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Learning beyond graduation: exploring newly qualified specialists’ entrance into daily practice from a learning perspective

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Abstract

The entrance of newly qualified medical specialists into daily practice is considered to be a stressful period in which curriculum support is absent. Although engaging in both personal and professional learning and development activities is recognized fundamental for lifelong professional competence, research on medical professionals’ entrance into practice is scarce. This research aims to contribute to the framework of medical professionals’ informal learning and outlines the results of an exploratory study on the nature of learning in daily practice beyond postgraduate training. Eleven newly qualified physicians from different specialized backgrounds participated in a phenomenographic study, using a critical incident method and a grounded theory approach. Results demonstrated that learning in the workplace is, to a large extent, informal and associated with a variety of learning experiences. Analysis shows that experiences related to diagnostics and treatments are important sources for learning. Furthermore, incidents related to communication, changing roles, policy and organization offer learning opportunities, and therefore categorized as learning experiences. A broad range of learning activities are identified in dealing with these learning experiences. More specifically, actively engaging in actions and interactions, especially with colleagues of the same specialty, are the most mentioned. Observing others, consulting written sources, and recognizing uncertainties, are also referred to as learning activities. In the study, interaction, solely or combined with other learning activities, are deemed as very important by specialists in the initial entrance into practice. These insights can be used to develop workplace structures to support the entrance into practice following postgraduate training.

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References

  • Bakkenes, I., Vermunt, J. D., & Wubbels, T. (2010). Teacher learning in the context of educational innovation: Learning activities and learning outcomes of experienced teachers. Learning and Instruction, 20, 533–548.

    Article  Google Scholar 

  • Boekaerts, M., & Corno, L. (2005). Self-regulation in the classroom: A perspective on assessment and intervention. Applied Psychology: An International Review, 54(2), 199–231.

    Article  Google Scholar 

  • Cleland, J., Leaman, J., & Billett, S. (2014). Developing medical capacities and dispositions through practice-based experiences. In C. Harteis, A. Rausch, & J. Seifried (Eds.), Discourses on professional learning: On the boundary between learning and working (pp. 211–229). Dordrecht: Springer.

    Google Scholar 

  • Cresswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39(3), 124–130.

    Article  Google Scholar 

  • Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education. London, New York: Routledge.

    Google Scholar 

  • Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). London, CA: Sage.

    Google Scholar 

  • Cruess, S. R., & Cruess, R. L. (2005). Op-Ed the medical profession and self-regulation: A current challenge. Virtual Mentor. Ethics Journal of the American Medical Association, 7(4). Retrieved February 25, 2013, from http://virtualmentor.ama-assn.org/2005/04/oped1-0504.html.

  • Curtis, S., Gesler, W., Smith, G., & Washburn, S. (2000). Approaches to sampling and case selection in qualitative research: Examples in the geography of health. Social Science and Medicine, 50, 1000–1014.

    Google Scholar 

  • Deketelaere, A., Kelchtermans, G., Struyf, E., & De Leyn, P. (2006). Disentangling clinical learning experiences: An exploratory study on the dynamic tensions in internship. Medical Education, 40(9), 908–915.

    Article  Google Scholar 

  • Dornan, T. (2012). Workplace learning. Perspectives on Medical Education, 1, 15–23. doi:10.1007/s40037-012-0005-4.

    Article  Google Scholar 

  • Dornan, T., Boshuizen, H., King, N., & Scherpbier, A. (2007). Experience-based learning: A model linking the processes and outcomes of medical students’ workplace learning. Medical Education, 41(1), 84–91.

    Article  Google Scholar 

  • Duvivier, R., Stalmeijer, R., van Dalen, J., van der Vleuten, C., & Scherpbier, A. (2014). Influence of the workplace on learning physical examination skills. BMC Medical Education, 14(61). Retrieved September 9, 2014, from http://www.biomedcentral.com/1472-6920/14/61

  • Endedijk, M. D., Hoekman, M., & Sleegers, P. (2014). Learning paths of engineers: S tudying sequences of learning activities to understand knowledge workers’ professional development. In 7th EARLI SIG 14 Conference, Oslo, Norway, August 27–29, 2014.

  • Eraut, M. (2000). Non-formal learning and tacit knowledge in professional work. British Journal of Educational Psychology, 70, 113–136.

    Article  Google Scholar 

  • Eraut, M. (2004). Informal learning in the workplace. Studies in Continuing Education, 26(2), 247–273.

    Article  Google Scholar 

  • Eraut, M. (2007). Learning from other people in the workplace. Oxford Review of Education, 33(4), 403–422.

    Article  Google Scholar 

  • Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Hawthorne, CA: Aldine de Gruyter.

    Google Scholar 

  • Goodyear, P. (2005). Educational design and networked learning: Patterns, pattern language and design practice. Australian Journal of Educational Technology, 21(1), 82–101.

