Table 2.
Themes and categories from qualitative data analysis
| Themes | Subthemes | Codes | Potential solutions |
|---|---|---|---|
|
Preparedness of student entry (Human & Curricular factors) |
Orientation of the doctors Orientation of the staff |
Lack of orientation of doctors and support staff They should be sure of the extent to which they could allow the student to deal with the patient |
Proper orientation of the doctors, nurses and support staff Workshops and training for doctors Alignment of the learning objectives with that of university One point of contact for each outpatient department |
| Workplace environment |
Welcoming attitude but unaware of the purpose of students’ postings Cooperative Interactive and friendly environment Doctors are approachable |
||
|
Learning opportunities (Organizational factors) |
Engagement in workplace activities |
Doctors try to engage us in interesting cases Willing to teach Help to identify gaps Documentation,electronic logs |
|
| Physical space |
Well organized setup Clinics are small; get easily crowded, a standing for hours No place to sit and discuss the case with doctors |
Separate discussion rooms can be made available. | |
| Patient influx |
GP has, repetitive cases Specialists have different cases but less time for teaching |
||
| Language barrier |
If the doctor and patient have the same language, difficult for students to understand No time for translate |
Doctors or nurse could summarize the case for us | |
| Rotation schedules (days & timings) |
Morning postings, very few patients, till noon Rotation at only one site for the whole year No specific clinic schedules for students |
Postings can be scheduled in the evening as more patients Students should be rotated across all sites Hospital postings could be added Properly assigned clinic |
|
| Access to patient records | Difficulty in accessing medical records | Special access to students can be given | |
|
Quality of supervision (Human factors) |
Supervisory relationship |
Try to involve us in case discussion Friendly doctors Good rapport with them |
Can give us more hands-on so that students feel part of the team |
| Feedback by doctors/supervisors |
Informal Upon prompting |
Structured feedback with one to one discussion to identify gaps and improve performance |