Navigating without a map: how medical students interact with clinical learning environments

References

• Angrosino, M., and J. Rosenberg. 2011. “Observations on Observation.” In The SAGE Handbook of Qualitative Research, edited by N. K. Denzin and Y. S. Lincoln, 467–78. London: Sage.
   Google Scholar
• Atkinson, P., and L. Pugsley. 2005. “Making Sense of Ethnography and Medical Education.” Medical Education 39 (2): 228–34. doi:10.1111/j.1365-2929.2004.02070.x.
   PubMed Web of Science ®Google Scholar
• Bernabeo, E. C., M. C. Holtman, S. Ginsburg, J. R. Rosenbaum, and E. S. Holmboe. 2011. “Lost in Transition: The Experience and Impact of Frequent Changes in the Inpatient Learning Environment.” Academic Medicine 86 (5): 591–98. doi: 10.1097/ACM.0b013e318212c2c9
   PubMed Web of Science ®Google Scholar
• Billett, S. 2001. “Learning Through Work: Workplace Affordances and Individual Engagement.” Journal of Workplace Learning 13 (5): 209–14. doi:10.1108/EUM0000000005548.
   Google Scholar
• Billett, S. 2002. “Workplace Pedagogic Practices: Co-participation and Learning.” British Journal of Educational Studies 50 (4): 457–81. doi:10.1111/1467-8527.t01-2-00214.
   Web of Science ®Google Scholar
• Billett, S. 2004. “Workplace Participatory Practices: Conceptualising Workplaces as Learning Environments.” Journal of Workplace Learning 16 (6): 312–24. doi:10.1108/13665620410550295.
   Google Scholar
• Billett, S. 2008. “Learning Throughout Working Life: A Relational Interdependence Between Personal and Social Agency.” British Journal of Educational Studies 56 (1): 39–58. doi:10.1111/j.1467-8527.2007.00394.x.
   Web of Science ®Google Scholar
• Billett, S. 2011. “Subjectivity, Self and Personal Agency in Learning Through and for Work.” In The SAGE Handbook of Workplace Learning, edited by M. Malloch, L. Cairns, K. Evans, and B. N. O’Connor, 60–72. London: Sage.
   Google Scholar
• Bleakley, A. 2005. “Stories as Data, Data as Stories: Making Sense of Narrative Inquiry in Clinical Education.” Medical Education 39 (5): 534–40. doi:10.1111/j.1365-2929.2005.02126.x.
   PubMed Web of Science ®Google Scholar
• Bleakley, A., J. Bligh, and J. Browne. 2011. “Producing Doctors.” Chap 5 in Medical Education for the Future: Identity, Power and Location. Dordrecht: Springer.
   Google Scholar
• Boor, K., F. Scheele, C. P. van der Vleuten, P. W. Teunissen, E. M. den Breejen, and A. J. Scherpbier. 2008. “How Undergraduate Clinical Learning Climates Differ: A Multi-method Case Study.” Medical Education 42 (10): 1029–36. doi:10.1111/j.1365-2923.2008.03149.x.
   PubMed Web of Science ®Google Scholar
• Boyatzis, R. E. 1998. Transforming Qualitative Information: Thematic Analysis and Code Development. London: Sage.
   Google Scholar
• Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3 (2): 77–101. doi:10.1191/1478088706qp063oa.
   Google Scholar
• Creswell, J. W. 2012. Qualitative Inquiry and Research Design: Choosing among Five Approaches. London: Sage.
   Google Scholar
• Dornan, T., N. Tan, H. Boshuizen, R. Gick, R. Isba, K. Mann, A. Scherpbier, J. Spencer, and E. Timmins. 2014. “How and What Do Medical Students Learn in Clerkships? Experience Based Learning (ExBL).” Advances in Health Sciences Education 19 (5): 721–49. doi:10.1007/s10459-014-9501-0.
   PubMed Web of Science ®Google Scholar
• Egan, T., and C. Jaye. 2009. “Communities of Clinical Practice: The Social Organization of Clinical Learning.” Health 13 (1): 107–25. doi:10.1177/1363459308097363.
   PubMed Web of Science ®Google Scholar
• Eraut, M. 2004. “Informal Learning in the Workplace.” Studies in Continuing Education 26 (2): 247–73. doi:10.1080/158037042000225245.
