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First Do No Self HarmUnderstanding and Promoting Physician Stress Resilience$
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Charles Figley, Peter Huggard, and Charlotte Rees

Print publication date: 2013

Print ISBN-13: 9780195383263

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780195383263.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 26 January 2021

First Clinical Attachments

First Clinical Attachments

Informal Learning and Stressors in the Clinical Environment

(p.24) 2 First Clinical Attachments
First Do No Self Harm

Lamdin Rain

Oxford University Press

In this chapter I explore the professional socialization of medical students through the preclinical to clinical transition of medical education. I discuss professional socialization, the importance of transitions in medical education and student stress, and formal and informal learning. Lave and Wenger’s sociocultural learning theory provides a theoretical underpinning related to workplace learning. The research presented was undertaken in a traditionally structured medical program with some early clinical experiences provided to students during the preclinical years of teaching. Twenty-one students volunteered to be interviewed in their third year and again in their fourth year, before and after their transition into the clinical environment. I undertook in-depth semistructured interviews focusing on students’ experiences with patients. The audiotaped interviews were transcribed and analyzed for themes. I present the following themes: medical work; sad and tragic events; bridging professional and personal worlds. I discuss student stress and legitimate peripheral participation through these three themes. Finally, the relevance of this research to medical students and clinical teachers is considered.

Keywords:   Professional Socialization, Sociocultural Learning Theory, Clinical Transition, Stress, Medical Work, Traumatic Events, Bridging Work & Home

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