Abstract
Exploring new horizons to build a model for effective learning conversations for ongoing patient care
ANZAHPE Abstract Book_FINAL
ANZAHPE 2025: Embracing The Future (Perth, Western Australia, 30/06/2025–03/07/2025)
02/07/2025
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Abstract
Introduction/Background: Medical supervisors describe differing frameworks for learning conversations with trainees - particularly frameworks that involve discussion of ongoing, rather than handover of patient care. Anecdotal evidence suggests a lack of shared understanding of structure and purpose of these “learning conversations” which may be impacting teaching and learning opportunities in the clinical training environment. This study aimed to gain a better understanding about how learning conversations between supervisors and trainees are being conducted in the rural generalist context. </p><p>Methods Methods: This qualitative study was conducted at two rural hospitals in a health service in Australia. A member of the research team obtained consent and shadowed participants, recording conversations between medical supervisors and trainees about ongoing patient care. Abductive thematic analysis, using themes identified through a scoping review of relevant literature, was used to analyse transcripts of the learning conversations.
Results: A total of 128 recordings of learning conversations were made during 71 hours of observation over 10 days. Participants included 18 medical supervisors and 29 trainees. Following data analysis, a model for learning conversations is proposed. The key elements of the model are signposting, scene setting, sense making, and next steps. These learning conversation takes place within the context of the patient centred care in the workplace training environment. This conceptualisation emphasises the dynamic and iterative nature of learning conversations for ongoing patient care, with looping back between sense making and next steps as needed.
Discussion: This research offers insights into effective communication strategies between medical supervisors and trainees in rural contexts and provides a model which can guide Learning Conversations where the trainee retrains the responsibility for patient care. Future research will be conducted to examine the perspectives of medical supervisors and trainees in relation to the proposed model and will draw on this data to codesign and refine the proposed Learning Conversations model.
Details
- Title
- Exploring new horizons to build a model for effective learning conversations for ongoing patient care
- Creators
- Linda Furness - Rural Medical Education AustraliaJanani Pinidiyapathirage A/Prof - Rural Medical Education AustraliaKay Brumpton Prof - Rural Medical Education AustraliaMatthew French Dr - Rural Medical Education AustraliaAllison Johns Dr - Wide Bay Hospital and Health Service (Australia, Bundaberg)James Ware Dr - Darling Downs Health (Queensland, Australia)Brendan Carrigan A/Prof - Rural Medical Education Australia
- Publication Details
- ANZAHPE Abstract Book_FINAL
- Conference
- ANZAHPE 2025: Embracing The Future (Perth, Western Australia, 30/06/2025–03/07/2025)
- Publisher
- ANZAHPE
- Grants
- ACCRM ERG, 2024, Australian College of Rural and Remote Medicine (Australia, Brisbane) - ACRRM
- Identifiers
- 991013291352202368
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Abstract