“Everyone happy with what their role is?”: A pragmalinguistic evaluation of leadership practices in emergency medicine training


This article reports a study of simulated interactions between emergency medical teams, as they are used in education for specialist trainee doctors. We focus on a key area of communicative competence that trainees are assessed on: the performance of leadership skills. Using videos of simulated trauma cases recorded within a training department of a large teaching hospital in the UK, we analyse how trainee doctors delegate tasks to their teams, matching up their linguistic performance, in particular their use of requests, to how they are assessed in the simulation overall. This allows us to establish the types of linguistic leadership performance that are evaluated positively in this setting and therefore are attributed to success. Through fine-grained, qualitative analysis, we examine the interrelationship between ‘efficiency’, evidenced by the subsequent successful completion of an action by the team, and the use of indirect and mitigated requests, finding that a high number of indirect forms are successfully used to make requests of others in this time-pressured setting. We discuss the theoretical implications of our observations, revisiting claims about linguistic behaviour in urgent contexts, and also consider the practical implications of the study, including professional practice and training.

Publication DOI: https://doi.org/10.1016/j.pragma.2020.02.014
Divisions: College of Business and Social Sciences > School of Social Sciences & Humanities
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College of Business and Social Sciences > Aston Institute for Forensic Linguistics
College of Business and Social Sciences > School of Social Sciences & Humanities > Centre for Health and Society
Additional Information: © 2020 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) Funding: This work was supported by the Economic and Social Research Council [grant number ES/K00865X/1].
Uncontrolled Keywords: Collaboration,Healthcare,Indirectness,Leadership,Politeness,Requests,Language and Linguistics,Linguistics and Language,Artificial Intelligence
Publication ISSN: 0378-2166
Last Modified: 21 May 2024 07:13
Date Deposited: 23 Mar 2020 09:38
Full Text Link: https://notting ... dicine-training
Related URLs: https://www.sci ... 0564?via%3Dihub (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2020-04-01
Published Online Date: 2020-03-13
Accepted Date: 2020-02-28
Authors: Chalupnik, Malgorzata
Atkins, Sarah (ORCID Profile 0000-0003-3481-5681)



Version: Published Version

License: Creative Commons Attribution

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