Teaching in Hospital Educational Centers: Navigating Educational Dialogue in Multifaceted Context

Hospital teachers in pediatric oncology departments operate at the intersection of medical and educational institutions, navigating a complex environment in which the need for clinical care often subordinates pedagogical goals. This study explores the professional experiences of these educators as they manage the inherent tension between the "logic of schooling" and the "logic of medicine". Using a qualitative-constructivist framework, the study conducted semi-structured interviews with 13 expert teachers and one national supervisor across four diverse Israeli medical centers. Data was analyzed using thematic analysis to identify the core strategies used to bridge competing institutional demands. The analysis identifies the "student-patient conflict" as the defining structural tension of hospital pedagogy, arising from the child's dual role as a learner and a patient. To resolve this conflict, teachers employ three primary strategies: Positioning learning as a voluntary choice to restore the agency and control lost in the patient role, helping students master their clinical environment as a form of cognitive empowerment, and using play, humor, and spatial shifts to move children out of "sick spaces," thereby reclaiming the child's "healthy self" and student identity. The findings suggest that hospital pedagogy in oncology is defined less by academic instruction and more by the reclamation of identity. The study highlights a significant gap between standardized Ministry of Education policies and the fragmented reality of the ward. It recommends an institutional shift toward recognizing "pedagogical respite" as a valid educational outcome, prioritizing flexibility and emotional resilience over traditional curricula to better support students in crisis.