How residents learn: qualitative evidence for the pivotal role of clinical activities

Objectives  Medical councils worldwide have outlined new standards for postgraduate medical education. This means that residency programmes will have to integrate modern educational views into the clinical workplace. Postgraduate medical education is often characterised as a process of learning from experience. However, empirical evidence regarding the learning processes of residents in the clinical workplace is lacking. This qualitative study sought insight into the intricate process of how residents learn in the clinical workplace.

[1]  G. Regehr,et al.  Progressive Independence in Clinical Training: A Tradition Worth Defending? , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[2]  An evaluation of a national scheme for continuing professional development (CPD) for career grade doctors: the Royal College of Paediatrics and Child Health's programme for paediatricians evaluated by focus group methodology , 2003, Medical education.

[3]  Sue Ziebland,et al.  Analysing qualitative data , 2000, BMJ : British Medical Journal.

[4]  C. Pellegrini.  Invited commentary: the ACGME "Outcomes Project". American Council for Graduate Medical Education. , 2002, Surgery.

[5]  A. Woolf,et al.  Preventing fractures in elderly people , 2003, BMJ : British Medical Journal.

[6]  J. Sim,et al.  Collecting and analysing qualitative data: issues raised by the focus group. , 1998, Journal of advanced nursing.

[7]  J. Kitzinger,et al.  Qualitative Research: Introducing focus groups , 1995 .

[8]  C. Pellegrini,et al.  Invited commentary: The ACGME “Outcomes Project” * , 2002 .

[9]  W H Isbister,et al.  Qualitative research in health care , 2000, BMJ : British Medical Journal.

[10]  R. Barbour.  Making sense of focus groups , 2005, Medical education.

[11]  H B Slotnick,et al.  Physicians' learning strategies. , 2000, Chest.

[12]  B. Daley.  Learning and Professional Practice: A Study of Four Professions , 2001 .

[13]  G. Cheetham,et al.  How professionals learn in practice: an investigation of informal learning amongst people working in professions , 2001 .

[14]  Etienne Wenger,et al.  Situated Learning: Legitimate Peripheral Participation , 1991 .

[15]  M. Johns,et al.  Reforming graduate medical education. , 2005, JAMA.

[16]  D. Dunn,et al.  Experiential Learning , 2019, High Impact Teaching for Sport and Exercise Psychology Educators.

[17]  A. Strauss,et al.  The Discovery of Grounded Theory , 1967 .

[18]  S. Clegg,et al.  Reflecting or Acting? Reflective Practice and Continuing Professional Development in Higher Education , 2002 .

[19]  Etienne Wenger,et al.  Communities of Practice: Learning, Meaning, and Identity , 1998 .

[20]  Alison Jones,et al.  A Model of How Students Link Problem‐based Learning with Clinical Experience through “Elaboration” , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[21]  H. Slotnick.  How Doctors Learn: Education and Learning across the Medical‐school‐to‐practice Trajectory , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[22]  P. Simons,et al.  Modeling Work-Related Learning on the Basis of Intentionality and Developmental Relatedness: A Noneducational Perspective , 2004 .

[23]  M. Eraut.  Developing professional knowledge and competence , 1994 .

[24]  Tim Swanwick,et al.  Informal learning in postgraduate medical education: from cognitivism to ‘culturism’ , 2005, Medical education.

[25]  Robert Dingwall,et al.  Catching Goldfish: Quality in Qualitative Research , 1998, Journal of health services research & policy.

[26]  L. Lingard,et al.  Making sense of grounded theory in medical education , 2006, Medical education.

[27]  M. Eraut.  Non-formal learning and tacit knowledge in professional work. , 2000, The British journal of educational psychology.

[28]  D. Schoen.  Educating the reflective practitioner , 1987 .

[29]  Y. Engeström,et al.  Activity theory and individual and social transformation. , 1999 .

[30]  M. Eraut,et al.  Informal learning in the workplace , 2004 .

[31]  P. Twohig,et al.  Group interviews in primary care research: advancing the state of the art or ritualized research? , 2002, Family practice.

[32]  Intro I: The concept of practice , 1998 .

[33]  N. Britten,et al.  Qualitative research methods in general practice and primary care. , 1995, Family practice.

[34]  Alan Bleakley,et al.  Pre‐registration house officers and ward‐based learning: a `new apprenticeship' model , 2002, Medical education.

[35]  S. Ziebland,et al.  Analysing qualitative data , 2000, BMJ : British Medical Journal.