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Clinical Debrief: learning and well-being together.

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Clinical Debrief sessions provided medical students a safe space to discuss clinical experiences and emotions, improving well-being and learning. This intervention successfully supported students transitioning to clinical placements, fostering coping mechanisms and destigmatizing distress.

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Area of Science:

  • Medical Education
  • Psychology
  • Student Well-being

Background:

  • Clinical environments pose significant stress to medical students, potentially hindering learning and well-being.
  • The Clinical Debrief intervention was developed to integrate clinical learning with positive coping strategies.
  • This program aimed to create a safe space for students to reflect on their emotional experiences during clinical placements.

Purpose of the Study:

  • To critically examine medical students' views on the Clinical Debrief program.
  • To assess the effectiveness of the intervention in promoting positive coping mechanisms, empathy, self-awareness, and well-being.
  • To evaluate the impact of integrating clinical reasoning with affective state awareness.

Main Methods:

  • Anonymized quantitative and qualitative evaluation data were collected over three years via online questionnaires.
  • Thematic analysis was used for qualitative data on psychological supervision.
  • Data were collected after each 12-week block of the first clinical year.

Main Results:

  • A total of 1857 evaluations were analyzed, with a 67% response rate.
  • The median overall rating for Clinical Debrief sessions was 9 out of 10.
  • Students positively rated supervisory aspects and appreciated safe environments, facilitator role modeling, and emotional processing.

Conclusions:

  • Mandatory integrated longitudinal supervision through Clinical Debrief was positively received by students.
  • Normalizing the emotional impact of medical work helps destigmatize distress and enhances well-being.
  • Linking clinical reasoning with affective awareness, following transformative learning theory, benefits both learning and student well-being.