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Assessing the Learning Environment in the Pediatric Clerkship: Preliminary
Results of a Qualitative Analysis of Student Free-Text Responses to a Pediatric
Clerkship Evaluation Authors: Virginia F. Randall, MD
MPH; Janice L. Hanson, PhD, EdS Uniformed Services University of the Health
Sciences, Bethesda, Maryland Objective: To determine if a qualitative
analysis of students' comments on an end-of-clerkship evaluation can describe
strengths and weaknesses of the learning environment, specifically learner-centered
learning and professionalism of faculty. This information could assist faculty
in meeting the new LCME standard on "learning environment." Method:
A preliminary qualitative analysis was conducted of anonymous student comments
in an end-of-the-clerkship questionnaire (AY05-06.) The data included comments
elicited by open-ended questions from 154 students at all 6 pediatric clerkship
sites for USU. Results: Themes in the comments were identified
and grouped into two categories: 1. Structure and logistics of the clerkship (expectations;
organization; variety of patient experiences); 2. How the students experienced
learning pediatrics (adequacy of feedback; availability of teachers willing to
teach at medical student level; availability of teachers who facilitate the development
of skills; professional behaviors/attitudes/values of faculty noted that: helped
students feel like contributing members of the health care team; indicated faculty
cared about students; and described attributes of pediatricians students identified
as role models.) Conclusion: Preliminary qualitative analysis
of student comments on the end-of-the-clerkship evaluation demonstrated the promise
of this technique for understanding the learning environment experienced by the
students. This analysis will address the LCME requirement and inform faculty efforts
to improve or remediate the environment. Aspects of learner-centered learning
and professionalism of the faculty, important components of the learning environment,
were specifically noted. A further formal qualitative analysis is proposed using
specially designed research software. |