Research

The Management in Medicine Programme at Green Templeton College has published two research projects, funded through grants made by the Templeton Education and Charity Trust, Oxford.

Links to research publications

The medical profession is breaking its psychological contract with medical students and trainees

The Challenges of Consumerism for Primary Care Physicians

Making sense of effective partnerships among senior leaders in the National Health Service

Leading together: collaboration among senior healthcare executives

Making do by getting real: psychological contract violations and physicians’ early career agency  (Academy of Management Conference Proceedings)

Research Projects

Making sense of effective partnerships among senior leaders in the National Health Service

Investigators:

Changing healthcare systems depend on strong organizational leadership that realizes the collaborative potential of both physician and non-physician leaders. Our study sought insight into the everyday healthcare leader experience by examining physician and non-physician leaders working in the UK National Health Service.

We explored:

  • how leaders made sense of and acted with respect to specific collaborative tensions in their interactions; and
  • what aspects of their everyday leadership contexts heightened the probability for producing and resolving such tensions.

Our data sources comprised 24 in-depth interviews with physician and non-physician leaders in job titles including Chief Operating Officer, Managing Director, Medical Director, and Clinical Director. Ideas from the social psychological perspectives of sensemaking, organizational role theory and organizational citizenship behaviour helped frame this study.

Our results reflected four areas of ongoing tension between senior leaders. Each of these was linked to a set of underlying drivers, with the strongest support for drivers with interpersonal roots. Effective strategies for resolving tensions involved significant effort by leaders at improving the interpersonal dynamics associated with everyday interaction and forging relational connections through enhanced trust within the leadership team.

This study was funded through a grant made by the Templeton Education and Charity Trust, Oxford.

GP doctors’ views on and career directions for the health systems of the future

Investigators:

Elite professions such as physicians, lawyers, and engineers are undergoing profound change. Career progression among these highly-skilled workers may be construed as an emergent process characterized by the need to increase employability whilst maintaining career sustainability in the long run. This study examined how the career decision-making of young physicians is actively shaped by the interaction between their expectations and experiences of training and early practice.

Two research questions guide the research:

  • What are the specific unmet expectations and resulting emotions experienced by young physicians at the training and early career stages?, and
  • What are the forms of career agency exhibited by young physicians as a result of these experiences?

The study sample comprised 27 individuals, and four groups (n=21) of early-career GPs from the UK National Health Service. These included trainees in the second or third year of the 3-year specialty training programme with at least three months of practice experience, as well as newly qualified GPs that had started practice within the last five years.

Findings reveal that young physicians interpreted their early career experiences based on predominantly ideological expectations around what it means to be a successful professional. These then met headlong with the external environment, leading to highly emotional responses resulting from the realisation that expectations have not or will not be met. Such experiences triggered early career behaviour and attitudes that presented as more transactional and self-interested in nature.

This study was funded through a grant made by the Templeton Education and Charity Trust, Oxford.

Profiles of the investigators

Mahima Mitra, Management in Medicine research projectsMahima Mitra, D.Phil

Mahima Mitra, D.Phil. is Research Fellow at the Saïd Business School and Academic Associate at Brasenose College, University of Oxford. Her research focuses on micro-organisational behaviour in the public sector. She worked as a Qualitative Research Analyst at The World Bank (India) before pursuing an academic career.

 

Timothy Hoff, Management in Medicine research projectsTimothy Hoff, Ph.D

Timothy Hoff, Ph.D. is a Visiting Associate Fellow of Green Templeton College. He is Professor of Management, Healthcare Systems, and Health Policy in the D’Amore-McKim School of Business and School of Public Policy and Urban Affairs, Northeastern University, in Boston, Massachusetts, and an Associate Scholar at the Said Business School.  His research and writing focuses on healthcare system transformation and health care innovation.  He has also worked in hospital administration and healthcare consulting.

 

Sue Dopson, Management in Medicine research projectsSue Dopson, Ph.D

Sue Dopson, Ph.D. is a Governing Body Fellow of Green Templeton. She is Rhodes Trust Professor of Organisational Behaviour and Deputy Dean of Saïd Business School. Her research centres on leadership and transformational change in the public and healthcare sectors. Her work has informed and influenced government bodies such as the Department of Health and the National Institute for Health and Clinical Excellence (NICE) in their thinking on areas such as the dissemination of clinical evidence into practice, medical leadership and the role of the support worker in the NHS.

 

Paul Brankin, Honorary Fellow of Green Templeton CollegePaul Brankin, Ph.D

Paul Brankin, Ph.D. is an Honorary Fellow of Green Templeton College. He is Chair of the Health and Care Initiative Stakeholder Group, a member of the Management in Medicine Programme Steering Committee, and runs the College Book Club. Dr Brankin is Director of Oxford Executive Coaching, a Trustee of The Oxford Trust, and Chairman of Trustees at Science Oxford.

Contact

All enquiries about the Management in Medicine Programme should be addressed to:

Naomi Benson
naomi.benson@gtc.ox.ac.uk
Academic Projects Administrator
Green Templeton College
Woodstock Road
Oxford
OX2 6HG