Improving the quality of clinical learning environments can improve the performance, humanism and wellbeing of learners and ultimately the quality and safety of patient care. Intern Emerg Med. There are few published examples of realist synthesis. Discussion. journal Searching process. http://dx.doi.org/10.1186/s13643-017-0415-9 Rycroft-Malone J, McCormack B, Hutchinson AM, DeCorby K, Bucknall TK, Kent B, et al. Development and validation of an instrument to measure the postgraduate clinical learning and teaching educational environment for hospital-based junior doctors in the UK. DerivedFrom Mirrors crossmark:CrossmarkDomainExclusive Clinical learning environments in postgraduate medical education and training is a broad topic. This paper therefore fills a gap by describing, in detail, the process used for a realist review and synthesis to answer the question ‘what interventions … Learning, clinical environment and working conditions are closely intertwined. 2014;96–B:1133–8. 1989;18:32–42. pdfx Realist review will build and refine a theory of postgraduate medical education and training to address these questions. http://crossref.org/crossmark/1.0/ default We have been funded by the Health Research Board (Ireland), the Medical Council of Ireland and the Irish Health Service Executive (National Doctors Training and Planning) to conduct a project comprised of three studies triangulating on the ways in which clinical learning environments shape postgraduate trainees’ learning. Those tasked with the design and delivery of postgraduate medical education and training need to understand the relationship between the processes of medical workplace learning and these contextual elements in order to optimise conditions for learning. 2010;85:S33–6. internal Part 1 0 obj If used as a dc:identifier, the URI form should be captured, and the bare identifier should also be captured using prism:doi. internal AU - Shucksmith, Janet. 44. 10.1186/s13643-017-0415-9 URI XMP Media Management Schema Dubhfeasa Slattery Promoting excellence: standards for medical education and training. They represent a complex social intervention that occurs within the fast-changing system of primary health care. ... enshrined in a systematic review protocol. For example, a new version might only need to specify the instance ID and version number of the previous version, or a rendition might only need to specify the instance ID and rendition class of the original. Reasons for exclusion of papers will be thoroughly documented to ensure transparency. Communities of practice theory [32] emphasises the importance of participation in practice and connection, recognition and belonging within a community. Realist principles will be embedded in all stages of the review process. Health care systems internationally are under strain, facing increasing demands with limited resources [18, 19]. Dates of the planned realist review, from protocol design to completion, January 2019 to July 2020. Additionally, the scope of the review will be informed by another study into clinical learning environment being undertaken by the group. 2012;90:1–41. What factors create a humanistic doctor? CrossMarkDomains This protocol will explain the rationale for using a realist review approach and outline the key steps in this process. <, Systematic Reviews, 2017, doi:10.1186/s13643-017-0415-9, Protocol for a realist review of workplace learning in postgraduate medical education and training. Understanding how appraisal of doctors produces its effects: a realist review protocol. ), geographical area in which the study was conducted, specific population and methodology used. Improving best practise for patients receiving hospital discharge letters: a realist review protocol. The realist approach also starts with a … 2005;27:326–31. Although patients have shorter hospital stays, inpatients are sicker and healthcare has become more complex and expensive [20]. Mirrors crossmark:MajorVersionDate For example, our data sources for this realist review were peer-reviewed and grey literature. Burnout and quality of life among orthopaedic trainees in a modern educational programme: importance of the learning climate. Adobe PDF Schema This protocol will explain the rationale for using a realist review approach and outline the key steps in this process. SMUR = Submitted Manuscript Under Review These questions will ensure that the sources identified allow the team to make sense of the subject area, in order to develop, refine and test theories, and to support inferences made about mechanisms. Exclusion criteria include (1) non-empirical papers including commentaries, letters, editorials and reviews, (2) papers related to undergraduate medical education and (3) research on simulation or other non-clinical interventions.