BACKGROUND: Residents and fellows often seek to emulate master clinician role models; however, the activities these expert clinical faculty pursued early in their careers are not known. OBJECTIVE: We studied the early career clinical experiences and learning behaviors of peer-defined master academic clinicians. METHODS: We performed a retrospective, qualitative interview study of 17 members of the University of California, San Francisco, Department of Medicine Council of Master Clinicians. Between March 1 and May 31, 2016, we interviewed participants using a semistructured interview guide surveying their early career clinical experiences and learning habits. Interviews were audio-recorded and transcribed. We used a general inductive approach to code transcripts and to identify consistent themes. RESULTS: Of the 28 council members invited to participate, 17 (61%) responded and were interviewed. Participants included 12 men and 5 women, with an average of 27 years in clinical practice (range, 13-50 years). Six participants were general internists, and 11 were internal medicine subspecialists. Based on thematic analysis of interview transcripts, 4 themes of clinical development emerged: (1) consistent learning efforts; (2) rigorous skill development; (3) cultivating habits of mind; and (4) clinically rich environments. CONCLUSIONS: Our study describes the early career experiences and learning behaviors of master clinicians. We aggregated key dimensions of the findings into a guide for residents, fellows, and junior clinicians interested in the pursuit of clinical excellence.
BACKGROUND: Residents and fellows often seek to emulate master clinician role models; however, the activities these expert clinical faculty pursued early in their careers are not known. OBJECTIVE: We studied the early career clinical experiences and learning behaviors of peer-defined master academic clinicians. METHODS: We performed a retrospective, qualitative interview study of 17 members of the University of California, San Francisco, Department of Medicine Council of Master Clinicians. Between March 1 and May 31, 2016, we interviewed participants using a semistructured interview guide surveying their early career clinical experiences and learning habits. Interviews were audio-recorded and transcribed. We used a general inductive approach to code transcripts and to identify consistent themes. RESULTS: Of the 28 council members invited to participate, 17 (61%) responded and were interviewed. Participants included 12 men and 5 women, with an average of 27 years in clinical practice (range, 13-50 years). Six participants were general internists, and 11 were internal medicine subspecialists. Based on thematic analysis of interview transcripts, 4 themes of clinical development emerged: (1) consistent learning efforts; (2) rigorous skill development; (3) cultivating habits of mind; and (4) clinically rich environments. CONCLUSIONS: Our study describes the early career experiences and learning behaviors of master clinicians. We aggregated key dimensions of the findings into a guide for residents, fellows, and junior clinicians interested in the pursuit of clinical excellence.
Authors: Joan Sargeant; Karen Mann; Douglas Sinclair; Suzanne Ferrier; Philip Muirhead; Cees van der Vleuten; Job Metsemakers Journal: Acad Med Date: 2006-07 Impact factor: 6.893
Authors: Jonathan S Ilgen; Aloysius J Humbert; Gloria Kuhn; Matthew L Hansen; Geoffrey R Norman; Kevin W Eva; Bernard Charlin; Jonathan Sherbino Journal: Acad Emerg Med Date: 2012-12 Impact factor: 3.451
Authors: Judith L Bowen; Joseph Chiovaro; Bridget C O'Brien; Christy Kim Boscardin; David M Irby; Olle Ten Cate Journal: Perspect Med Educ Date: 2020-08