A Study on the Challenges of Morning Report in Clinical Education: A Phenomenological Study

摘要

Morning report is one of the most important settings of clinical education. However, participation of residents and medical students in morning reports is still a big challenge in educational leadership. Some aspects of this problem are still remainedunclear. Therefore, the present study aimed to explore the experiences of residents and medical students about morning report sessions. Semi-structured interviews were conducted with 9 residents and medical students at a large hospital. Interviews wererecorded, transcribed and analyzed using colaizzi's seven step method in order to determine themes and concepts. Three emergent themes and nine theme clusters were identified: (1) anxiety-provoking (including three theme clusters: inappropriate behavior,education with stress and interaction between faculty members and students) (2) faculty's competency (including two theme clusters: teacher's responsibility for training, role of competent professor in clinical education) (3) organization of morning reports (with four theme clusters: moderate quality of morning reports, lack of attention to the training of interns, absence of other specialists and, limited opportunities for study). The results suggest that poor educational atmosphere in morning reportsmay cause anxiety in students. They believe morning report sessions are stressful for them. It can be concluded that development a positive and pleasurable environment may encourage students to increase their active participation in morning report sessions but this process needs to be investigated by further studies using other methods such as Grounded Theory.