Bryan Burford
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View article: Understanding the contextual and causal factors shaping the work of receptionists in general practice: a realist review protocol
Understanding the contextual and causal factors shaping the work of receptionists in general practice: a realist review protocol Open
Background The work of receptionists in general practice is evolving rapidly and becoming more complex due to a number of changes within primary and community care services, such as increased digitalisation. In under-served areas, these ch…
View article: Barriers, facilitators and solutions to equitable career progression for disabled doctors: an integrative review
Barriers, facilitators and solutions to equitable career progression for disabled doctors: an integrative review Open
Objectives Disabled resident doctors face persistent structural, cultural and institutional barriers to career progression. This integrative review synthesises empirical and grey literature to identify the challenges disabled doctors encou…
View article: Barriers and enablers to medical students’ engagement in research and clinical academic careers: a mixed-methods study
Barriers and enablers to medical students’ engagement in research and clinical academic careers: a mixed-methods study Open
Objective To identify and understand the barriers and enablers influencing medical students’ engagement with research and consideration of academic careers. Design This was a mixed-methods explanatory sequential study comprising two survey…
View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review Open
Background: UK and global primary care face significant General Practitioner (GP) workforce shortages. While much research focuses on individual-level factors such as wellbeing, resilience, and professional identity, less attention has bee…
View article: Tolerance of ambiguity and psychological wellbeing in newly qualified doctors: An analysis over multiple time points
Tolerance of ambiguity and psychological wellbeing in newly qualified doctors: An analysis over multiple time points Open
Introduction There is evidence of an association between tolerance of ambiguity and psychological wellbeing in doctors, but this relationship is not well understood. We explored this relationship, and the individual or workplace factors mo…
View article: Valuing and retaining the dental workforce: a mixed-methods exploration of workforce sustainability in the North East of England
Valuing and retaining the dental workforce: a mixed-methods exploration of workforce sustainability in the North East of England Open
Background NHS dentistry is experiencing significant recruitment and retention challenges, particularly in rural, coastal, and deprived urban areas. Issues have been exacerbated by the Covid-19 pandemic, leading to unequal distribution of …
View article: Changes to national postgraduate medical education during COVID-19: a scoping review of practice and impact within the UK
Changes to national postgraduate medical education during COVID-19: a scoping review of practice and impact within the UK Open
Objectives Explore what is known about the impact of changes made at a national level to UK postgraduate medical education during COVID-19. Design A scoping review, following Arksey and O’Malley’s framework, reported in accordance with the…
View article: Another gap on the rota: a scoping review of attrition from specialty training in secondary care
Another gap on the rota: a scoping review of attrition from specialty training in secondary care Open
Background The healthcare workforce is in crisis. Despite a competitive selection process, a substantial number of doctors leave specialty training (ST) programmes prematurely. This attrition causes increased costs for the National Health …
View article: How can we enhance ‘real-time’ patient involvement in medical education? A qualitative study of patients and students
How can we enhance ‘real-time’ patient involvement in medical education? A qualitative study of patients and students Open
Background Patient contact is integral to undergraduate medical training. While political strategies emphasise the ‘patient’s voice’ in medical education, the literature on how to enhance the active involvement of real-time patients is spa…
View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review Open
Background: Global and United Kingdom (UK) primary care face significant General Practitioner (GP) workforce shortages. Worldwide strategies to address this issue include the introduction of additional healthcare professionals and increasi…
View article: ‘Worth … the Nightmares’? A Qualitative Study of Early‐Career Healthcare Workers' Wellbeing and Career Decisions After Starting Work During Covid‐19
‘Worth … the Nightmares’? A Qualitative Study of Early‐Career Healthcare Workers' Wellbeing and Career Decisions After Starting Work During Covid‐19 Open
Background The Covid‐19 pandemic placed unprecedented pressure on healthcare systems, education and individual professionals—notably, newly qualified front line nurses and paramedics. While we know wellbeing was negatively affected, qualit…
View article: Establishing Priorities for Clinical Education Research: Exploring the Views of UK Professional and Public Stakeholders
Establishing Priorities for Clinical Education Research: Exploring the Views of UK Professional and Public Stakeholders Open
Introduction High quality clinical education research is required to ensure optimal education and training of healthcare professionals. Such research should address stakeholder needs and have a clear route to achieving benefit. We conducte…
