Article Gold Open Access 2025

How faculty with critical care specialties learn in a university hospital: A qualitative phenomenological study

BMJ Open
Journal · Vol. 15 · Issue 1 · Art. e091535
Abstract

Objectives The study aims to explore the workplace learning experiences of medical faculty in critical care specialties at a university hospital, focusing on how they develop their professional identity and construct the meaning of their work. Design Qualitative, phenomenological study. Setting The current study was conducted at a university hospital in South Korea between November 2022 and October 2023. Participants Five faculty members (two males and three females) from critical care specialties (eg, emergency medicine) with over 15 years of experience, each having served as faculty at a university hospital for more than 5 years. Results Six key themes emerged: cultivating 'doctor-ishness' in the realm of critical care, beacon of inner drive: guiding professional growth, nexus for leveraging expertise and fostering professional growth, the challenging reality of becoming an 'ideal' faculty, the shifting tides of the medical profession's role and weaving workplace learning into a unique rhythm of practice. These themes collectively highlight that faculty members' workplace learning involves a transition from functional professionals to reflective practitioners. Conclusions Workplace learning of faculty members with critical care specialties is understood as an ongoing, context-dependent and individualised process in which emotions play a crucial role in determining the depth and significance of learning and shaping professional identities. This study highlights their capacity for agency and potential, offering a perspective beyond previous research that has primarily focused on their hardships. By shedding light on their workplace learning from an insider's view and underscoring the need to support professional development in these high-stakes fields, our findings suggest theoretical and practical interventions to foster the mutual growth of faculty and hospital organisations. © Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC.

Keywords

Author Keywords

Qualitative research burnout MEDICAL EDUCATION & TRAINING Professional

Index Keywords

learning training female human male medical education psychology Humans Article workplace qualitative research controlled study physician professional development medical profession medical school clinical article emotion burnout emergency medicine hospital organization intensive care phenomenology South Korea tight junction university hospital Critical Care Faculty, Medical Hospitals, University Republic of Korea
Author Affiliations
Department of Education Policy, University of Illinois Urbana-Champaign, Urbana, IL, United States
Department of Cardiology, Ajou University School of Medicine, Suwon, Gyeonggi-do, South Korea
Department of Pediatrics, Ajou University School of Medicine, Suwon, Gyeonggi-do, South Korea
Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Gyeonggi-do, South Korea
Department of Medical Education, Ajou University School of Medicine, Suwon, Gyeonggi-do, South Korea
Funding & Acknowledgements
Ajou University
This study was funded by Ajou University Medical Center.
References 10 References
1 Public Health and Medical Services Act South Korea, (2022)
2 Riera-Claret, Carlota, Peer and informal learning among hospital doctors: An ethnographic study focused on routines, practices and relationships, Journal of Workplace Learning, 32, 4, pp. 285-301, (2020)
3 Kyndt, Eva, Informal workplace learning among nurses: Organisational learning conditions and personal characteristics that predict learning outcomes, Journal of Workplace Learning, 28, 7, pp. 435-450, (2016)
4 Kwon, Ivo (Bok Kyu), The meaning of medical professionalism for the faculty members of medical school and university hospitals in Korea, Journal of the Korean Medical Association, 54, 11, pp. 1146-1153, (2011)
5 Seo, Ji-hyun, Burnout of Faculty Members of Medical Schools in Korea, Journal of Korean Medical Science, 37, 9, (2022)
6 Jang, Eun Sun, Work–Life Conflict and Its Health Effects on Korean Gastroenterologists According to Age and Sex, Digestive Diseases and Sciences, 65, 1, pp. 86-95, (2020)
7 Margiotta, Fabio, Prevalence and co-variates of burnout in consultant hospital doctors: burnout in consultants in Ireland Study (BICDIS), Irish Journal of Medical Science, 188, 2, pp. 355-364, (2019)
8 Shanafelt, Tait D., Changes in Burnout and Satisfaction with Work-Life Balance in Physicians and the General US Working Population between 2011 and 2014, Mayo Clinic Proceedings, 90, 12, pp. 1600-1613, (2015)
9 Tawfik, Daniel S., Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors, Mayo Clinic Proceedings, 93, 11, pp. 1571-1580, (2018)
10 Tijdink, Joeri K., Publication Pressure and Burn Out among Dutch Medical Professors: A Nationwide Survey, PLoS ONE, 8, 9, (2013)
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