Table 2.
Categories | Sub-categories | Code | Meaning units |
---|---|---|---|
Hidden curriculum | Clinical culture | Different hospital atmosphere | “Fortunately, compared to hospital … which is a very stressful place, this hospital has a good atmosphere. It is a stress-free environment where clinical education is also provided.” |
Hierarchy | “Some professors act as if we do not exist. When the hierarchy increases, and when we talk to the attending physician, he tells us to get the fellow to talk to him.” | ||
Different ward culture | “The residents will face a circle of information in the ward; if the system is complete and efficient, this circulation will also be effective, and the resident will benefit from it, and if not, learning does not take place properly.” | ||
Clinical priorities |
Priority of treatment to education |
“Imagine you go to the clinic and it’s crowded with a lot of patients. You must handle your patient, if you spend time on other things, the patient will be overlooked.” | |
Multiple responsibilities of attending physicians | “Our job includes patient care and research as well as education. We must dedicate our energy and potential accordingly.” | ||
Learning conditions | Learning in educational rounds | Theoretical discussion | “We speak about the rounds in which three others and I am were present. There is much more intimacy with attending and we can talk comfortably even about theoretical matters.” |
Learning in morning reports | Educational climate | “Sometimes there are attending physicians that really pursue your activities, what you have done last night, where you went wrong and which one of your decisions were right, and they want to teach you. You don’t really get punished if you make a mistake.” | |
Learning in clinics | Limited opportunities | “If the number of patients exceeds a particular number, it will negatively affect the quality of education.” | |
Learning resources | Attending physicians | Role model | “It’s like this, just like the attending physician that evaluates me, I evaluate him as well. His movements, the way he talks to the patients, his orders for the patients, his management. And according to the image of him created in my mind and to the extent that I accept him, his teaching attracts me. It’s directly related to his performance.” |
Other medical students | Person to person learning | “Most of our training is person to person and we learn more by chief resident.” | |
Patients’ follow up | Self-learning | “I think that patient follow up can show us the accuracy of our clinical reasoning. Even it is more important than our theoretical learning.” |