Abstract
This chapter describes the design and evaluation of a week-long curricular initiative, designed to better prepare physiotherapy students for their transition to clinical practice. Students typically report a lack of preparation and associated anxieties in making the leap from university-based learning to experiential learning in the clinical setting. The transition programme aimed to soften this interface through presenting clear expectations of clinical practice and stakeholder roles, and encouraging students to develop skills in reflection and self-regulation. Despite the transition programme receiving high satisfaction ratings from students, participants reported that their priorities leading into their first clinical placement reflected a ‘survival focus’. That is, they articulated a preoccupation with acquisition and demonstration of technical/procedural skills and viewed metacognitive skill development as ‘peripheral’ to their core business. Incorporating reflective skill development within clinical scenarios, using the advice of older students experienced in clinical education, and leaning on the heuristics and storytelling of clinicians were all viewed as mechanisms to reinforce relevancy and encourage learner engagement in the transition curriculum.
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References
Ansari, W. (2003). Satisfaction trends in undergraduate physiotherapy education. Physiotherapy, 89, 171–185.
Baxter, S., & Gray, C. (2001). The application of student-centred learning approaches to clinical education. International Journal of Language and Communication Disorders, 36(suppl. 2001), 396–400.
Billett, S. (2006). Constituting the workplace curriculum. Journal of Curriculum Studies, 38, 31–48.
Chumley, H., Olney, C., Usatine, R., & Dobbie, A. (2005). A short transitional course can help medical students prepare for clinical learning. Family Medicine, 37, 496–501.
Cupit, R. (1988). Student stress: An approach to coping at the interface between preclinical and clinical education. Australian Journal of Education, 34, 215–219.
Davis, M. H., & Harden, R. M. (1999). AMEE medical education guide no 15: Problem-based learning: A practical guide. Medical Teacher, 21(2), 130–140.
Delany, C., & Molloy, E. (2009). Critical reflection in clinical education: Beyond the swampy lowlands. In C. Delany & E. Molloy (Eds.), Clinical education in the health professions (pp. 3–24). Sydney: Elsevier.
Denniston, C., Molloy, E., & Nickson, W. (2010). Effective practice in clinical education: The supervisor’s perspective. Manuscript submitted for publication.
Driessen, E., van Tartwijk, J., Overeem, K., Vermunt, J., & van der Vleuten, C. (2005). Conditions for successful reflective use of portfolios in undergraduate medical education. Medical Education, 39, 1230–1235.
Gordon, J., Hazlett, C., Ten Cate, O., Mann, K., Kilminster, S., Prince, K., et al. (2000). Strategic planning in medical education: Enhancing the learning environment for students in clinical settings. Medical Education, 34, 841–850.
Henderson, P., Ferguson-Smith, A., & Johnson, M. (2005). Developing essential professional skills: A framework for teaching and learning about feedback. BMC Medical Education, 5, 1–6.
Higgs, J., Richardson, B., & Abrandt Dahlgren, M. (2004). Developing practice knowledge for health professionals. Edinburgh: Butterworth Heinemann.
Keating, J., Dalton, M., & Davidson, D. (2009). Assessment in clinical education. In C. Delaney & E. Molloy (Eds.), Clinical education in the health professions (pp. 147–172). Sydney: Elsevier.
Kilminster, S., & Jolly, B. (2000). Effective supervision in clinical practice settings: A literature review. Medical Education, 34, 827–840.
Lave, J., & Wenger, E. (1991). Situated learning: Legitimate peripheral participation. Cambridge: University of Cambridge.
Le Maistre, C., & Pare, A. (2004). Learning in two communities: The challenge for universities and workplaces. Journal of Workplace Learning, 16(1/2), 44–52.
Molloy, E. (2009). Time to pause: Feedback in clinical education. In C. Delaney & E. Molloy (Eds.), Clinical education in the health professions (pp. 128–146). Sydney: Elsevier.
Molloy, E., & Clarke, D. (2005). The positioning of physiotherapy students and clinical supervisors in feedback sessions. Focus on Health Professional Education: A Multi-disciplinary Journal, 7, 79–90.
Moss, F., & McManus, I. (1992). The anxieties of new clinical students. Medical Education, 26, 17–20.
Neville, S., & French, S. (1991). Clinical education: Students’ and clinical tutors’ views. Physiotherapy, 77, 351–354.
O’Brien, B., Cooke, M., & Irby, D. M. (2007). Perceptions and attributions of third-year student struggles in clerkships: Do students and clerkship directors agree?. Academic Medicine, 82, 970–978.
Prince, K., Boshuizen, H., van der Vleuren, C., & Scherpbier, A. (2005). Students’ opinions about their preparation for clinical practice. Medical Education, 39, 704–712.
Prince, K., Van De Wiel, M., Scherpbier, A., van Der Vleuten, C., & Boshuizen, H. (2000). A qualitative analysis of the transition from theory to practice in undergraduate training in a PBL-medical school. Advances in Health Sciences Education, 5, 105–116.
Radcliffe, C., & Lester, H. (2003). Perceived stress during undergraduate medical training: A qualitative study. Medical Education, 37, 32–38.
Rose, M., & Best, D. (2005). Transforming practice through clinical education, professional supervision and mentoring. Edinburgh: Elsevier.
Small, R., Soriano, R., Chietero, M., Quintana, J., Parkas, V., & Koestler, J. (2008). Easing the transition: Medical students’ perceptions of critical skills required for the clerkships. Education for Health, 20(3), 1–9.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). London: Sage.
Van Gessel, E., Nendaz, M. R., Vermeulen, B., Junod, A., & Vu, N. V. (2003). Development of clinical reasoning from the basic sciences to the clerkships: A longitudinal assessment of medical students’ needs and self-perception after a transitional learning unit. Medical Education, 37, 966–974.
Windish, D. M. (2000). Teaching medical students clinical reasoning skills. Academic Medicine, 75, 90.
Acknowledgements
This project forms part of a wider national and multidisciplinary research project investigating professional learning. The national project was led by Professor Stephen Billett from Griffith University and was supported by an Australian Council of Teaching and Learning Grant. We would also like to acknowledge Stephen Maloney for his expertise in helping to operationalise the transition programme in the Department of Physiotherapy, Monash University.
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Molloy, E., Keating, J. (2011). Targeted Preparation for Clinical Practice. In: Billett, S., Henderson, A. (eds) Developing Learning Professionals. Professional and Practice-based Learning, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3937-8_4
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DOI: https://doi.org/10.1007/978-90-481-3937-8_4
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