International medical graduate doctor to doctor telephone communication: A genre perspective  

Oleh:

Pryor, Elizabeth ; Woodward-Kron, Robyn

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: English for Specific Purposes (Full Text) vol. 35 (2014), page 41-53.
Fulltext: 35_Pryor.pdf (591.94KB)

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doctors in the professional setting. This study examined the effectiveness of telephone calls from International Medical Graduate (IMG) doctors to a more senior doctor as part of simulation training to increase patient safety and well-being. We adopted genre analysis to examine 12 telephone consultations about a critically ill patient made by junior IMG doctors to a senior doctor. With the assistance of the senior doctor informant, two successful calls were identified and analysed functionally for their generic structure and linguistic features. Feedback comments from the senior doctor on all the calls were transcribed and analysed thematically. The findings from the genre analysis of the successful calls as well as from the senior doctor feedback informed the development of an analytical tool to examine the less effective calls. Insights from the senior doctor highlight the institutional, professional, and situational variables contributing to the effective calls. A generic structure of nine stages was identified for the effective calls. In the less effective calls, the findings show difficulties with sequencing, realisation of stages, and interactional management with shifts from workplace discourse to apprenticeship discourse features. Implications of the findings for EMP course design are discussed

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