Coventry, Jennifer, Hampton, Jennifer ![]() ![]() ![]() |
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Abstract
Purpose In contexts of changing patient demographics, this study explores what doctors and medical students believe being a ‘good’ doctor means and identifies implications for training. Method Using Q-methodology, a purposive sample of 58 UK medical students and trainees sorted 40 responses to the prompt “Being a ‘good’ doctor means…” into a quasi-normal distribution. Participants explained their array choices in a post-sort questionnaire. Factor-groups, consensus and distinguishing statements were identified using Principal Competent Analysis in R. Results Three factor-groups best described shared and divergent perspectives, accounting for 61.64% of variance. The largest, “patient-centred generalist” group valued patient wellbeing and empowerment, compassion and complex needs. They prioritised knowledge breadth and understanding other specialities. The “efficient working doctors” group valued good work-life balance, pay and did not seek challenge. Some believed these made a stressful career sustainable. The “specialist” group valued skills mastery, expertise, depth of knowledge and leadership. Participant-groups were distributed across these factor-groups, all agreeing early specialisation should be avoided. Conclusions The largest factor-group perceptions of holistic, patient-centred care align with Royal Colleges’ curricula adaptions to equip doctors with generalist skills to manage multi-morbid patients. However, curriculum designers should acknowledge implications of generalist approaches for doctors’ formulation of professional identities.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Medicine Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE) |
Publisher: | Taylor and Francis |
ISSN: | 0142-159X |
Date of First Compliant Deposit: | 25 March 2022 |
Date of Acceptance: | 16 March 2022 |
Last Modified: | 07 Jan 2024 22:29 |
URI: | https://orca.cardiff.ac.uk/id/eprint/148443 |
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