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Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis./
作者:	Turcotte, Sara.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	149 p.
附註:	Source: Masters Abstracts International, Volume: 83-05.
Contained By:	Masters Abstracts International83-05.
標題:	Teaching. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28730947
ISBN:	9798544222613

Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis.
Turcotte, Sara.

Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 149 p.

Source: Masters Abstracts International, Volume: 83-05.

Thesis (M.S.)--McGill University (Canada), 2021.

This item must not be sold to any third party vendors.

Introduction: This research involves aspiring doctors experiencing difficulties during their residency training. During residency, most doctors will achieve licensure up to the required competency standards, but some will struggle and need remediation strategies to resume their post-graduate training successfully. This research aims to understand the lived experience of going through remediation from trainees' perspectives in a family medicine residency program. Methodology and Methods: This research used interpretative phenomenological analysis (IPA). IPA is a qualitative methodological approach permitting participants to give meaning to their personal and social worlds or experiences through an insider's perspective. Six former family medicine remediated residents were purposively sampled and submitted to in-depth semi-structured individual interviews from 1 to 6 years after residency. Those were submitted to IPA's stepped approach and identify four functional themes timely sequenced from pre-remediation to late post-remediation and residency periods.Results: In pre-remediation, all participants interpreted having lived a strong emotional reaction to the announcement of remediation. Most expressed having felt shocked and surprised by their lack of assessed competency and performance. During remediation, they interpreted having experienced negative feelings such as emotional pain, shame, low self-esteem, and sensations of losing control over their lives. They also expressed having lived positive responses to remediation, such as feeling supported and cared for, euphoria, and gradually regaining control over their lives. They expressed they felt their reactions were rooted in their personal, familiar, and medical education histories and compounding concurrent life issues. They interpreted that their relations with their educators and teaching institution influenced their performance. All expressed having felt threatened in their professional identity, with variable but waning intensity through the continuum of pre-remediation, remediation, and immediate post-remediation periods. Immediately in the post-remediation period and residency, most expressed adjusting to their educators and institution expectations, but some interpreted having felt prejudiced and experiencing this remaining feeling even late after residency. However, most interpreted the experience's influence as positive over personal and professional issues at stake during remediation, expressed feeling gratitude for the support received and wanting to contribute in some way to the community of practice.Discussion: Remediation in a family medicine residency program was interpreted by those who lived it as a complex and disruptive experience. Some questioned the pertinence of remediation or felt it negatively impacted their practice or to identify as a medical practitioner. However, most interpreted remediation has positively contributed to their professional and personal satisfaction, happiness, sense of achievement, and sense of belonging to the medical community.

ISBN: 9798544222613Subjects--Topical Terms:

