Evidence map›Paper›PMID 27400963›Full record

ArticleBMC medical education2016

"Making a difference" - Medical students' opportunities for transformational change in health care and learning through quality improvement projects.

Anne-Marie Bergh, Martin Bac, Jannie Hugo, John Sandars

Abstract read
In one paragraph

Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anne-Marie BerghSouth African MRC Unit for Maternal and Infant Health Care Strategies, University of Pretoria, Private Bag X323, Pretoria, Arcadia, 0007, South Africa. anne-marie.bergh@up.ac.za.
Martin BacDepartment of Family Medicine, University of Pretoria, Pretoria, South Africa.
Jannie HugoDepartment of Family Medicine, University of Pretoria, Pretoria, South Africa.
John SandarsAcademic Unit of Medical Education, University of Sheffield, Sheffield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality improvement is increasingly becoming an essential aspect of the medical curriculum, with the intention of improving the health care system to provide better health care. The aim of this study was to explore undergraduate medical students' experiences of their involvement in quality improvement projects during a district health rotation.

methodsStudent group reports from rotations in learning centres of the University of Pretoria in Mpumalanga Province, South Africa were analysed for the period 2012 to 2015. Interviews were conducted with health care providers at four learning centres in 2013.

resultsThree main themes were identified: (1) 'Situated learning', describing students' exposure to the discrepancies between ideal and reality in a real-life situation and how they learned to deal with complex situations, individually and as student group; (2) 'Facing dilemmas', describing how students were challenged about the non-ideal reality; (3) 'Making a difference', describing the impact of the students' projects, with greater understanding of themselves and others through working in teams but also making a change in the health care system.

conclusionQuality improvement projects can provide an opportunity for both the transformation of health care and for transformative learning, with individual and 'collective' self-authorship.

Indexed as

Education, Medical, UndergraduateQuality ImprovementStudents, MedicalAdultAttitude of Health PersonnelCompetency-Based EducationCurriculumFemaleFocus GroupsHospitals, TeachingHumansLearningMaleSouth AfricaDistrict health rotationMedical educationQuality improvementSelf-authorshipTransformative learning

Identifiers

PMID27400963
PMCPMC4940764

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.