Background: Transitions between specialties remain under-explored despite increasing frequency. Psychological aspects such as imposter syndrome and the Conscious Competence Ladder are critical in understanding these transitions. Advanced practitioners often remain within their trained specialty on qualifying, necessitating an exploration of the challenges and benefits of transitioning into new specialties. Aims: This article explores the experiences of two advanced practitioners transitioning between surgical and medical specialties in a UK hospital setting. It draws on theoretical frameworks to highlight challenges and solutions, including the role of structured support systems. Methods: A qualitative reflective approach was used, incorporating personal narratives, theoretical analysis and a review of national and international workforce policies. Results: Challenges included competence re-evaluation, identity shifts and imposter syndrome. Success in transition was facilitated by structured supernumerary periods, mentorship and competency frameworks. Policy recommendations for standardised transition pathways were identified. Conclusions and implications for practice: This study applies established learning and psychological theories to advanced practitioner transitions, suggesting policy adaptations to enhance workforce retention and career sustainability.
Smith et al. (Thu,) studied this question.