517098
Teaching.

Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis.
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245 1 0 $a Former Residents' Perspective of a Remediation Program in Family Medicine Using Interpretative Phenomenological Analysis.
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300 $a 149 p.
500 $a Source: Masters Abstracts International, Volume: 83-05.
500 $a Advisor: Rodriguez, Rosario;Rice, Kathleen.
502 $a Thesis (M.S.)--McGill University (Canada), 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Introduction: This research involves aspiring doctors experiencing difficulties during their residency training. During residency, most doctors will achieve licensure up to the required competency standards, but some will struggle and need remediation strategies to resume their post-graduate training successfully. This research aims to understand the lived experience of going through remediation from trainees' perspectives in a family medicine residency program. Methodology and Methods: This research used interpretative phenomenological analysis (IPA). IPA is a qualitative methodological approach permitting participants to give meaning to their personal and social worlds or experiences through an insider's perspective. Six former family medicine remediated residents were purposively sampled and submitted to in-depth semi-structured individual interviews from 1 to 6 years after residency. Those were submitted to IPA's stepped approach and identify four functional themes timely sequenced from pre-remediation to late post-remediation and residency periods.Results: In pre-remediation, all participants interpreted having lived a strong emotional reaction to the announcement of remediation. Most expressed having felt shocked and surprised by their lack of assessed competency and performance. During remediation, they interpreted having experienced negative feelings such as emotional pain, shame, low self-esteem, and sensations of losing control over their lives. They also expressed having lived positive responses to remediation, such as feeling supported and cared for, euphoria, and gradually regaining control over their lives. They expressed they felt their reactions were rooted in their personal, familiar, and medical education histories and compounding concurrent life issues. They interpreted that their relations with their educators and teaching institution influenced their performance. All expressed having felt threatened in their professional identity, with variable but waning intensity through the continuum of pre-remediation, remediation, and immediate post-remediation periods. Immediately in the post-remediation period and residency, most expressed adjusting to their educators and institution expectations, but some interpreted having felt prejudiced and experiencing this remaining feeling even late after residency. However, most interpreted the experience's influence as positive over personal and professional issues at stake during remediation, expressed feeling gratitude for the support received and wanting to contribute in some way to the community of practice.Discussion: Remediation in a family medicine residency program was interpreted by those who lived it as a complex and disruptive experience. Some questioned the pertinence of remediation or felt it negatively impacted their practice or to identify as a medical practitioner. However, most interpreted remediation has positively contributed to their professional and personal satisfaction, happiness, sense of achievement, and sense of belonging to the medical community.
520 $a Introduction: Cette etude implique des medecins de famille en formation qui experimentent des difficultes durant leur residence. Bien que la plupart atteindront les standards de competence et performance requis, quelques-uns pourront necessiter de strategies de remediation pour terminer la residence avec succes. Cette etude cherche a comprendre l'experience de la remediation de la perspective de residents qui l'ont vecue.Methodologie et Methodes: L'analyse interpretative phenomenologique (AIP) utilisee dans cette etude est une methode qualitative qui permet de donner un sens a des experiences vecues a partir d'une perspective emique. Un echantillon raisonne de six anciens residents remedies a ete soumis a des entretiens approfondis semi-structures une a six annees apres la fin de la residence. Ces entrevues ont ete soumises aux etapes methodologiques de l'AIP, et quatre themes fonctionnels lies temporellement a la residence ont ete identifies.Resultats: En pre-remediation, tous les participants ont interprete avoir vecu une forte reaction emotionnelle a l'annonce de la remediation. La plupart ont decrit avoir ete choques ou surpris par l'evaluation faite par leurs remediateurs de leur manque de competence et performance. En remediation, ils ont interprete avoir vecu des emotions negatives comme de la douleur emotionnelle, de la honte, une diminution de l'auto-estime et la sensation de perdre le controle de leurs vies. Ils ont aussi exprime avoir vecu des reponses positives comme sentir qu'on tenait a les supporter, une euphorie et une sensation de reprise graduelle de controle sur leurs vies. Ils ont aussi exprime avoir senti que leurs reactions etaient influencees par leurs histoires de vie personnelle, familiale et educationnelle et par leur situation de vie courante. Ils ont interprete que leurs relations avec les educateurs et l'institution d'enseignement ont influence leur performance. Tous ont exprime s'etre sentis menaces dans leur identite professionnelle a une intensite variable, diminuant graduellement a travers les periodes de pre-remediation, remediation et post-remediation immediate. En post-remediation immediate et post- residence, la plupart ont exprime s'etre ajustes a l'expectative de leurs educateurs et institution, mais quelques-uns ont interprete s'etre sentis leses par la remediation, sensation persistant meme tardivement apres la residence. Cependant, la plupart ont interprete l'influence de l'experience comme etant positive sur les situations personnelles et professionnelles qui ont amene a la remediation, ont rapporte un sentiment de gratitude pour l'aide obtenue et voulant contribuer d'une maniere ou d'une autre a la communaute de pratique.Discussion: L'experience de la remediation d'une residence en medicine de famille a ete interpretee par ceux qui l'ont vecue comme etant complexe et perturbatrice. Quelques residents en ont questionne la pertinence ou ont senti qu'elle avait influence negativement leur pratique ou leur identification a la profession. Cependant, la plupart ont interprete que la remediation avait contribue positivement a leur satisfaction personnelle et professionnelle, leur bonheur et leur sentiment de reussite et d'appartenance a la profession.
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