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Medical students’ feelings of inadequacy during clinical practice
KTH, School of Education and Communication in Engineering Science (ECE), Learning.ORCID iD: 0000-0002-3027-514X
Karolinska Institutet.
Linköpings universitet och Karolinska Institutet.
Linköpings universitet.
Show others and affiliations
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: The clinical environment is complex and unpredictable. Students meet and interact with both patients and health care professionals. It is inevitable for medical students to experience potentially emotional challenging situations during their clinical education; they meet patients in vulnerable situations, they witness suffering and sometimes death. How do they handle these situations? The present study explores medical students’ experiences of emotionally challenging situations during clinical practice and how they handle these situations.Summary of Work: Data were collected from medical students by focus group interviews and written reflections where students were asked about their experiences of emotionally challenging situations during clinical training. Students in their third (n=8) and fifth year (n=6) participated in interviews, and 25 written reflections were included. Grounded theory was used to analyze data.Summary of Results: Students’ main concern was found to be feelings of inadequacy. Students in the middle of their education were mainly concerned with fear of not having the knowledge and skills they felt they need in their practical clinical work. Students at the end of their education were more concerned with fear of not being able to handle situations that demands emotional aspects, such as delivering difficult diagnosis or dealing with angry or disappointed patients or relatives.Discussion: The students struggled to find a balance between closeness and professional distance.Their ways of dealing with these feelings were to talk to peers and relatives, close in time to the incident. In some situations, often concerning medical matters, supervisors that they felt confidence in were a support.Conclusion: Students experience a range of emotionally challenging situation during their clinical education. These situations caused students to feel fear of being insufficiently prepared for their future professional role. Support from trusted peers or supervisors to handle these situations were important for coping constructively.Take Home Messages: Many students need support from trusted persons to handle experiences during clinical practice.

Place, publisher, year, edition, pages
2016.
Keywords [en]
medical education, medical students, distress, coping
National Category
Educational Sciences
Research subject
Technology and Learning
Identifiers
URN: urn:nbn:se:kth:diva-217794OAI: oai:DiVA.org:kth-217794DiVA, id: diva2:1157621
Conference
The Association for Medical Education in Europe Annual Conference, Barcelona, Spain, Aug 27-31, 2016
Note

QC 20171116

Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-16Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf