Article Gold Open Access 2025

The Professional Agency in Supervision of General Practitioners Before Their Supervisor Training Module: A Narrative Positioning Analysis

Journal of Continuing Education in the Health Professions
Journal · Art. 10.1097/CEH.0000000000000596
Abstract

Introduction: Supervising in the workplace plays a key role in increasing the skills of the trainee. The shift to competence-based medical education requires both clinical expertise and pedagogical skills from the supervisor. These are distinct types of expertise. We know only a little of how competencies of supervising develop in medical education. The aim of our study is to find out what kind of professional agency in supervision general practitioners describes before their supervisor training. Professional agency refers to the individual’s skills, willingness, ability, and responsibility to act with others in the professional context. Methods: Our participants wrote a presentation of themselves before starting a supervisor training module. We studied these texts with narrative positioning analysis to examine who they are as supervisors, that is, the kind of professional agency they describe. Results: We found three types of descriptions of professional agency: traditional master-apprenticeship supervision, clinical skills supervising with a collegial relationship, and process-oriented dialogical supervision. Supervising is mostly described as supervising the trainee on clinical skills and participants have a will to be a good supervisor, but they also express uncertainty of achieving this goal. Conclusion: The variation in general practice supervisors’ agency and pedagogical skills poses challenges for training providers in how to tailor the training to suit the best to participants with different skills. However, it gives an excellent opportunity for fruitful peer-to-peer learning. With our findings, it is possible to further develop supervisor training. © 2025 The Author(s).

Keywords

Author Keywords

General Practice competence-based medical education medical continuing vocational education professional agency supervising supervisor training

Index Keywords

Skill learning training adult clinical competence female human male medical education psychology Humans apprenticeship Article workplace Vocational education qualitative research education general practice general practitioner General Practitioners middle aged Competence narrative verbal communication Narration
Author Affiliations
Institute of Public Health and Clinical Nutrition, Itä-Suomen yliopisto, Kuopio, IS, Finland
School of Educational Sciences and Psychology, Itä-Suomen yliopisto, Kuopio, IS, Finland
Institute of Public Health and Clinical Nutrition, Itä-Suomen yliopisto, Kuopio, IS, Finland, Educational services, Kuopio, Finland
Department of Education, University of Jyväskylä, Jyvaskyla, Central Finland, Finland
Institute of Public Health and Clinical Nutrition, Itä-Suomen yliopisto, Kuopio, IS, Finland, Clinical Research and Trials Centre, Kuopio University Hospital, Kuopio, Finland
Funding & Acknowledgements
No funding information
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