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It has been noted by consultants in A&E that some junior doctors are perceived to be good decision makers while others, with similar levels of experience, are not. This work uses observation and videotaped consultations to examine what counts as a decision in A&E, who takes decisions, the circumstances under which decisions are taken, and what inhibits or supports decision making. Observations are supplemented with interviews to consider the perspectives of junior and senior doctors. The research will provide the basis for future work in applied health research and medical education, including the development of educational interventions to aid decision making.
The project is being conducted in collaboration with colleagues from the Institute of Education.