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Guiding medical trainees' workplace learning for interprofessional collaboration—Looking to physicians or seeing nurses?

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Title: Guiding medical trainees' workplace learning for interprofessional collaboration—Looking to physicians or seeing nurses?
Authors: Stalmeijer, Renée E., de Grave, Willem S., Smeenk, Frank W. J. M., Varpio, Lara
Source: Medical Education. Sep2025, Vol. 59 Issue 9, p950-959. 10p.
Subjects: Self-evaluation, Interprofessional relations, Research funding, Qualitative research, Medical education, Peer relations, Interviewing, Hospital nursing staff, Physicians' attitudes, Judgment sampling, Medical students, Thematic analysis, Sound recordings, Nurses' attitudes, Research methodology, Internal medicine, Role models, Learning strategies, Student attitudes, Data analysis software, Professional-student relations
Geographic Terms: Netherlands
Abstract: Introduction: Effective healthcare practice requires interprofessional collaboration (IPC) between all members of the healthcare team. Preparing healthcare trainees for IPC has proven to be difficult. Research suggests that workplace learning has a vital role in acquiring IPC competencies. However, guidance is required for trainees to make optimal use of IPC workplace learning opportunities. This study asks (1) To what extent is guidance provided to medical trainees when learning to collaborate interprofessionally?; and (2) Who provides this guidance and how? Methods: We conducted a constructivist, qualitative study using iterative cycles of semi‐structured interviews and reflexive thematic analysis. A purposive sample of medical trainees (N = 11), nurses (N = 9), advance practice clinicians (APCs)(N = 3) and attending physicians (N = 9) associated with a department of general internal medicine in a non‐academic teaching hospital participated in this study. Data‐analysis was informed by Billett's concept of guidance. Results: Guidance on IPC was provided to medical trainees both intraprofessionally and interprofessionaly, be it limited, informal and implicit. Nurses and APCs provided more guidance on IPC than attending physicians. Guidance by attending physicians included implicit modelling and only became explicit in response to concerns raised about trainees' IPC by nurses. Nurses and APCs provided continuous guidance on various aspects of IPC but felt hampered by hierarchical issues to provide feedback. Trainees were more focused on feedback provided by attending physicians than they were aware of nurses' feedback. Conclusion: The potential of workplace learning to learn IPC competencies is currently hampered by a lack of explicit guidance. Optimizing the role of workplace learning in IPC competence development requires more explicit role modelling and collaborative intentionality by attending physicians, more critical reflection by trainees and a strengthening of the feedback role of nurses and APCs. #Workplacelearning is vital in acquiring interprofessional competences. However, guidance is required for trainees to optimally use IPC learning opportunities, begging the questions of does guidance on IPC occur, how and by whom? [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Guiding medical trainees' workplace learning for interprofessional collaboration—Looking to physicians or seeing nurses?
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  Data: <searchLink fieldCode="AR" term="%22Stalmeijer%2C+Renée+E%2E%22">Stalmeijer, Renée E.</searchLink><br /><searchLink fieldCode="AR" term="%22de+Grave%2C+Willem+S%2E%22">de Grave, Willem S.</searchLink><br /><searchLink fieldCode="AR" term="%22Smeenk%2C+Frank+W%2E+J%2E+M%2E%22">Smeenk, Frank W. J. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Varpio%2C+Lara%22">Varpio, Lara</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Sep2025, Vol. 59 Issue 9, p950-959. 10p.
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  Data: Introduction: Effective healthcare practice requires interprofessional collaboration (IPC) between all members of the healthcare team. Preparing healthcare trainees for IPC has proven to be difficult. Research suggests that workplace learning has a vital role in acquiring IPC competencies. However, guidance is required for trainees to make optimal use of IPC workplace learning opportunities. This study asks (1) To what extent is guidance provided to medical trainees when learning to collaborate interprofessionally?; and (2) Who provides this guidance and how? Methods: We conducted a constructivist, qualitative study using iterative cycles of semi‐structured interviews and reflexive thematic analysis. A purposive sample of medical trainees (N = 11), nurses (N = 9), advance practice clinicians (APCs)(N = 3) and attending physicians (N = 9) associated with a department of general internal medicine in a non‐academic teaching hospital participated in this study. Data‐analysis was informed by Billett's concept of guidance. Results: Guidance on IPC was provided to medical trainees both intraprofessionally and interprofessionaly, be it limited, informal and implicit. Nurses and APCs provided more guidance on IPC than attending physicians. Guidance by attending physicians included implicit modelling and only became explicit in response to concerns raised about trainees' IPC by nurses. Nurses and APCs provided continuous guidance on various aspects of IPC but felt hampered by hierarchical issues to provide feedback. Trainees were more focused on feedback provided by attending physicians than they were aware of nurses' feedback. Conclusion: The potential of workplace learning to learn IPC competencies is currently hampered by a lack of explicit guidance. Optimizing the role of workplace learning in IPC competence development requires more explicit role modelling and collaborative intentionality by attending physicians, more critical reflection by trainees and a strengthening of the feedback role of nurses and APCs. #Workplacelearning is vital in acquiring interprofessional competences. However, guidance is required for trainees to optimally use IPC learning opportunities, begging the questions of does guidance on IPC occur, how and by whom? [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.15617
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      – Code: eng
        Text: English
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      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Interprofessional relations
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      – SubjectFull: Research funding
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      – SubjectFull: Qualitative research
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              Text: Sep2025
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