Table 4.

Overview of the challenges and adaptations identified by the participants

Domain	Challenge	New Task/ Adaptation
Disruptive novel elements	Altered learning method	Self-directed learning, Application of knowledge to clinical context
	Medical work culture	Increased workload, Professional relationships, Changed socialisation context
Perceptions and coping strategies	Perceived inadequate preparation	Learning on the run, Seeking support/ guidance
Personal development and outcomes	Accepting the new reality: gradual process	Identifying alternative learning methods, Reduced feelings of incompetence