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An experience-based learning (ExBL) model proposes: Medical students learn in workplaces by ‘supported participation’; affects are an important dimension of support; many learning outcomes are affective; supported participation influences students’ professional identity development. The purpose of the study was to check how the model, which is the product of a series of earlier research studies, aligned with students’ experiences, akin to the ‘member checking’ stage of a qualitative research project. In three group discussions, a researcher explained ExBL to 19 junior clinical students, who discussed how it corresponded with their experiences of clinical learning and were given a written précis of it to take away. One to 3 weeks later, they wrote 500-word reflective pieces relating to their subsequent experiences with ExBL. Four researchers conducted a qualitative analysis. Having found many instances of responses ‘resonating’ to the model, the authors systematically identified and coded respondents’ ‘resonances’ to define how they aligned with their experiences. 120 resonances were identified. Seventy (58 %) were positive experiences and 50 (42 %) negative ones. Salient experiences were triggered by the learning environment in 115 instances (96 %) and by learners themselves in 5 instances (4 %), consistent with a strong effect of environment on learning processes. Affective support was apparent in 129 of 203 statements (64 %) of resonances and 118 learning outcomes (58 %) were also affective. ExBL aligns with medical students’ experiences of clinical learning. Subject to further research, these findings suggest ExBL could be used to support the preparation of faculty and students for workplace learning.
Cooke M, Irby DM, O’Brien BC. Educating physicians: a call for reform of medical school and residency. San Francisco: Jossey Bass; 2010.
Morris C, Blaney D. Work-based learning, Chapter 5. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice. Oxford: Wiley-Blackwell; 2010.
General Medical Council. Tomorrow’s doctors. 3rd ed. London: General Medical Council; 2009.
Lave J, Wenger E. Situated learning: legitimate peripheral participation. Cambridge: Cambridge University Press; 1991. CrossRef
Wenger E. Communities of practice: learning, meaning, and identity. Cambridge: Cambridge University Press; 1998.
Eraut M. How researching learning at work can lead to tools for enhancing learning. In: Mallock M, Cairns L, Evans K, O’Connor BN, editors. The Sage handbook of workplace learning. London: Sage; 2011. p. 181–97. CrossRef
Billett S. Toward a workplace pedagogy: guidance, participation, and engagement. Adult Educ Q. 2002;53:27–43. CrossRef
Spencer J. Learning and teaching in the clinical environment. In: Cantillon P, Wood D, editors. ABC of learning and teaching in medicine. Oxford: Wiley-Blackwell; 2010. p. 25–8.
White CB, Gruppen LD. Self-regulated learning in medical education, Chapter 9. In: Swanwick T, editor. Understanding medical education: evidence, theory and practice. Oxford: Wiley-Blackwell; 2010.
Dornan T, Mann K, Scherpbier A, Spencer J. Introduction. In: Dornan T, Mann K, Scherpbier A, Spencer J, editors. Medical education: theory and practice. Edinburgh: Churchill-Livingstone; 2010.
Dornan T, Scherpbier A, Boshuizen H. Supporting medical students’ workplace learning: experience-based learning (ExBL). Clin Teach. 2009;6:167–71. CrossRef
Dornan T, Muijtjens A, Graham J, Scherpbier A. Manchester clinical placement index (MCPI). Conditions for medical students’ learning in hospital and community placements. Adv Health Sci Educ Theory Pract. 2011; (Epub ahead of print).
Illeris K. Workplace learning and learning theory. J Workplace Learn. 2003;15:167–78. CrossRef
Wilkerson L, Doyle L. Developing teachers and developing learners, Chapter 19. In: Dornan T, Mann K, Scherpbier A, Spencer J, editors. Medical education: theory and practice. Edinburgh: Churchill-Livingstone; 2011.
Dornan T, Tan N, Boshuizen H, et al. Experience-based learning (ExBL). Realist synthesis of the conditions, processes, and outcomes of medical students’ workplace learning (In revision).
Greenberg LW. Medical students’ perceptions of feedback in a busy ambulatory setting: a descriptive study using a clinical encounter card. South Med J. 2004;97:174–8. CrossRef
Penn MA, Smucker W, Logue E. Functional and attitudinal outcomes of teaching functional assessment to medical students. Educ Gerontol. 2001;27:361–72. CrossRef
- Medical students’ reactions to an experience-based learning model of clinical education
- Bohn Stafleu van Loghum