{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:59:05Z","timestamp":1790859545507,"version":"4.1.0"},"reference-count":20,"publisher":"Ubiquity Press, Ltd.","issue":"1","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Med Educ"],"abstract":"<jats:p>Background and Need for Innovation: Early after-hours work represents a demanding transition for newly graduated doctors. Preparation is often fragmented, with limited attention to the integrated clinical, organisational, and supervisory demands of after-hours care, contributing to uncertainty that may affect both patient safety and professional development.\nGoal of Innovation: PREPARE (PREParing for After-hours caRE) is an eight-week programme designed to support new graduates during their early postgraduate transition by enabling safe and confident participation in after-hours care.\nSteps Taken for Development and Implementation: PREPARE was developed through a research-informed, iterative design process. The programme integrates five interconnected components\u2014familiarisation, workplace learning, structured teaching, guided reflection, and entrustment\u2014within a coherent framework that runs parallel to routine clinical work. Rather than functioning as a fixed curriculum, PREPARE provides a flexible structure that aligns educational activities, workplace learning, reflection, and entrustment, while allowing adaptation to local service contexts.\nEvaluation of Innovation: Formative evaluation throughout development and early implementation focused on perceived value, feasibility, and alignment with after-hours responsibilities. New graduates and supervisors reported increased confidence, improved preparedness for managing uncertainty, and enhanced understanding of interprofessional collaboration.\nCritical Reflection on Our Process and Innovation: Reflection highlighted how PREPARE engages with real clinical complexity and exposes tensions between educational ambition and organisational feasibility. While the programme demonstrates how after-hours transitions can be more deliberately supported, its sustainability and transferability depend on organisational commitment and protected time for learning.<\/jats:p>","DOI":"10.5334\/pme.2504","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:19:52Z","timestamp":1790857192000},"page":"1050-1057","source":"Crossref","is-referenced-by-count":0,"title":["Are You PREPAREd? A Structured Approach to Support Safe and Confident Transitions to After-Hours Care"],"prefix":"10.5334","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1104-9697","authenticated-orcid":false,"given":"Anique","family":"Baten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3622-1273","authenticated-orcid":false,"given":"Inge A.","family":"Pool","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7550-4120","authenticated-orcid":false,"given":"Jesse","family":"Lammerts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4900-6262","authenticated-orcid":false,"given":"Chantal P.","family":"Rovers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8714-9339","authenticated-orcid":false,"given":"Cornelia R. 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