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. 2024 May 13;24:528. doi: 10.1186/s12909-024-05312-6

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