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Article
Publication date: 23 January 2020

Suzanne Phillips and Alison Bullock

This paper aims to evaluate the longer-term impact of the 12-month Welsh clinical leadership fellowship.

Abstract

Purpose

This paper aims to evaluate the longer-term impact of the 12-month Welsh clinical leadership fellowship.

Design/methodology/approach

Semi-structured interviews with 10 out of 14 trainee doctors who were fellows between 2013-2016, exploring how leadership knowledge and skills were used in clinical practice, impact on patient care and influence on careers. Data, gathered in 2017 when participants had completed the fellowship between 1-3 years, were analysed thematically.

Findings

All found the fellowship rewarding. The experience was felt to advantage them in consultant interviews. They gained insight into the wider influence on organisations and the complexity of issues facing senior clinicians. Although subtle, the impact was significant, equipping fellows with negotiation skills, enabling them to better influence change. Indirect impact on clinical practice was evidenced by enhanced confidence, teamworking skills and progression of improvement projects. However, the use of skills was limited by lack of seniority within teams, demands of medical training and examinations. The negativity of others towards management and leadership was also noted by some.

Research limitations/implications

Small participant numbers limit generalisability.

Practical implications

The fellowship is designed to equip participants with skills to lead improvements in healthcare delivery. Those more advanced in their medical training had greater opportunity and seniority to lead change and were better placed to apply the learning. This has implications for whom the training should be targeted.

Originality/value

A rare study exploring the longer-term impact of a leadership programme on later clinical practice, which adds to the body of knowledge of impact and efficacy of leadership training programmes in healthcare environments.

Details

Leadership in Health Services, vol. 33 no. 1
Type: Research Article
ISSN: 1751-1879

Keywords

Open Access
Article
Publication date: 23 April 2018

Suzanne Phillips and Alison Bullock

UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF…

2225

Abstract

Purpose

UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation.

Design/methodology/approach

Focused on the participants (n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities. The authors adopted a qualitative approach, collecting data from four focus groups, 20 individual face-to-face or telephone interviews with fellows and project supervisors and observation of Academi Wales training days.

Findings

Although from diverse specialties and stages in training, all participants reported that the Fellowship met expectations. Fellows learned leadership theory, developing understanding of leadership and teamwork in complex organisations. Through workplace projects, they applied their knowledge, learning from both success and failure. The quality of communication with fellows distinguished the better supervisors and impacted on project success.

Research limitations/implications

Small participant numbers limit generalisability. The authors did not evaluate longer-term impact.

Practical implications

Doctors are required to be both clinically proficient and influence service delivery and improve patient care. The WCLF programme addresses both the need for leadership theory (through the Academi Wales training) and the application of learning through the performance of leadership roles in the projects.

Originality/value

This work represents an evaluation of the only leadership programme in Wales, and outcomes have led to improvements.

Details

Leadership in Health Services, vol. 31 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 2 August 2013

Alison Bullock, Fiona Fox, Rebecca Barnes, Natasha Doran, Wendy Hardyman, Duncan Moss and Mark Stacey

The purpose of this paper is to describe experiences of transition from medical school to new doctor in the UK and to examine the development and evaluation of initiatives…

1591

Abstract

Purpose

The purpose of this paper is to describe experiences of transition from medical school to new doctor in the UK and to examine the development and evaluation of initiatives designed to lessen anxiety and assist transition.

Design/methodology/approach

The evaluations of two recent interventions for new doctors are reported, one at organisational and one at the individual level: first, a longer induction programme; and second, provision of a library of medical textbooks on smartphones (the “iDoc” project). The paper also reports on mindfulness training designed to help trainees' well‐being.

Findings

These initiatives address different aspects of transition challenges (related to roles and responsibilities, cognitive and environmental factors). Benefit can be gained from multiple approaches to supporting this time of uncertainty.

Practical implications

Given the link between transition, doctor stress and patient safety, there is a need to review existing strategies to ameliorate the stress associated with transition and seek novel ways to support new doctors. The authors argue that diverse approaches, targeted at both the organisational and individual level, can support new trainees, both practically and emotionally.

Originality/value

The paper reports initiatives that support transition, of value to medical schools, deaneries, researchers and trainees themselves.