    Google Scholar 

  • Hakkarainen, K., Palonen, T., Paavola, S., & Lehtinen, E. (2004). Communities of networked expertise: Professional and educational perspectives. Advances in learning and instruction series. Elsevier: Amsterdam.

  • Kilminster, S., Zukas, M., Quinton, N., & Roberts, T. (2010). Learning practice? Exploring the links between transitions and medical performance. Journal of Health Organization and Management, 24(6), 556–570. doi:10.1108/14777261011088656.

    Article  Google Scholar 

  • Kilminster, S., Zukas, M., Quinton, N., & Roberts, T. (2011). Prepardness is not enough: Understanding transitions as critically intensive learning periods. Medical Education, 45, 1006–1015. doi:10.1111/j.1365-2923.2011.04048.x.

    Article  Google Scholar 

  • Lockyer, J., Wycliffe-Jones, K., Raman, M., Sandhu, A., & Fidler, H. (2011). Moving into medical practice in a new community: The transition experience. Journal of Continuing Education in the Health Professions, 31(3), 151–156.

    Article  Google Scholar 

  • Meirink, J. A., Meijer, P. C., & Verloop, N. (2007). A closer look at teachers’ individual learning in collaborative settings. Teachers and Teaching: Theory and Practice, 13(2), 145–164. doi:10.1080/13540600601152496.

    Article  Google Scholar 

  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, London, New Delhi: Sage.

    Google Scholar 

  • Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). California: Sage.

    Google Scholar 

  • Pintrich, P. R. (2000). The role of goal orientation in self-regulated learning. In M. Boekaerts & P. R. Pintrich (Eds.), Handbook of self regulation (pp. 451–502). San Diego, CA: Academic Press.

    Chapter  Google Scholar 

  • Sargeant, J., Mann, K., Sinclair, D., Ferrier, S., Muirhead, P., & van der Vleuten, C. (2006). Learning in practice: Experiences and perceptions of high-scoring physicians. Academic Medicine, 81(7), 655–660.

    Article  Google Scholar 

  • Strauss, A. (1987). Qualitative analysis. New York: Cambridge University Press.

    Google Scholar 

  • Teunissen, P. (2008). Unravelling learning by doing. A study of workplace learning in postgraduate medical education. Dissertation, VU University Amsterdam.

  • Tynjälä, P. (2008). Perspectives into learning at the workplace. Educational Research Review, 3, 130–154.

    Article  Google Scholar 

  • University of Antwerp, Ethics Committee for the Social Sciences and Humanities. (2012). Retrieved June 26 th, 2015, from https://www.uantwerpen.be/en/research-and-innovation/research-at-uantwerp/quality-assurance/ethics-screening/eashw/

  • van de Wiel, M. W. J., Van den Bossche, P., Janssen, S., & Jossberger, H. (2011). Exploring deliberate practice in medicine: How do physicians learn in the workplace? Advances in Health Sciences Education, 16, 81–95.

    Article  Google Scholar 

  • van der Zwet, J., Zwietering, P. J., Teunissen, P. W., van der Vleuten, C. P. M., & Scherpbier, A. J. J. A. (2011). Workplace learning from a socio-cultural perspective: Creating developmental space during the general practice clerkship. Advances in Health Sciences Education, 16, 359–373. doi:10.1007/s10459-010-9268-x.

    Article  Google Scholar 

  • Vauras, M., & Volet, S. (2013). The study of interpersonal regulation in learning and its challenge to the research methodology. In S. Volet & M. Vauras (Eds.), Interpersonal regulation of learning and motivation. London: Routledge.

    Google Scholar 

  • Veenman, M. V. J. (2011). Alternative assessment of strategy use with self-report instruments: A discussion. Metacognition and Learning, 6, 205–2011. doi:10.1007/s11409-011-9080-x.

    Article  Google Scholar 

  • Wagenaar, A., Scherpbier, A. J. J. A., Boshuizen, H. P. A., & van der Vleuten, C. P. M. (2003). The importance of active involvement in learning: A qualitative study on learning results and learning processes in different traineeships. Advances in Health Sciences Education, 8, 201–212.

    Article  Google Scholar 

  • Westerman, M. (2012). Mind the gap: T he transition to hospital consultant. Dissertation, VU University Amsterdam.

  • Zwart, R., Wubbels, T., Bolhuis, S., & Bergen, T. C. M. (2008). Teacher learning through reciprocal peer coaching: An analysis of activity sequences. Teaching and Teacher Education, 24, 982–1002. doi:10.1016/j.tate.2007.11.003.

    Article  Google Scholar 

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We would like to thank all the physicians who participated in this study.

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Correspondence to Katrien Cuyvers.

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Cuyvers, K., Donche, V. & Van den Bossche, P. Learning beyond graduation: exploring newly qualified specialists’ entrance into daily practice from a learning perspective. Adv in Health Sci Educ 21, 439–453 (2016). https://doi.org/10.1007/s10459-015-9640-y

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  • DOI: https://doi.org/10.1007/s10459-015-9640-y

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