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  Vol. 151 No. 2, February 1997 TABLE OF CONTENTS
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  EDUCATIONAL INTERVENTIONS
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Intern Learning and Education in a Short Stay Unit

A Qualitative Study

Michael K. Marks, MBBS, MD; Marc N. Baskin, MD; Frederick H. Lovejoy, Jr, MD; Janet Palmer Hafler, EdD

Arch Pediatr Adolesc Med. 1997;151(2):193-198.


Abstract

Objective
To study interns' perceptions of their learning during their rotation through a short stay unit (SSU).

Design
Case-based, qualitative research study.

Setting
A tertiary care pediatric hospital (The Children's Hospital, Boston, Mass).

Participants
Ten interns who had worked in the SSU in the 3 months prior to June 1, 1995, and on a general medical team in the previous 12 months.

Intervention
None.

Main Outcome Measures
In July 1995, the interns participated in focused, open-ended interviews lasting about 40 to 60 minutes to document their perceptions of their learning during their SSU rotation. The interviews were recorded on audiotape and transcribed prior to analysis. Data were analyzed to discern and categorize themes from the interns' responses.

Results
All interns responded favorably to their educational and learning experiences during their rotation through the SSU. Two major themes emerged: (1) the interns'learning, which was affected by the role of the attending physician, the organization and structure of the SSU, and the teaching strategies in the SSU; and (2) the interns' collaborative work with the nursing staff in the SSU, which affected patient care but did not facilitate the interns' learning.

Conclusion
Clustering in the SSU of patients whose symptoms suggested straightforward diagnoses enhanced interns' educational experiences.

Arch Pediatr Adolesc Med. 1997;151:193-198



Author Affiliations

From the Department of Medicine (Drs Marks, Baskin, and Lovejoy), and the Office for Educational Development (Dr Hafler), Harvard Medical School, Boston, Mass.



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