Prideaux Fellowship in Medical Education

The Prideaux Centre offers support for a medical clinician to conduct medical education research vis-à-vis their clinical duties.

The Prideaux Fellowship is open to currently employed clinicians at the level of Senior Registrar or Junior Consultant with a supervisory role (e.g. clinical supervision, topic coordination, lecturing, or an organisational role).

The Fellowship provides funding over two years to provide paid leave for release from regular clinical duties in order to commit one day per week to engage in medical education research.

The Prideaux Fellow is paired with two Prideaux Centre researchers who perform supervisory and collaborative roles to support the Fellow’s ongoing learning and research development.

The Fellow is also provided with ongoing learning opportunities and support throughout their fellowship. This can include enrolment in the Master of Clinical Education by Research.

The Prideaux Fellow is expected to produce at least one research publication as a result of the research undertaken during the fellowship.

 

Cognitive disposition to respond amongst junior doctors

Several patients die each year as a result of human errors, which predominantly involve cognitive factors.

These involve faulty thought processes and subconscious biases [cognitive disposition to respond (CDR)] and have been shown to contribute to patient injury by means of missed/wrong diagnoses and treatment.

There is currently no data around occurrence of various different types of CDRs amongst junior doctors, how they are associated with good and bad outcomes and how junior doctors can be taught to mitigate the harmful effects of these CDRs.

The project aims to address some of these questions. As a first step, we have reviewed the video recordings of over 70 simulation sessions, wherein the junior doctors were involved in management of acutely sick patient in a high fidelity simulation lab.

The project is currently progressing to a prospective study on junior doctors managing acutely sick patient in simulated environment, with detailed assessment of CDRs, and associated factors such as cognitive load.

Simultaneous literature review is being conducted on various theories of clinical judgment and decision-making, exploring the various ways in which an intervention could be designed in order to help doctors recognize and mitigate the harmful effects of these CDRs.

Shivesh Prakash

About Shivesh

Shivesh is an Intensive care specialist at Southern Adelaide Health Network and a Masters student in health services management at Flinders University.

His research interests involve various aspects of acute care medicine including clinical reasoning and decision making under stress.

He has been awarded the prestigious Prideaux fellowship in medical education research, which places him in a unique position to combine his passion for teaching and research, and to ultimately improve the quality of training of doctors.