Table 1
Participant characteristics.
| TRAINEES | ||||
|---|---|---|---|---|
| AGE (YEARS) | GENDER | YEAR OF RESIDENCY TRAINING | EXPERIENCE AS PHYSICIAN BEFORE ENTERING RESIDENCY TRAINING (YEARS) | |
| ECM-T1 | 30 | Female | 1st | 3 |
| ECM-T2 | 31 | Female | 3rd | 5 |
| ECM-T3 | 27 | Female | 3rd | 0.8 |
| ECM-T4 | 26 | Female | 1st | 1.3 |
| ECM-T5 | 36 | Male | 2nd | 2.6 |
| ECM-T6 | 40 | Female | 1st | 14 |
| GP-T1 | 29 | Female | 3rd | 2.5 |
| GP-T2 | 30 | Female | 1st | 1.9 |
| SUPERVISORS | ||||
| AGE (YEARS) | GENDER | EXPERIENCE IN ECM/GP (YEARS) | EXPERIENCE AS SUPERVISOR (NO. RESIDENTS SUPERVISED) | |
| ECM-S1 | 47 | Female | 19 | 3 |
| ECM-S2 | 44 | Female | 12 | 3 |
| ECM-S3 | 51 | Male | 8 | 3 |
| ECM-S4 | 58 | Male | >25 | 15 |
| ECM-S5 | 50 | Female | 17 | 5 |
| ECM-S6 | 50 | Female | 12 | 4 |
| GP-S1 | 44 | Male | 11 | 3 |
| GP-S2 | 39 | Female | 7 | 2 |
| GP-S3 | 55 | Male | 26 | 17 |
[i] ECM = Elderly Care Medicine
GP = General Practice
T = Trainee
S = Supervisor
Table 2
Themes.
| THEMES RELATED TO COMPLEXITY | LEVEL | CHARACTERISTICS | EXAMPLES OF IMAGES IN RICH PICTURES |
|---|---|---|---|
| Intersystemic factors | Macro | Multiple stakeholders across different systems (e.g. hospital care, mental care, home care etc.), their relations and reciprocal influence, transitions | A multitude of (stick) figures depicting patients, family, healthcare professionals, arrows, vehicles, buildings, institutions |
| Human interaction | Meso | Multiple interests and perspectives, diversity, emotions, communication | Telephones, computers, depicted emotions, question marks, thinking and talking balloons, symbols e.g. crosses and lightning |
| Work experience | Micro | Medical complexity, multimorbidity, time pressure | Internal organs, medication, syringes, medical devices, clocks, calendars |
| Trainee-supervisor relationship | Coaching of trainees by supervisors, trainees receiving guidance from supervisors | (Stick) figures depicting trainee and supervisor |
Figure 1
RP by ECM-T4 depicting the patient in different systems and different interactions between them.
Figure 2
RP by GP-T1 with different languages depicted in text balloons.
Figure 3
Cutout of RP of supervision situation by ECM-S3.
Figure 4
Cutout of RP of trainee-supervisor relationship by ECM-T2.