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Exploring communities of practice in the NHS: A core medical trainee experience

Amery, C; Griffin, A; (2020) Exploring communities of practice in the NHS: A core medical trainee experience. Future Healthcare Journal , 7 (2) e1-e5. 10.7861/fhj.2019-0034. Green open access

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Abstract

Objectives: A community of practice was described by Lave and Wenger as a mutual engagement using a shared repertoire of resources to attain a shared goal. This study explored the extent to which NHS workplaces function as communities of practice for core medical trainees. Methods: All core medical trainees in one region were invited to a semi-structured interview. A framework was produced using communities of practice themes and a hybrid deductive-inductive method used for data analysis. Results: NHS workplaces function as communities of practice by enabling engagement and by formation of mutual relationships. Joint enterprise was evidenced by multidisciplinary team working. Full participation was limited by service provision and short training rotations. Conclusions: Trainee attendance in clinic and procedure lists should be facilitated. Trainees should be enabled to 'act up' as registrar. Flexibility is needed in jobs by allowing swaps between trainees and the facilitation of 'taster weeks'.

Type: Article
Title: Exploring communities of practice in the NHS: A core medical trainee experience
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.7861/fhj.2019-0034
Publisher version: https://doi.org/10.7861/fhj.2019-0034
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Communities of practice, educational theory, postgraduate medical training
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: https://discovery.ucl.ac.uk/id/eprint/10102392
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