Content available
Article
Publication date: 2 August 2013

Tara Fenwick, Miriam Zukas and Sue Kilminster

240

Abstract

Details

Journal of Workplace Learning, vol. 25 no. 6
Type: Research Article
ISSN: 1366-5626

Book part
Publication date: 25 March 2021

Robert Smith

Abstract

Details

Entrepreneurship in Policing and Criminal Contexts
Type: Book
ISBN: 978-1-80071-056-6

Article
Publication date: 1 September 2008

Alison Culverwell, Alisoun Milne, Reinhard Guss and Jackie Tuppen

Despite evidence that early identification of dementia is of growing policy and practice significance in the UK, limited work has been done on evaluating screening measures for…

Abstract

Despite evidence that early identification of dementia is of growing policy and practice significance in the UK, limited work has been done on evaluating screening measures for use in primary care. The aim of this paper is to offer a clinically informed synthesis of research and practice‐based evidence on the utility, efficacy and quality of dementia screening measures. The study has three elements: a review of research literature; a small‐scale survey of measures employed in three primary care trusts; and a systematic clinical evaluation of the most commonly used screening instruments. The authors integrated data from research and clinical sources. The General Practitioner Assessment of Cognition (GPCOG), Memory Impairment Screen (MIS) and Mini‐Cognitive Assessment Instrument (Mini‐Cog) were found to be: brief; easy to administer; clinically acceptable; effective; minimally affected by education, gender, and ethnicity; and to have psychometric properties similar to the Mini Mental State Examination (MMSE). Although the MMSE is widely used in the UK, this project identifies the GPCOG, MIS and Mini‐Cog as more appropriate for routine use in primary care. A coherent review of evidence coupled with an in‐depth evaluation of screening instruments has the potential to enhance ability and commitment to early intervention in primary care and, as part of a wider educational strategy, improve the quality and consistency of dementia screening.

Details

Quality in Ageing and Older Adults, vol. 9 no. 3
Type: Research Article
ISSN: 1471-7794

Keywords

Content available
Book part
Publication date: 14 March 2017

Kenneth M. Moffett

Abstract

Details

Forming and Centering
Type: Book
ISBN: 978-1-78635-829-5

Article
Publication date: 1 May 1983

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of…

16443

Abstract

In the last four years, since Volume I of this Bibliography first appeared, there has been an explosion of literature in all the main functional areas of business. This wealth of material poses problems for the researcher in management studies — and, of course, for the librarian: uncovering what has been written in any one area is not an easy task. This volume aims to help the librarian and the researcher overcome some of the immediate problems of identification of material. It is an annotated bibliography of management, drawing on the wide variety of literature produced by MCB University Press. Over the last four years, MCB University Press has produced an extensive range of books and serial publications covering most of the established and many of the developing areas of management. This volume, in conjunction with Volume I, provides a guide to all the material published so far.

Details

Management Decision, vol. 21 no. 5
Type: Research Article
ISSN: 0025-1747

Keywords

Abstract

Details

Mixed-Race in the US and UK: Comparing the Past, Present, and Future
Type: Book
ISBN: 978-1-78769-554-2

Article
Publication date: 1 January 1982

Juan R. Freudenthal and Josette A. Lyders

That photography was more than a mere technological breakthrough was clear to its inventors but not to their contemporaries or generations after. The fast visual appropriation of…

Abstract

That photography was more than a mere technological breakthrough was clear to its inventors but not to their contemporaries or generations after. The fast visual appropriation of “reality,” the sudden transformation of this reality into an image which mirrored our world, gave us a new lease on immortality. From its inception, photography became an act of assertion and vainglory and biographers could study the psychology of a face as well as the depth of the soul. Walt Whitman once wrote: “I've been photographed, photographed, and photographed until the cameras themselves are tired of me.” (As quoted by Justin Kaplan. Walt Whitman. A Life. Simon & Schuster, 1980.) From Whitman's ego trips to the forced smiles in that brief but powerful scene in the film, Ordinary People, when family soul‐searching is captured by the click of a camera, the world around us is preserved and mythologized. Photography is witness to history and art, and shapes our lives as well. In a recent interview, Mikhail Baryshnikov stated that as a dancer he had been influenced not only by other choreographers but by “movies, musicals,(and) photo exhibitions.” (The New York Times, June 28, 1981, p. 6). Thus, photography becomes archival material, for it speaks of the human adventure in all its diversity.

Details

Collection Building, vol. 4 no. 1
Type: Research Article
ISSN: 0160-4953

1 – 10 of 22