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August 24, 2020BMC Medical EducationOpen Access

Perceptions and processes influencing the transition of medical students from pre-clinical to clinical training

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Authors

BMBunmi S. Malau‐AduliUniversity of Newcastle AustraliaPRPoornima RocheJames Cook UniversityMAMary D. AduUniversity of Ghana

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Implication

Mixed-methods study reveals high anxiety and perceived competence gaps in transitioning medical students, highlighting the need for supportive clinical learning environments.

Key Points

  • To examine the perceptions, disruptive challenges, and coping strategies of medical students transitioning from preclinical education to clinical training.
  • Conducted a mixed-methods study comprising an exploratory survey (N=141) and qualitative focus groups and interviews (N=12) among fourth-year medical students entering clinical rotations.
  • Assessed professional socialization, workload, patient contact, skills, and learning using a 5-point Likert scale analyzed with descriptive and inferential statistics.
  • Performed thematic analysis on qualitative data, triangulating findings using the Westerman Transition Framework.
  • Surveyed students reported substantial anxiety, excessive workload demands, and notable deficits in practical knowledge and clinical skills upon entry into the clinical environment.
  • Qualitative analysis identified abrupt professional socialization and heavy clinical workloads as primary stressors, fostering persistent feelings of inadequacy, incompetence, and unpreparedness.
  • Students actively mitigated transitional distress by seeking mentorship and informal support from senior medical peers, gradually accepting the steep adjustment period as a standard learning curve.

Cite This Study

Malau‐Aduli et al. (2020) studied this question.

synapsesocial.com/papers/6a1ec2de544bdf605faf3fcchttps://doi.org/10.1186/s12909-020-02186-2
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