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Judgement, Capabilities and Practice: Exploing how clinical supervisors make trust judgements and whether they can be captured by a capability model

Bussey, Maria; (2019) Judgement, Capabilities and Practice: Exploing how clinical supervisors make trust judgements and whether they can be captured by a capability model. Doctoral thesis (Ph.D), UCL (University College London). Green open access

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Abstract

The study had two aims; the first was to gain an insight into the patterns of judgement of clinical supervisors. The second was to explore how these patterns were altered by or corresponded with the use of a proposed assessment framework (Capabilities in Practice or CiPs) in order to help align assessment theory with practice. Designed as a qualitative study, it involved two separate interviews with six consultant surgeons, from different backgrounds, specialties and regions. The first interview explored the strategies they used to make judgements about trainees. The second interview followed a simulation of CiPs and explored the differences in the way trainees were judged. From thematic analysis, the findings from the first set of interviews showed that there were a number of important influences on supervisor judgement arising from political, cultural and financial factors in the organisational context (NHS practice). Drawing on the theories of judgement and trust, a new theory, Judgement in Action, was developed, showing that supervisor judgement had a particular pattern when applied to the judgement of trainee performance and progression. Judgement in Action incorporated four types of training capability under which there were qualities trainees were expected to exhibit when undertaking any high-level training activity. Two of these capabilities were core to surgery and two complementary to it. Two capabilities tended to be learned through instruction while the others were mainly learned through experience. The latter were higher-order, involving complex judgement and skill. The study proposed using the theory of Judgement in Action to help improve the structure of curricula and assessment and to help supervisors and trainees reflect on judgement practices to improve performance. It also proposed that the theory of Judgement in Action could be explored in training regimes used by other professional groups.

Type: Thesis (Doctoral)
Qualification: Ph.D
Title: Judgement, Capabilities and Practice: Exploing how clinical supervisors make trust judgements and whether they can be captured by a capability model
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Education, Practice and Society
URI: https://discovery.ucl.ac.uk/id/eprint/10069461
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