Organisation of Workplace Learning: A Case Study of Paediatric Residents' and Consultants' Beliefs and Practices

Autor/inn/en	Skipper, Mads; Nøhr, Susanne Backman; Jacobsen, Tine Klitgaard; Musaeus, Peter
Titel	Organisation of Workplace Learning: A Case Study of Paediatric Residents' and Consultants' Beliefs and Practices
Quelle	In: Advances in Health Sciences Education, 21 (2016) 3, S.677-694 (18 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-015-9661-6
Schlagwörter	Workplace Learning; Case Studies; Pediatrics; Medical Students; Student Attitudes; Medical Education; Specialists; Foreign Countries; Field Studies; Observation; Focus Groups; Consultants; Learning Processes; Barriers; Coding; Beliefs; Training; Patients; Medical Services; Organizational Culture; Primary Health Care; Denmark + Suchen Sie Ihr Suchwort? Case study; Fallstudie; Case Study; Klinische Sozialpädiatrie; Schülerverhalten; Medizinische Ausbildung; Ausland; Praxisforschung; Beobachtung; Consultant; Berater; Learning process; Lernprozess; Codierung; Programmierung; Belief; Glaube; Ausbildung; Patient; Arzt; Unternehmenskultur; Gesundheitsvorsorge; Dänemark
Abstract	Several studies have examined how doctors learn in the workplace, but research is needed linking workplace learning with the organisation of doctors' daily work. This study examined residents' and consultants' attitudes and beliefs regarding workplace learning and contextual and organisational factors influencing the organisation and planning of medical specialist training. An explorative case study in three paediatric departments in Denmark including 9 days of field observations and focus group interviews with 9 consultants responsible for medical education and 16 residents. The study aimed to identify factors in work organisation facilitating and hindering residents' learning. Data were coded through an iterative process guided by thematic analysis. Findings illustrate three main themes: (1) Learning beliefs about patient care and apprenticeship learning as inseparable in medical practice. Beliefs about training and patient care expressed in terms of training versus production caused a potential conflict. (2) Learning context. Continuity over time in tasks and care for patients is important, but continuity is challenged by the organisation of daily work routines. (3) Organisational culture and regulations were found to be encouraging as well inhibiting to a successful organisation of the work in regards to learning. Our findings stress the importance of consultants' and residents' beliefs about workplace learning as these agents handle the potential conflict between patient care and training of health professionals. The structuring of daily work tasks is a key factor in workplace learning as is an understanding of underlying relations and organisational culture in the clinical departments. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01