A community of practice to address system-based issues and promote clinical leadership among trainee medical officers in a large public health service: an evaluation of a trainee-led forum

被引：0

作者：

Koopowitz, Samuel M. ^{[1
,2
]}

Arnold, Matthew ^{[3
]}

Inglis, Joshua M. ^{[2
,3
,4
,5
]}

Hon, Kay ^{[2
,3
]}

Vanlint, Andrew ^{[2
,3
,4
,6
]}

Koopowitz, Leslie F. ^{[3
]}

O'Callaghan, Gerry ^{[2
,3
,7
]}

机构：

[1] Royal Adelaide Hosp, Port Rd, Adelaide, SA 5000, Australia

[2] Royal Adelaide Hosp, Port Rd, Adelaide, SA, Australia

[3] Univ Adelaide, Fac Hlth & Med Sci, Adelaide, SA, Australia

[4] Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, SA, Australia

[5] Flinders Med Ctr, Dept Clin Pharmacol, Adelaide, SA, Australia

[6] Northern Adelaide Local Hlth Network, Med Serv Div, Adelaide, SA, Australia

[7] Univ South Australia, Adelaide, SA, Australia

来源：

AUSTRALIAN HEALTH REVIEW | 2023年 / 47卷 / 06期

关键词：

clinical governance; clinical leadership; community of practice; health services management; medical workforce; patient care; professional development; quality improvement; service delivery; trainee medical officers;

D O I：

10.1071/AH23182

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Clinical leadership is necessary to improve the performance of large public hospitals. Trainee medical officers (TMOs) are important stakeholders in organisation-wide initiatives that affect the medical workforce and support clinician engagement. This case study describes the development of a representative body known as the 'TMO Forum' within the Central Adelaide Local Health Network as a mechanism to promote engagement between medical trainees and the hospital executive to facilitate escalation and discussion of system-based issues. Over the past 8 years, this group has evolved into a community of practice with steady and sustained growth since inception. Trainees have fostered relationships with the executive, and have engaged in leadership and quality improvement initiatives. Here we explore the evolution, value and barriers to success of the TMO Forum. Our discussion is supplemented with findings from anonymous online evaluation surveys of both the TMO and executive stakeholder groups. We propose that initiatives such as the described may offer reciprocal benefits to both constituent groups regarding communication, and that the development of a dedicated community of practice will enhance engagement of TMOs in health service improvement initiatives and advocacy. However, there are obstacles to overcome in order to attract a greater number of trainees and maximise the benefits from this initiative. What is known about the topic? It is difficult to engage trainee medical officers in hospital initiatives and clinical leadership due to competing demands for their time. What does this paper add? Trainee medical officers were engaged in organisational initiatives at a large public health service through the establishment of a formal representative body. We provide a case study and evaluation of this representative body, including surveys of trainees and other key stakeholders. What are the implications for practitioners? The development of a community of practice may promote clinical leadership and organisational involvement among trainee medical officers.

引用

页码：667 / 670

页数：4