Systems-Oriented Workplace Learning Experiences for Early Learners: Three Models.

Area of Science:

• Medical Education
• Healthcare Systems Improvement
• Workplace Learning

Background:

• Early workplace learning experiences are vital for developing systems-based practice skills.
• Systems-oriented workplace learning experiences (SOWLEs) offer a structured approach for early learners.
• A framework for developing effective SOWLEs is needed.

Purpose of the Study:

• To explore systems-oriented workplace learning experiences (SOWLEs) for early learners.
• To propose a framework for the development of SOWLEs.
• To identify and describe different models of SOWLEs.

Main Methods:

• A two-phase qualitative case study design was employed.
• Phase 1 involved case write-ups and comparative analysis of 10 SOWLE leader interviews to identify three SOWLE models.
• Phase 2 utilized interview and observational data from seven SOWLE pilots (medical and pharmacy students) to verify and elaborate the models.

Main Results:

• Three distinct SOWLE models were identified.
• Model 1: Students addressed system gaps through patient care activities, with leaders connecting these to broader issues.
• Model 2: Students engaged in predefined systems improvement (SI) projects, guided by experienced leaders.
• Model 3: Students collaborated with stakeholders on project development and testing of change, experiencing a full improvement cycle.

Conclusions:

• Each identified model provides valuable systems-oriented learning opportunities.
• Effective SOWLEs depend on key elements, notably site leaders proficient in systems improvement (SI) concepts.
• Site leaders must be capable of guiding students through SOWLE activities to maximize learning outcomes.