Learning from the early careers of master clinicians

Author:

Murthy Vivek K.1ORCID,Boscardin Christy2,Cumbler Ethan3,Irobunda Christopher4,McQuillan Mark A.5,Phillips Linda G.6,Suneja Manish7ORCID,Wright Scott M.8ORCID,Dhaliwal Gurpreet9

Affiliation:

1. Division of Rheumatology, Section of Hospital Medicine, Department of Medicine, University of California San Francisco School of Medicine San Francisco VA Medical Center San Francisco California USA

2. Department of Medicine University of California San Francisco School of Medicine San Francisco California USA

3. Division of Hospital Medicine, Department of Medicine University of Colorado School of Medicine Aurora Colorado USA

4. Division of Cardiology Columbia University Irving Medical Center New York New York USA

5. Division of Hospital Medicine, Department of Internal Medicine University of Michigan School of Medicine Ann Arbor Michigan USA

6. Division of Plastic Surgery, Department of Surgery University of Texas Medical Branch School of Medicine Galveston Texas USA

7. Department of Internal Medicine, Carver College of Medicine University of Iowa Iowa City Iowa USA

8. Department of General Internal Medicine, Johns Hopkins Bayview Medical Center Johns Hopkins University School of Medicine Baltimore Maryland USA

9. Medical Service, San Francisco VA Medical Center, Department of Medicine University of California San Francisco School of Medicine San Francisco California USA

Abstract

AbstractBackgroundMaster clinicians are recognized as multidimensional experts in clinical medicine. Studying their formative clinical activities could generate insights to guide medical trainees and early career clinicians.ObjectivesTo investigate which early career activities were adopted more commonly by master clinicians than their matched peers and to characterize master clinicians' early career activities across institutions and specialties.Subjects and MethodsWe surveyed master clinicians at seven medical centres about their early career activities. For master clinicians in the Department of Medicine (DOM), we also surveyed matched internist peers.ResultsOf 150 master clinician respondents, 65% were internists (DOM); 35% practiced in other specialties. Compared to their internist peers, there was a trend toward internist master clinicians reading more about their patients' conditions (6.0 vs. 4.8 h per week), reading more case reports (4.0 vs. 2.1 per month), engaging in more frequent teaching duties and devoting less time to research.ConclusionsThe early career activities identified in this study can be adopted by clinicians pursuing clinical excellence and promoted by training programs that seek to foster life‐long learning.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Health Policy

Reference25 articles.

1. Clinical Excellence in Academia: Perspectives From Masterful Academic Clinicians

2. Developmental biographies of Olympic super‐elite and elite athletes: a multidisciplinary pattern recognition analysis;Güllich A;J Expert,2019

3. Learning in Practice: Experiences and Perceptions of High-Scoring Physicians

4. Renowned Physicians’ Perceptions of Expert Diagnostic Practice

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