{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:56:04Z","timestamp":1790862964243,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To deliver high\u2010quality collaborative care, residents need to be trained across the boundaries of their medical specialty (intraprofessional learning). The current literature does not provide insights into the underlying processes that influence intraprofessional learning. The aim of this study was to gain insight into the processes that occur during intraprofessional workplace learning in residency training, by exploring everyday intraprofessional interactions experienced by residents, with the ultimate objective of improving collaborative practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a focused ethnography using field observations and in\u2010depth interviews with residents at an academic children's hospital in the Netherlands. In 2022, nine residents from four different medical specialties were shadowed and\/or interviewed. In total, &gt;120\u2009hours of observation and 10 interviews were conducted. Data collection and analysis were conducted iteratively and discussed in a research team with diverse perspectives, as well as with a sounding board group of stakeholders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Residents were involved in numerous intraprofessional interactions as part of their daily work. We identified three themes that shed light on the underlying processes that occur during intraprofessional workplace learning: (1) residents' agency, (2) ingroups and outgroups and (3) communication about intraprofessional collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Collaborative practice offers many intraprofessional learning opportunities but does not automatically result in learning from, with and about other specialties to improve intraprofessional collaborative care. Overarching the identified themes, we emphasise the pivotal role of the resident\u2013supervisor dyad in facilitating residents' engagement in the learning opportunities of complex intraprofessional care. Furthermore, we propose that promoting deliberate practice and shared responsibility in collaborative care are crucial to better prepare residents for their roles and responsibilities in delivering high\u2010quality collaborative patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/medu.15271","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T19:11:31Z","timestamp":1700766691000},"page":"939-951","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Unravelling underlying processes in intraprofessional workplace learning in residency"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3491-2599","authenticated-orcid":false,"given":"Lara","family":"Teheux","sequence":"first","affiliation":[{"name":"Department of Pediatrics Radboud University Medical Center, Radboudumc Amalia Children's Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wietske","family":"Kuijer\u2010Siebelink","sequence":"additional","affiliation":[{"name":"Department of Research on Learning and Education Radboud University Medical Center, Radboudumc Health Academy  Nijmegen the Netherlands"},{"name":"School of Education HAN University of Applied Sciences  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotte L.","family":"Bus","sequence":"additional","affiliation":[{"name":"School of Education HAN University of Applied Sciences  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos M. T.","family":"Draaisma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Radboud University Medical Center, Radboudumc Amalia Children's Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ester H. A. J.","family":"Coolen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Radboud University Medical Center, Radboudumc Amalia Children's Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jani\u00eblle A. E. M.","family":"van der Velden","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Radboud University Medical Center, Radboudumc Amalia Children's Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(10)61854\u20105"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102923.2001.00919.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1705665"},{"key":"e_1_2_11_5_1","unstructured":"BainbridgeL NasmithL.Inter and Intra\u2010Professional Collaborative PatientCentred Care in Postgraduate Medical Education. Members of the FMEC PG consortium;2011."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201014\u201000509.1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010021\u201002910\u20106"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14788"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14061"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14520"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"196","article-title":"A WHO report: framework for action on interprofessional education and collaborative practice","volume":"39","author":"Gilbert JH","year":"2010","journal-title":"J Allied Health"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj\u20102012\u2010131168"},{"key":"e_1_2_11_13_1","unstructured":"Accrediation Council for Graduate Medical Education (ACGME).Common Program Requirements (Residency).2023."},{"key":"e_1_2_11_14_1","volume-title":"CanMEDS 2015 Physician Competency Framework","author":"Frank JRSL","year":"2015"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/17.10.557"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010016\u20101619\u20108"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102923.2007.02778.x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820.2020.1797653"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2017.1390216"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14279"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10728\u2010007\u20100080\u20106"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000002713"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010023\u201004363\u20105"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017\u20101284G"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423612000217"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1367493518823906"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.edurev.2007.12.001"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1108\/13665620410550295"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12848"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7273.1400"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159x.2013.804977"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14045"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.46743\/2160\u20103715\/2013.1550"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1020"},{"key":"e_1_2_11_35_1","doi-asserted-by":"crossref","DOI":"10.7208\/chicago\/9780226206868.001.0001","volume-title":"Writing Ethnographic Fieldnotes","author":"Emerson RM","year":"2011"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.4300\/jgme\u2010d\u201021\u201000752.1"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003075"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.edurev.2013.05.001"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207590600991237"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1348\/000709900158001"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459\u2010010\u20109246\u20103"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.3109\/13561820.2013.805735"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14715"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40037\u2010022\u201000733\u20109"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1108\/00483480810862297"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14711"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/10463280701728302"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14169"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13655"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2014.915297"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820500082529"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14542"}],"container-title":["Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/medu.15271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:00:39Z","timestamp":1762250439000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/medu.15271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,22]]},"references-count":51,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/medu.15271"],"URL":"https:\/\/doi.org\/10.1111\/medu.15271","archive":["Portico"],"relation":{},"ISSN":["0308-0110","1365-2923"],"issn-type":[{"value":"0308-0110","type":"print"},{"value":"1365-2923","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,22]]},"assertion":[{"value":"2023-07-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}