Objectives
To identify the
main enablers and challenges for workplace learning during postgraduate medical
education among residents and their supervisors involved in training hospital
specialists across different medical specialties and clinical teaching
departments.
Methods
A qualitative
explorative study using semi-structured focus group interviews was employed. A
purposeful sampling method was utilized to invite participants who were
involved in postgraduate medical education for hospital specialist medicine at
two universities. Hospital physicians in training, also called residents
(n=876) and supervisors (n=66), were invited by email to participate. Three
focus groups were organized: two with residents and one with supervisors. Due
to the COVID-19 pandemic rules prohibiting real group meetings, these focus
groups were online and asynchronous. The data was analyzed following an
inductive thematic analysis.
Results
The following overarching
themes were identified: 1) the dual learning path, which balances working in
the hospital and formal courses, 2) feedback, where quality, quantity, and
frequency are discussed, and 3) learning support, including residents’
self-directed learning, supervisors’ guidance, and ePortfolio support.
Conclusions
Different
enablers and challenges for postgraduate medical education were identified.
These results can guide all stakeholders involved with workplace learning to
develop a better understanding of how workplace learning can be optimized to
improve the postgraduate medical education experience. Future studies could
focus on confirming the results of this study in a broader, perhaps
international setting and exploring strategies for aligning residencies to
improve quality.