Presentation Description
Anyta Pinasthika1,2
Rita Mustika1,2
1 Department of Medical Education Faculty of Medicine Universitas Indonesia
2 Medical Education Collaboration Cluster, Indonesia Medical Education and Research Institute (IMERI)
Rita Mustika1,2
1 Department of Medical Education Faculty of Medicine Universitas Indonesia
2 Medical Education Collaboration Cluster, Indonesia Medical Education and Research Institute (IMERI)
Background:
Clinical learning environment plays an important role in residency education, it needs to be supportive in order to improve patient safety and care, and also improve learning for residents. One of the influential aspects of the learning environment is the culture of the workplace, yet it is often undiscussed and taken for granted as part of a hidden curriculum. Culture of medicine is hierarchical. While it is beneficial for residents’ learning through mentorship and role-modeling, also for patient care through decision-making process; it might be stressful for residents as they might not speak out against medical errors or morally conflicting requests done by their seniors, which might allow mistreatment in residents. Thus, this study aims to explore the influence of hierarchical culture of medicine towards the learning process in residency education.
Clinical learning environment plays an important role in residency education, it needs to be supportive in order to improve patient safety and care, and also improve learning for residents. One of the influential aspects of the learning environment is the culture of the workplace, yet it is often undiscussed and taken for granted as part of a hidden curriculum. Culture of medicine is hierarchical. While it is beneficial for residents’ learning through mentorship and role-modeling, also for patient care through decision-making process; it might be stressful for residents as they might not speak out against medical errors or morally conflicting requests done by their seniors, which might allow mistreatment in residents. Thus, this study aims to explore the influence of hierarchical culture of medicine towards the learning process in residency education.
Summary of Work/Methods:
This is a qualitative study using phenomenology design involving residents in various programs in the Faculty of Medicine Universitas Indonesia. Participants will be selected through a purposive sampling method considering maximum variation as follows: educational level, program and gender. Data will be collected through focus group discussions until data saturation is reached. Data will be analyzed using thematic analysis approach.
This is a qualitative study using phenomenology design involving residents in various programs in the Faculty of Medicine Universitas Indonesia. Participants will be selected through a purposive sampling method considering maximum variation as follows: educational level, program and gender. Data will be collected through focus group discussions until data saturation is reached. Data will be analyzed using thematic analysis approach.
Results:
Data collection and analysis are expected to be finished by the end of December 2023. This study is expected to elaborate on residents’ perceptions regarding culture and norms in learning and working in the clinical learning environment. This study will explore the impact of high power distance in learning and working for residents, drawing the line where this culture becomes negative and allows mistreatment, also identifying the influencing factors.
Data collection and analysis are expected to be finished by the end of December 2023. This study is expected to elaborate on residents’ perceptions regarding culture and norms in learning and working in the clinical learning environment. This study will explore the impact of high power distance in learning and working for residents, drawing the line where this culture becomes negative and allows mistreatment, also identifying the influencing factors.
Conclusions/Take Home Message:
It is expected that the findings of this study could contribute to efforts in creating a supportive clinical learning environment for residency education, to promote better learning and patient care.
It is expected that the findings of this study could contribute to efforts in creating a supportive clinical learning environment for residency education, to promote better learning and patient care.
References (maximum three)
- Nordquist J, Hall J, Caverzagie K, Snell L, Chan MK, Thoma B, et al. The clinical learning environment. Med Teach. 2019;41(4):366-72. Available from: DOI: 10.1080/0142159X.2019.1566601
- Salehi PP, Jacobs D, Suhail-Sindhu T, Judson BL, Azizzadeh B, Lee YH. Consequences of medical hierarchy on medical students, residents, and medical education in otolaryngology. Otolaryngol Head Neck Surg. 2020;163(5):906-14. Available from: doi: 10.1177/0194599820926105.
- Syah NA, Claramita M, Susilo AP, Cilliers F. Culture and Learning. In: Claramita M, Findyartini A, Samarasekera DD, Nishigori H. (eds) Challenges and opportunities in health professions education. Singapore: Springer; 2022. chap1. p1-14. Available from: https://doi.org/10.1007/978-981-16-7232-3_1