Help, I'm a specialist!-Perspectives of recently qualified geriatricians on the experiences and challenges of working as a consultant geriatrician

Australas J Ageing. 2020 Mar;39(1):73-80. doi: 10.1111/ajag.12670. Epub 2019 May 9.

Abstract

Objective: To gain insights into the experience and challenges faced by Australasian geriatricians who have recently made the transition from advanced trainee to consultant.

Methods: An interpretative exploratory qualitative study. Geriatricians with five or less years of experience as consultants were recruited by email. Data were collected through semi-structured interviews, with themes identified through open axial coding.

Results: Respondents (n = 20) experienced a transition period in which they adjusted to the roles of final decision-maker and manager. Respondents felt relatively confident with their clinical skills, but under-prepared for non-clinical roles associated with becoming a consultant. Most respondents described challenges with career planning. Support networks were considered critical.

Conclusions: This is the first study in Australasia exploring the transition from trainee to consultant geriatrician. Training programs should endeavour to create "consultant-like roles" during advanced training and address non-clinical competencies. Participants perceived that there should be more emphasis on career planning and mentorship.

Keywords: geriatricians; leadership; mentors; specialization; training.

MeSH terms

  • Clinical Competence
  • Consultants*
  • Delivery of Health Care
  • Female
  • Geriatricians* / education
  • Humans
  • Male
  • Physician's Role
  • Specialization*