View article: ‘Death on an industrial scale’- general practice trainees’ perceptions and experiences of dying and death during covid-19: an interpretative phenomenological analysis
‘Death on an industrial scale’- general practice trainees’ perceptions and experiences of dying and death during covid-19: an interpretative phenomenological analysis Open
Context The COVID-19 pandemic led to an increase in numbers of patients dying at home in the UK, meaning that general practitioners (GPs) were exposed to more patient death than would be pre-COVID. This project aimed to gain insight into G…
View article: Social media quality in undergraduate medical education: A reconceptualisation and taxonomy
Social media quality in undergraduate medical education: A reconceptualisation and taxonomy Open
Background Social Media (SoMe) as a learning tool, though ubiquitous in society and popular within medical education, is often criticised as superficial. Its limitless output has been blamed for encouraging shorter attention spans and shir…
View article: Exploring how starting work during COVID-19 impacted post-foundation career decisions of new doctors: a mixed methods study
Exploring how starting work during COVID-19 impacted post-foundation career decisions of new doctors: a mixed methods study Open
Objectives This study addressed two research questions: What factors do doctors in training describe as influencing their choices to apply (or not apply) for specialty training during their Foundation Year 2? Which of these factors are spe…
View article: Role modelling to support careers in general practice: a realist review protocol
Role modelling to support careers in general practice: a realist review protocol Open
Background Role models encountered during undergraduate training play an important part in shaping future doctors. They can act as powerful attractants towards, and deterrents away from, a career in general practice. Many GP educators, who…
View article: Building a clinical education research NIHR incubator
Building a clinical education research NIHR incubator Open
Clinical Education Research (ClinEdR) can be defined as any research that contributes to the health and care needs of society by enhancing the education, training and development of health and social care practitioners and the structures a…
View article: General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review protocol
General practitioner workforce sustainability to maximise effective and equitable patient care: a realist review protocol Open
Introduction There are not enough general practitioners (GPs) in the UK National Health Service. This problem is worse in areas of the country where poverty and underinvestment in health and social care mean patients experience poorer heal…
View article: Re-evaluating the factor structure of the Tolerance of Ambiguity of Medical Students And Doctors (TAMSAD) scale in newly qualified doctors
Re-evaluating the factor structure of the Tolerance of Ambiguity of Medical Students And Doctors (TAMSAD) scale in newly qualified doctors Open
Background Ambiguity and uncertainty are inherent within the practice of medicine. While theory suggests the construct may be multidimensional, scales such as the Tolerance of Ambiguity of Medical Students And Doctors (TAMSAD) act unidimen…
View article: How to … successfully find and apply for Clinical Education Research (ClinEdR) funding
How to … successfully find and apply for Clinical Education Research (ClinEdR) funding Open
Our advice spans three key considerations: knowing yourself; knowing your funding and your funder; and knowing your study. Throughout, we consider important decisions when pursuing funding; offer an overview of sources and types of funding…
View article: How is transition to medical practice shaped by a novel transitional role? A mixed-methods study
How is transition to medical practice shaped by a novel transitional role? A mixed-methods study Open
Objectives This study considered a novel ‘interim’ transitional role for new doctors (termed ‘FiY1’, interim Foundation Year 1), bridging medical school and Foundation Programme (FP). Research questions considered effects on doctors’ well-…
View article: Constraints and affordances for UK doctors‐in‐training to exercise agency: A dialogical analysis
Constraints and affordances for UK doctors‐in‐training to exercise agency: A dialogical analysis Open
Introduction The goal of medical education is to develop clinicians who have sufficient agency (capacity to act) to practise effectively in clinical workplaces and to learn from work throughout their careers. Little research has focused on…
View article: Interprofessional simulation as an enhancement of psychological fidelity: A focus group study of medical and nursing students
Interprofessional simulation as an enhancement of psychological fidelity: A focus group study of medical and nursing students Open
Background and Aims Interprofessional simulation has the potential to enhance the perceived realism of clinical simulation in the education of different healthcare professionals. This study considers how the inclusion of more than one prof…
View article: Clinical support during COVID-19: An opportunity for service and learning? A cross-sectional survey of UK medical students
Clinical support during COVID-19: An opportunity for service and learning? A cross-sectional survey of UK medical students Open
The conceptual framework of service and learning can help explain why student experiences have been heterogeneous. We highlight how this conceptual framework can be used to inform clinical placements in the future, in particular the risks,…