Abstract
Objective
Trainees or medical residents’ experiences of hospital rotations and training have not been sufficiently studied. More empirical holistic studies of experiences of General Practice/Family Medicine (GP/FM) residents in Sweden are needed. The purpose of this study was to describe experiences of hospital rotation during residency.
Design
Empirical-holistic study.
Setting
GP/FM residents were invited by email to participate in the study. They could describe their experiences anonymously by answering two questions via an esMaker internet survey. Analyses of the responses were carried out with content analysis as the analytical methodology. Both manifest and latent responses were analyzed.
Subjects
Fifty-nine GP/FM residents participated in the study.
Main Outcome Measure
The results identified four main topics: structure, resources, effects, and constructive supervision.
Results
GP/FM residents experienced hospital rotations as effective when there was a structured schedule and adequate time allotted for introduction and meeting patients. Hospital rotations that lacked, or had unstructured, supervision caused uncertainty and insecurity, which led to rotations being experienced as less beneficial, which was, from a GP/FM perspective, not constructive.
Conclusion
The study suggests that family medicine residents required a structured and planned schedule during hospital rotations. This study may contribute to increased quality of hospital rotations during residency as a family physician.
KEY POINTS
Swedish family medicine residents’ experiences of hospital rotations have not been sufficiently studied. Hospital rotations with a structured schedule, which included introduction, supervision and feedback, were considered the most beneficial according to residents. However, family medicine residents were often treated as part of the clinic’s work force without sufficiently structured supervision or feedback. This experience could have led to uncertainty and insecurity during hospital rotations.
Acknowledgments
A special thanks to the Local Research and Development Council, Södra Älvsborg for financial support.
Additional information
The study is not a clinical trial. The study is registered in FoU I VGR number: 142821. FoU in Västra Götalandsregion | FoU I Västragötaland’s regionen (researchweb.org)
Disclosure statement
No potential conflict of interest was reported by the authors.
Necessary ethical approval
Participants were informed that their answers were anonymous, could not be connected to a person or workplace, and that the answers were treated so that only those with authorisation could partake of them. The first question in the study was whether participants consented to participate in the study. The participants gave their approval to participate in the study digitally. They could only participate in the study once. The procedures were in accordance with the ethical standards of the committee responsible for human experimentation, and with the Helsinki Declaration of 1975, as revised in 1983.