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    Area of Science:

    • Medical Education
    • Organizational Psychology
    • Social Learning Theory

    Background:

    • Clinical learning environments (CLE) in graduate medical education (GME) face challenges in interpersonal training, impacting trainee engagement and psychological safety.
    • Existing educational interventions in CLE often lack theoretical grounding for effective implementation.
    • There is a need for evidence-based strategies to improve the GME CLE.

    Purpose of the Study:

    • To apply Etienne Wenger's Communities of Practice (COP) theory to address concerns within the GME CLE.
    • To introduce and define "COP forums" as a specific intervention within GME.
    • To explore the potential benefits of COP forums for trainees and patient care.

    Main Methods:

    • Application of Etienne Wenger's 2002 Communities of Practice (COP) framework.
    • Conceptualization and definition of "COP forums" as a distinct intervention.
    • Analysis of how COP forums complement experiential learning and address GME CLE deficiencies.

    Main Results:

    • COP forums positively influence the GME CLE by enhancing psychological safety and near-peer mentorship.
    • These forums provide opportunities for innovation, counteracting negative aspects of the clinical environment like hierarchy and time pressures.
    • Deliverables include practice innovation and improved trainee self-efficacy, potentially boosting organizational performance.

    Conclusions:

    • COP forums offer a theoretically grounded approach to improving the GME CLE.
    • Further research is needed to investigate the impact of COP forums on GME outcomes.
    • Future scholarship should align with the evolving COP framework and specific medical education research questions.