Background: Workplace learning is a characteristic feature of educational programs in clinicallyoriented disciplines. Clinical workplaces constitute particularly complex social landscapes for students to navigate. In order to hone their skills, apply their knowledge and develop their professional identity, students must interact with many unfamiliar people, all of whom are occupied with the ongoing practices of their workplace. Since those formal and informal interactions scaffold students' participation in workplace activities, they are considered integral to learning. When students experience interactive difficulties, their participation and learning is therefore compromised. There is some evidence to suggest that English as an additional language/dialect (EALD) students experience interactive challenges in clinical workplaces where English is the primary means of communication. When this becomes apparent, cultural/linguistic differences may be assumed to be the primary source of the issue. This is potentially problematic, since other possible reasons for the student's interactive challenges may be overlooked. It may also lead to a failure to consider that other students, including exclusively English-speaking (EES) ones, may be experiencing similar interactive challenges but to a less noticeable extent. Akin to a 'canary in the coalmine', the EALD student experience of interactive challenges may be signalling difficulties that are more widespread, and therefore potentially relevant, than we realise (Carroll & Ryan, 2007). Given today's diverse cohorts, investigating students' interactive processes in clinical workplace learning (CWL) with this metaphor in mind is of value. A more holistic understanding of the interactional nature of participation may be developed by grounding new knowledge in data collected from both EES and EALD students. Such knowledge may assist educators to understand interactive difficulties should they arise. It may prompt targeted support initiatives which potentially benefit all learners, and suggest opportunities for curricular reform. Research goal: The aim of my study was to generate a substantive-level theory for students' interactive processes in CWL which accommodated the contribution of students' cultural/linguistic backgrounds. Theoretical orientation: My research was undertaken from within an interpretivist paradigm. Constructivism, constructionism and symbolic interactionism informed the co-construction of the data and subsequent analysis. Conceptually, my research was underpinned by an integrative theoretical approach, which considered the interrelationship between personal and social