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The Role of the Professional Doctorate in Developing Professional Practice in STEM Subjects



               A Health Scientist Reflects on Professional Doctorates in Health Subjects



               Many people from health backgrounds are attracted to the concept of professional doctorates. The strong
               NHS (UK National Health Service) focus on the development of practice makes the professional doctor-
               ate very attractive to healthcare staff. The professional doctorate provides the opportunity to provide a
               rigorous structured approach to the development of practice and allows a contextualization against the
               academic literature. It also necessitates a methodological framework which ensures rigor and consistency
               in the development of practice. While interdisciplinary working is well established in the NHS, many
               health care professional still retain a strong professional identity. Interestingly, when they reflect on
               their work and its development they often see that the community of practice is actually a very different
               group. For example, one senior nurse with a high professional profile, on examination and reflection
               actually found her community of practice was an interdisciplinary group of quality assurance managers.
                  The professional doctorate attracts arrange of healthcare professions from all professions and from
               people at all stages in the career. However, in our experience there are three broad groups. This is similar
               to that as described by Costley and Lester (2010) in that there are three broad groups of candidates, and
               these groupings transcend any professional group.
                  The commonest and are therefore the largest group are and are developing a particular area of practice
               mid-career professionals who have undertaken a series of usually small scale projects, usually developing
               a specific area of practice and see the professional doctorate as a way of further developing their work.
               The particular challenges lies in identifying the particular theme which runs through what is often a
               series of disparate projects, and also to identify their community of practice.
                  An example of this is one candidate who is a senior nurse and had in the course of her career, un-
               dertaken a series of practice development projects. As her career progressed these projects became
               increasing sophisticated, the professional doctorate allowed the opportunity to reflect and examine this
               work and establish the clear themes which ran throughout. One clear issue which emerged was the need
               for a structured framework against which the practice developments could be assessed. This led her to
               establish further initiatives and thereby develop a model of practice development.
                  A less common scenario is the early career professional who comes with a project they wish to develop
               and in many ways this is not dissimilar to the PhD, although as it is a professional doctorate there must
               be strong practice focus present in the research. An example of one of our candidates who worked on
               such an approach was (again) a nurse working at strategic level, building on previous work, she explored
               models of work force planning and demonstrated the ways in which a rigorous and systematic approach
               could lead to better outcomes, in terms of the overall patient experience.
                  The last group are people who have retired or are at the end of their career, they have an impressive
               body of work which they put together in a portfolio accompanied by a commentary which indicates
               their contribution to practice. An example of this is one candidate who is a health professional, who
               although not at the end of her career had a well-established position at a national strategic level. She had
               both influenced and been involved in the formulation of national policies, and also in their evolution.
               Her work involved the compilation of a portfolio illustrating the variety of initiatives and demonstrating
               how her work had affected policy.
                  One thing which all of the approaches undertaken in the professional doctorate have in common was
               that they all had an effect on patient care and were about improving the patient experience. No matter
               how seemingly removed from patient care, without exemption there was a demonstrable impact on patient




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