Workplace Learning for Medical Students

clincal_rotationsTwo studies examine how students learn during clinical rotations.  In a UK study (Steven et al), 22 students reflected in real time on audio diaries about their clinical interactions.  Students were dependent on physicians to facilitate their learning by giving them access to patients, creating a welcoming environment, role-modeling, debriefing students after encounters, using clarifying and probing questions, and granting progressive autonomy to students.  Unhelpful physician behaviors are also described.  In a focus group study of 37 students at 3 US medical schools (Karani et al), students were asked to reflect on the teaching they received from residents.  Student descriptions of good resident teaching are quite similar to descriptions of qualities of good teaching by faculty, but with more emphasis on role-modeling behaviors. – Laura Willett, MD

Karani R, Fromme HB, Cayea D, Muller D, Schwartz A, Harris IB. How medical students learn from residents in the workplace: a qualitative study. Acad Med. 2014 Mar;89(3):490-6

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Steven K, Wenger E, Boshuizen H, Scherpbier A, Dornan T. How clerkship students learn from real patients in practice settings. Acad Med. 2014 Mar;89(3):469-76.

Link to Article

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