   Google Scholar
• Griffiths, L. 2003. “Making Connections: Studies of the Social Organisation of Healthcare.” Sociology of Health & Illness 25 (3): 155–71. doi:10.1111/1467-9566.00345.
   PubMedGoogle Scholar
• Hafferty, F. W., and R. Franks. 1994. “The Hidden Curriculum, Ethics Teaching, and the Structure of Medical Education.” Academic Medicine 69 (11): 861–71. doi: 10.1097/00001888-199411000-00001
   PubMed Web of Science ®Google Scholar
• Hafler, J. P., A. R. Ownby, B. M. Thompson, C. E. Fasser, K. Grigsby, P. Haidet, M. Kahn, and F. W. Hafferty. 2011. “Decoding the Learning Environment of Medical Education: A Hidden Curriculum Perspective for Faculty Development.” Academic Medicine 86 (4): 440–44. doi:10.1097/ACM.0b013e31820df8e2.
   PubMed Web of Science ®Google Scholar
• Hammersley, M., and P. Atkinson. 2007. Ethnography: Principles in Practice. London: Routledge.
   Google Scholar
• Helmich, E., S. Bolhuis, T. Dornan, R. Laan, and R. Koopmans. 2012. “Entering Medical Practice for the Very First Time: Emotional Talk, Meaning and Identity Development.” Medical Education 46 (11): 1074–86. doi:10.1111/medu.12019.
   PubMed Web of Science ®Google Scholar
• Helmich, E., and T. Dornan. 2012. “Do You Really Want To Be a Doctor? The Highs and Lows of Identity Development.” Medical Education 46 (2): 132–34. doi:10.1111/j.1365-2923.2011.04189.x.
   PubMed Web of Science ®Google Scholar
• Henderson, E., A. Berlin, G. Freeman, and J. Fuller. 2002. “Twelve Tips for Promoting Significant Event Analysis to Enhance Reflection in Undergraduate Medical Students.” Medical Teacher 24 (2): 121–24. doi:10.1080/01421590220125240.
   PubMed Web of Science ®Google Scholar
• Illing, J. 2010. “Thinking About Research: Frameworks, Ethics and Scholarship.” In Understanding Medical Education: Evidence, Theory and Practice, edited by T. Swanwick, 283–300. West Sussex, NJ: Wiley-Blackwell.
   Google Scholar
• Larsson, S. 2009. “A Pluralist View of Generalization in Qualitative Research.” International Journal of Research & Method in Education 32 (1): 25–38. doi:10.1080/17437270902759931.
   Google Scholar
• Liljedahl, M., E. Björck, S. Kalén, S. Ponzer, and K. Bolander Laksov. 2016. “To Belong or Not to Belong: Nursing Students’ Interactions with Clinical Learning Environments – An Observational Study.” BMC Medical Education 16: 103. doi:10.1186/s12909-016-0721-2.
   PubMed Web of Science ®Google Scholar
• Liljedahl, M., L. E. Boman, C. P. Fält, and K. Bolander Laksov. 2015. “What Students Really Learn: Contrasting Medical and Nursing Students’ Experiences of the Clinical Learning Environment.” Advances in Health Sciences Education 20 (3): 765–79. doi:10.1007/s10459-014-9564-y.
   PubMed Web of Science ®Google Scholar
• Lincoln, Y. S., S. A. Lynham, and E. G. Guba. 2011. “Paradigmatic Controversies, Contradictions, and Emerging Confluences, Revisited.” In The SAGE Handbook of Qualitative Research, edited by N. K. Denzin and Y. S. Lincoln, 97–128. London: Sage Publications.
   Google Scholar
• Mann, K. V. 2011. “Theoretical Perspectives in Medical Education: Past Experience and Future Possibilities.” Medical Education 45 (1): 60–68. doi:10.1111/j.1365-2923.2010.03757.x.
   PubMed Web of Science ®Google Scholar
• Manninen, K. 2014. “Experiencing Authenticity: The Core of Student Learning in Clinical Practice.” PhD diss., Karolinska Institutet.
