Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
E-pub ahead of print

Business as (un)usual: A qualitative study of clerkship experiences during a health crisis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Does group size matter during collaborative skills learning? A randomised study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Structural individualism or collaborative mindsets: Next steps for peer learning

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Is two a crowd? A qualitative analysis of dyad learning in an OBGYN clinical clerkship

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. The myth of ivory tower versus practice-oriented research: A systematic review of randomised studies in medical education

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Imperfect practice makes perfect: error management training improves transfer of learning

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Does group size matter during collaborative skills learning? A randomised study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Standard Setting in Simulation-Based Training of Surgical Procedures: A Systematic Review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. Normal Values for Myocardial Work Indices Derived From Pressure-Strain Loop Analyses: From the CCHS

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

INTRODUCTION: During a health crisis, hospitals must prioritise activities and resources, which can compromise clerkship-based learning. We explored how health crises affect clinical clerkships using the COVID-19 pandemic as an example.

METHODS: In a constructivist qualitative study, we conducted 22 semi-structured interviews with key stakeholders (i.e. medical students and doctors) from two teaching hospitals and 10 different departments. We used thematic analysis to investigate our data and used stakeholder theory as a sensitising concept.

RESULTS: We identified three themes: (1) emotional triggers and reactions; (2) negotiation of legitimacy; and (3) building resilience. Our results suggest that the health crisis accentuated already existing problems in clerkships, such as students' feelings of low legitimacy, constant negotiation of roles, inconsistencies navigating rules and regulations and low levels of active participation. Medical students and doctors adapted to the new organisational demands by developing increased resilience. Students responded by reaching out for guidance and acceptance to remain relevant in the clinical clerkships. Doctors developed a behaviour of closing in and focused on managing themselves and their patients. This created tension between these two stakeholder groups.

CONCLUSION: A health crisis can critically disrupt the hierarchical structure within the clinical clerkships and exacerbate existing conflicts between stakeholder groups. When medical students are not perceived as legitimate stakeholders in clinical clerkships during a health crisis, their attendance is perceived as unnecessary or even a nuisance. Despite increased student proactiveness and resilience, their roles inevitably shift from being doctors-to-be to students-to-be-managed.

OriginalsprogEngelsk
TidsskriftMedical Education
ISSN0308-0110
DOI
StatusE-pub ahead of print - 23 feb. 2022

Bibliografisk note

This article is protected by copyright. All rights reserved.

ID: 74976623