Page 108 - Medical students’ self-regulated learning in clinical contexts

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to t insecure students learning in a di cult, hec c clinical context.
R5, a 24-year-old female enrolled in a community health clerkship in the 5th year: “If a department is very hec c/chao c, I o en have di culty nding my place, nding out where I can help. I learn most from real cases. Unfor- tunately, not all supervisors have the me, or are willing to take the me to extensively discuss these cases with the students”.
R64, a 26-year-old female enrolled in a general prac ce clerkship in the 5th year: “I’m not good in ac vely giving my opinion or priori zing. I learn by do- ing my best, without having prede ned learning goals for myself”.
Pa ern 4
Pa ern 4, which we labelled “Restrained”, was de ned by the sorts of 4 male and 3 female students, explaining 8% of the total variance. Students repor ng this behav- ior pa ern are characterized by rarely asking ques ons to supervisors or peers (state- ment 11, +5; statement 18, -5; statement 28, -3; statement 43, -3), especially if it can make them appear inferior to others (statement 17, -4; statement 32, -4; statement 52, 0). Rather, students explaining to use this behavior pa ern try to learn as inde- pendently as possible (statement 12; +4), observe others, and interpret implicit reac- ons of others to judge their performance (statement 50, +4). They disclose to rely on their supervisors’ instruc ons (statement 1, +5), engage in li le planned learning (statement 2, -1; statement 25, -5; statement 37, -1), and some re ec ve learning (statement 51, +2). These students are mo vated for learning, less concerned with having a good me (statement 14, +1; statement 29, +1), and realize they could get more out of the clerkships than they are currently doing (statement 31, -4; statement 47, -2). This results in a behavior pa ern in which students want to learn, but hesi- tate to include others in this process, following the instruc ons given by supervisors without asking ques on, as they fear to appear inferior.
R28, a 24-year-old female enrolled in a neurology clerkship in the 5th year: “I try to go with the ow, I o en forget there are more opportuni es to learn during a clerkship by broadening my view. Admi ng I did something wrong or that I’m not prepared, is not something I would easily do, I’d rather hope it would go by unno ced”.