What trainees grapple with: a study of threshold concepts on the medicine ward

Medical Education
Chirag BhatMark Goldszmidt

Abstract

Socialisation theories of professional identity formation (PIF) consider clinical rotations to be critically intense transformative experiences. However, few studies have explored what trainees grapple with during these transformative experiences or their influence on performance. Applying a threshold concepts (TCs) lens, this study investigates and documents 'troublesome' and 'transformative' concepts that junior trainees may encounter during a clinical rotation. Insights gained are essential for supporting trainee development. Constructivist grounded theory was used to guide the collection and analysis of data for this two-phase study. Phase 1 involved direct observation and field interviews with 17 junior trainees over two observation periods and phase 2 involved in-depth interviews with 13 attending physicians. The theory of TCs was used as a sensitising concept. In total, nine TCs were identified and thematically grouped under the headings: Developing as a Professional, Providing Patient Care and Working Collectively. Across the interviewed attending physicians, there appeared to be a shared understanding of TCs strong trainees had crossed and weaker trainees struggled with. Observational and field interview data suggested...Continue Reading

References

Jan 19, 2010·Medical Education·Lynn V Monrouxe
May 21, 2010·Lancet
Dec 24, 2010·JAMA : the Journal of the American Medical Association·Cara S LesserWendy Levinson
Oct 12, 2011·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·I M KinchinM Woolford
Jul 28, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Sandra Jarvis-SelingerGlenn Regehr
Aug 24, 2012·Medical Teacher·Christopher J Watling, Lorelei Lingard
Sep 19, 2012·Advances in Health Sciences Education : Theory and Practice·Anne Mette MorckeBerit Eika
Oct 30, 2012·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Mark HoldenJulie Trumble
Feb 18, 2014·Medical Education·Mark GoldszmidtLorelei Lingard
Apr 5, 2014·Journal of Graduate Medical Education·Geoff NormanGeorges Bordage
Jul 24, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Richard L CruessYvonne Steinert
Mar 19, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Richard L CruessYvonne Steinert
Apr 18, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Hedy S Wald
Jul 29, 2015·Advances in Health Sciences Education : Theory and Practice·Mpatisi MoyoBoaz Shulruf
Nov 27, 2015·Medical Teacher·Hilary NeveTracey Collett
Dec 24, 2015·Medical Education·Claire Touchie, Olle Ten Cate
Apr 19, 2017·Medical Education·Dani C Cadieux, Mark Goldszmidt

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Citations

Oct 18, 2018·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Hilary Neve
Apr 2, 2019·Medical Teacher·Ralph PinnockMadelyne Jouart
Apr 12, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Linda Orkin LewinDonna T Chen
May 14, 2020·Medical Education·Lisi GordonDivya Jindal-Snape
Jun 8, 2018·Medical Education·Luke Y C Chen, Gary Poole
Aug 29, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Linda Orkin LewinDonna T Chen
Mar 2, 2021·Teaching and Learning in Medicine·Andrew PerrellaLaura Marie Farrell
Mar 28, 2021·Teaching and Learning in Medicine·Megan E L BrownGabrielle M Finn
Aug 31, 2021·Medical Science Educator·Nardin DeriasSuzan Kamel-ElSayed

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