessmenteducationmedicine(all) ??
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19 Aug 2014 09:29
Last Modified:
06 Apr 2024 23:36