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Transition to clinical practice during the COVID-19 pandemic: a qualitative study of young doctors' experiences in Brazil and Ireland.
Montagna, Erik; Donohoe, Jessica; Zaia, Victor; Duggan, Eileen; O'Leary, Paula; Waddington, John; O'Tuathaigh, Colm.
Afiliação
  • Montagna E; Faculdade de Medicina do ABC (FMABC), Centro Universitário Saúde ABC, São Paulo, Brazil.
  • Donohoe J; School of Medicine, University College Cork, Cork, Ireland.
  • Zaia V; Faculdade de Medicina do ABC (FMABC), Centro Universitário Saúde ABC, São Paulo, Brazil.
  • Duggan E; School of Medicine, University College Cork, Cork, Ireland.
  • O'Leary P; School of Medicine, University College Cork, Cork, Ireland.
  • Waddington J; School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.
  • O'Tuathaigh C; Jiangsu Key Laboratory of Neuropsychiatric Diseases and College of Pharmaceutical Sciences, Soochow University, Suzhou, Jiangsu, China.
BMJ Open ; 11(9): e053423, 2021 09 22.
Article em En | MEDLINE | ID: mdl-34551956
OBJECTIVES: To explore and compare the perspectives of junior doctors in Brazil and Ireland regarding transition and professional socialisation during the COVID-19 pandemic, with the purpose of identifying better ways to support doctors as they assume their new professional role. DESIGN: 27 semistructured interviews. Transcripts were analysed using qualitative thematic analysis. Cruess' framework of professional socialisation in medicine supported the interpretation of these data. SETTING: Public health hospitals across four Brazilian states (Santa Catarina, São Paulo, Ceará, Paraíba) and County Cork in the South of Ireland. PARTICIPANTS: Twenty-seven male and female medical junior doctors who had graduated between November 2019 and April 2020. RESULTS: Fourteen Brazilian and 13 Irish junior doctors were interviewed for this study. Entry to clinical practice during the pandemic had a significant impact on factors influencing the professional socialisation of junior doctors. This impact was reflected across the following six thematic areas: lack of preparedness; disrupted trajectory of role adaptation; fewer opportunities for experiential learning; solidarity and isolation; altered interactions with patients; challenges to health and well-being. CONCLUSIONS: Transition to clinical practice is an important stage in junior doctors' professional socialisation and identity formation. The COVID-19 pandemic created the opportunity for medical graduates to enter the workforce earlier than usual. Entering the workforce during this period created a lack of confidence among junior doctors concerning the boundaries of their new role and responsibilities, while simultaneously disrupting their social integration. Priorities to mitigate the impact of COVID-19 and future pandemics on this transition are presented.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pandemias / COVID-19 Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil / Europa Idioma: En Revista: BMJ Open Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pandemias / COVID-19 Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil / Europa Idioma: En Revista: BMJ Open Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido