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Navigating without a map

How medical students interact with clinical learning environments

Bibliographic Data

ID14690669
AuthorsMatilda Liljedahl (0000-0003-2011-8180, Karolinska Institutet, corresponding author), Erik Björck (0000-0002-1210-2245, Karolinska Institutet), Sari Ponzer (0000-0003-0573-8509, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden), Klara Bolander Laksov (0000-0002-3345-3810, Karolinska Institutet)
Year2019
Volume44
Issue2
Pages275-286
Publication date2019-02-01
Open AccessNo
TypeARTICLE
VenueStudies in Higher Education (JOURNAL)
Journal identifiersISSN: 0307-5079 • E-ISSN: 1470-174X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/03075079.2017.1359822
OpenAlexW2743913609
LanguageEN
Citations received2
References cited41

Through an exploration of the interdependence between workplace affordances and individual engagement, this study addressed how medical students interact with clinical learning environments (CLEs). Building on the workplace participatory practices approach outlined by Billett, CLEs can be viewed as constructed through a negotiation of meaning between the workplace and the student. Inspired by ethnography, an observational study using field observations and follow-up interviews was performed. Workplace affordances included being given a marginal status in the healthcare team which students adapted to through striving to fit into the workplace. Further, there were many potential activities available to students; however, students seemed selective in terms of what activities they elected to engage in. As such, interacting with CLEs entailed students navigating complexity without the immediate access to any explicit ‘map’ of workplace learning. This study indicates that workplaces increasingly need to invite and include students in the practice of workplaces

Affordance · Citizen journalism · Ethnography · Health care · Higher education · Medical education · Negotiation · Observational study · Pedagogy · Sociology · Computer Science · Higher Education Practises and Engagement · Innovations in Medical Education · Medicine · Psychology · Reflective Practices in Education

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    Open Access•Josefina Robertson, Frida Rydberg Antezana et al.•BMC Medical Education•2026

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  • Ethnography

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  • Learning Throughout Working Life

    Billett, Stephen Billett•British Journal of Educational…•2008

  • Workplace Pedagogic Practices

    Billett, Stephen Billett•British Journal of Educational…•2002

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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