Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation

Introduction The transition from preclinical to clinical training represents a pivotal stage in medical education, offering opportunities for transformative learning and professional identity formation. This study aims to explore how medical students reflect on their initial clinical learning experi...

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Main Authors: Minh Thuy Ha, Zarrin Seema Siddiqui
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/6/e098675.full
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author Minh Thuy Ha
Zarrin Seema Siddiqui
author_facet Minh Thuy Ha
Zarrin Seema Siddiqui
author_sort Minh Thuy Ha
collection DOAJ
description Introduction The transition from preclinical to clinical training represents a pivotal stage in medical education, offering opportunities for transformative learning and professional identity formation. This study aims to explore how medical students reflect on their initial clinical learning experiences during the first week of clinical training, and how these reflections reveal early shifts in their professional identity, using Mezirow’s transformational learning framework.Method A qualitative descriptive study was conducted at VinUniversity, Hanoi, Vietnam. 47 fourth-year medical students from a single cohort submitted reflective writings after their first week of clinical training. Thematic analysis was performed, with emergent themes mapped against the dominant phases of Mezirow’s transformational learning framework.Results Thematic analysis revealed four main themes: (1) disorientation and emotional adaptation, (2) bridging theory and practice, (3) learning from the clinical environment and (4) personal and professional growth. Reflections revealed both emotional and cognitive shifts, highlighting students’ early adaptation and growth. Findings emphasised the need for enhanced mentorship, emotional resilience training and tailored bilingual communication strategies to optimise the transition.Conclusions Reflective writing captured students’ first impressions of clinical training and highlighted the critical role of emotional adaptation, mentorship and experiential learning in supporting identity formation. These insights offer practical implications for enhancing student support strategies and curriculum design in medical education.
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spelling doaj-art-ceccc26323ba4814aaf46587a2e046ea2025-08-20T03:21:35ZengBMJ Publishing GroupBMJ Open2044-60552025-06-0115610.1136/bmjopen-2024-098675Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formationMinh Thuy Ha0Zarrin Seema Siddiqui1College of Health Sciences, VinUniversity, Hanoi, Viet NamHealth Services Academy, Islamabad, PakistanIntroduction The transition from preclinical to clinical training represents a pivotal stage in medical education, offering opportunities for transformative learning and professional identity formation. This study aims to explore how medical students reflect on their initial clinical learning experiences during the first week of clinical training, and how these reflections reveal early shifts in their professional identity, using Mezirow’s transformational learning framework.Method A qualitative descriptive study was conducted at VinUniversity, Hanoi, Vietnam. 47 fourth-year medical students from a single cohort submitted reflective writings after their first week of clinical training. Thematic analysis was performed, with emergent themes mapped against the dominant phases of Mezirow’s transformational learning framework.Results Thematic analysis revealed four main themes: (1) disorientation and emotional adaptation, (2) bridging theory and practice, (3) learning from the clinical environment and (4) personal and professional growth. Reflections revealed both emotional and cognitive shifts, highlighting students’ early adaptation and growth. Findings emphasised the need for enhanced mentorship, emotional resilience training and tailored bilingual communication strategies to optimise the transition.Conclusions Reflective writing captured students’ first impressions of clinical training and highlighted the critical role of emotional adaptation, mentorship and experiential learning in supporting identity formation. These insights offer practical implications for enhancing student support strategies and curriculum design in medical education.https://bmjopen.bmj.com/content/15/6/e098675.full
spellingShingle Minh Thuy Ha
Zarrin Seema Siddiqui
Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
BMJ Open
title Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
title_full Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
title_fullStr Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
title_full_unstemmed Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
title_short Understanding medical students’ transition to clinical training: a qualitative study of transformative learning and professional identity formation
title_sort understanding medical students transition to clinical training a qualitative study of transformative learning and professional identity formation
url https://bmjopen.bmj.com/content/15/6/e098675.full
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