Evidence map›Paper›PMID 28148247›Full record

ArticleBMC medical education2017

A model of self-directed learning in internal medicine residency: a qualitative study using grounded theory.

Adam P Sawatsky, John T Ratelle, Sara L Bonnes, Jason S Egginton, Thomas J Beckman

Abstract read
In one paragraph

Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Relationship Between Inspirational Teaching and Self-Directed Learning in Health Professions Students-A Mixed-Method Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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  14. Some Learning Theories for Medical Educators.Medical science educator · 2021
    Article
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  17. Flipping the classroom: a national pilot curriculum for physiology in neonatal-perinatal medicine.Journal of perinatology : official journal of the California Perinatal Association · 2018
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  20. An Effective Team: Active Learning Also Needs the Sage on a Stage.Journal of medical education and curricular development
    Article
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

5 authors.

Adam P SawatskyDivision of General Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. sawatsky.adam@mayo.edu.
John T RatelleDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sara L BonnesDivision of General Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Jason S EggintonRobert D. and Patricia E. Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Thomas J BeckmanDivision of General Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

backgroundExisting theories of self-directed learning (SDL) have emphasized the importance of process, personal, and contextual factors. Previous medical education research has largely focused on the process of SDL. We explored the experience with and perception of SDL among internal medicine residents to gain understanding of the personal and contextual factors of SDL in graduate medical education.

methodsUsing a constructivist grounded theory approach, we conducted 7 focus group interviews with 46 internal medicine residents at an academic medical center. We processed the data by using open coding and writing analytic memos. Team members organized open codes to create axial codes, which were applied to all transcripts. Guided by a previous model of SDL, we developed a theoretical model that was revised through constant comparison with new data as they were collected, and we refined the theory until it had adequate explanatory power and was appropriately grounded in the experiences of residents.

resultsWe developed a theoretical model of SDL to explain the process, personal, and contextual factors affecting SDL during residency training. The process of SDL began with a trigger that uncovered a knowledge gap. Residents progressed to formulating learning objectives, using resources, applying knowledge, and evaluating learning. Personal factors included motivations, individual characteristics, and the change in approach to SDL over time. Contextual factors included the need for external guidance, the influence of residency program structure and culture, and the presence of contextual barriers.

conclusionsWe developed a theoretical model of SDL in medical education that can be used to promote and assess resident SDL through understanding the process, person, and context of SDL.

Indexed as

Academic Medical CentersEducation, Medical, GraduateFemaleFocus GroupsGrounded TheoryHumansInternal MedicineInternship and ResidencyLearningMaleMinnesotaModels, EducationalQualitative ResearchAdult learning theoryGraduate medical educationSelf-directed learning

Identifiers

PMID28148247
PMCPMC5288975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.