   Google Scholar
• Piquette, D., C.-A. Moulton, and V. LeBlanc. 2015. “Creating Learning Momentum Through Overt Teaching Interactions During Real Acute Care Episodes.” Advances in Health Sciences Education 20 (4): 903–14. doi:10.1007/s10459-014-9571-z.
   PubMed Web of Science ®Google Scholar
• Shipengrover, J. A., and P. A. James. 1999. “Measuring Instructional Quality in Community-Orientated Medical Education: Looking Into the Black Box.” Medical Education 33 (11): 846–53. doi:10.1046/j.1365-2923.1999.00480.x.
   PubMed Web of Science ®Google Scholar
• Smith, S. E., V. R. Tallentire, H. S. Cameron, and S. M. Wood. 2013. “The Effects of Contributing to Patient Care on Medical Students’ Workplace Learning.” Medical Education 47 (12): 1184–96. doi:10.1111/medu.12217.
   PubMed Web of Science ®Google Scholar
• Swanwick, T. 2005. “Informal Learning in Postgraduate Medical Education: From Cognitivism to ‘Culturism’.” Medical Education 39 (8): 859–65. doi:10.1111/j.1365-2929.2005.02224.x.
   PubMed Web of Science ®Google Scholar
• Teherani, A. 2015. “On Autonomy in Student-Run Clinics.” Medical Education 49 (3): 238–39. doi:10.1111/medu.12663.
   PubMed Web of Science ®Google Scholar
• Teunissen, P. W. 2015. “Experience, Trajectories, and Reifications: An Emerging Framework of Practice-Based Learning in Healthcare Workplaces.” Advances in Health Sciences Education 20 (4): 843–56. doi:10.1007/s10459-014-9556-y.
   PubMed Web of Science ®Google Scholar
• Thistlethwaite, J. E., E. Bartle, A. A. L. Chong, M.-L. Dick, D. King, S. Mahoney, T. Papinczak, and G. Tucker. 2013. “A Review of Longitudinal Community and Hospital Placements in Medical Education: BEME Guide No. 26.” Medical Teacher 35 (8): e1340–64. doi:10.3109/0142159X.2013.806981.
   PubMed Web of Science ®Google Scholar
• van der Zwet, J., A. de la Croix, L. P. J. W. M. de Jonge, R. E. Stalmeijer, A. J. J. A. Scherpbier, and P. W. Teunissen. 2014. “The Power of Questions: A Discourse Analysis About Doctor–Student Interaction.” Medical Education 48 (8): 806–19. doi:10.1111/medu.12493.
   PubMed Web of Science ®Google Scholar
• van der Zwet, J., T. Dornan, P. W. Teunissen, L. P. de Jonge, and A. J. Scherpbier. 2014. “Making Sense of How Physician Preceptors Interact with Medical Students: Discourses of Dialogue, Good Medical Practice, and Relationship Trajectories.” Advances in Health Sciences Education 19 (1): 85–98. doi:10.1007/s10459-013-9465-5.
   PubMed Web of Science ®Google Scholar
• Van der Zwet, J., P. Zwietering, P. Teunissen, C. Van Der Vleuten, and A. Scherpbier. 2011. “Workplace Learning from a Socio-cultural Perspective: Creating Developmental Space During the General Practice Clerkship.” Advances in Health Sciences Education 16 (3): 359–73. doi:10.1007/s10459-010-9268-x.
   PubMed Web of Science ®Google Scholar
• Varpio, L., M. A. Martimianakis, and M. Mylopoulos. 2015. “Qualitative Research Methodologies: Embracing Methodological Borrowing, Shifting and Importing.” In Researching Medical Education, edited by J. Cleland and S. J. Durning, 245–55. West Sussex, NJ: Wiley-Blackwell.
   Google Scholar
• Verdonk, P., V. Rantzsch, R. de Vries, and I. Houkes. 2014. “Show What You Know and Deal with Stress Yourself: A Qualitative Interview Study of Medical Interns’ Perceptions of Stress and Gender.” BMC Medical Education 14: 788. doi:10.1186/1472-6920-14-96.
   Web of Science ®Google Scholar
• Wenger, E. 1998. Communities of Practice: Learning, Meaning, and Identity. Cambridge: Cambridge University Press.
   Google Scholar
• Yin, R. K. 2014. Case Study Research: Design and Methods. London: Sage.
   Google Scholar