{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T21:55:35Z","timestamp":1791755735780,"version":"4.3.4"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":197,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emphasis is being placed on producing intern\u2010ready graduates who can navigate complex clinical environments. Early clinical immersion seeks to enable this through experiential learning and supported participation in authentic workplaces; however, its educational value remains intangible. Studies have evaluated placement objectives but not other effects in detail. We explored novice students' experiences and approaches to learning during early clinical immersion and factors that enhanced or hindered them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical students at the beginning of their second year undertook 8\u2009weeks of immersive clinical learning to introduce them to hospital settings, enable understanding of hospital workplaces and strengthen clinical assessment and skills. In 2021, focus groups were conducted and data were analysed using theory\u2010informing subjectivist inductive data analysis based on self\u2010regulation learning theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen participants described diverse experiences and approaches to learning during early clinical immersion, indicating varying degrees of self\u2010regulated learning. Through goal setting, strategic awareness and behaviour, self\u2010reflection and adaptation and flexibility, some maximised learning opportunities, while others had a more limited experience. Some causal attributes enhanced learning, such as undertaking ward\u2010based learning tasks with nurses, while other attributes hindered it, such as disengaged supervisors and teams.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The quality of students' experience of learning during early clinical immersion is influenced by the degree of self\u2010regulated learning, which affects the approach to learning, plus system barriers and facilitators. Strategies that enable students to enhance self\u2010regulated learning, such as setting and monitoring learning goals with supervisors, may help optimise learning in clinical environments and provide the scaffolds to enhance learning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70156","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T04:44:47Z","timestamp":1752813887000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Variation in Students' Experiences and Approaches to Learning During Early Clinical Immersion"],"prefix":"10.1111","volume":"22","author":[{"given":"Naomi","family":"Staples","sequence":"first","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9868-9007","authenticated-orcid":false,"given":"James","family":"Collett","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Dubbo Clinical School, Sydney Medical School, Faculty of Medicine and Health University of Sydney; Dubbo Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6670-2254","authenticated-orcid":false,"given":"Matti","family":"Gild","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Northern Clinical School, Sydney Medical School, Faculty of Medicine and Health University of Sydney; Royal North Shore Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7112-9598","authenticated-orcid":false,"given":"Jonathan","family":"Hong","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Central Clinical School, Sydney Medical School, Faculty of Medicine and Health University of Sydney; Royal Prince Alfred Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fawzia","family":"Huq","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Concord Clinical School, Sydney Medical School, Faculty of Medicine and Health University of Sydney; Concord Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Shone","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0721-6675","authenticated-orcid":false,"given":"Karen\u00a0M.","family":"Scott","sequence":"additional","affiliation":[{"name":"Education Office, Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Specialty of Child and Adolescent Health, Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002079"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181c88449"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-022-03871-0"},{"key":"e_1_2_12_5_1","unstructured":"AMC \u201cStandards for Assessment and acreditation of primary medical programs \u201d (2012)."},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_237_23"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13357"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590500410971"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-022-03259-0"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2022.2118037"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2022.2137014"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.643264"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2010.496007"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7513.387"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.650741"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2929.2006.02652.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590802047265"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2011.595434"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13404"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13615"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003075"},{"key":"e_1_2_12_22_1","first-page":"37","volume-title":"Understanding Medical Education: Evidence, Theory, and Practice","author":"Kaufman D. M.","year":"2019"},{"key":"e_1_2_12_23_1","volume-title":"Experiential Learning: Experience as the Source of Learning and Development","author":"Kolb D. A.","year":"2014"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12848"},{"key":"e_1_2_12_25_1","first-page":"311","volume-title":"Handbook of Metacognition in Education","author":"Zimmerman B. J.","year":"2009"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40037-021-00664-x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-021-00631-5"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2021.1938074"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.14018"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2019.1630730"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-016-0615-3"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/03098260600717489"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-011-9285-4"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-016-9687-4"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8279.1976.tb02980.x"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-017-0956-6"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13124"}],"container-title":["The Clinical Teacher"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tct.70156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T17:05:37Z","timestamp":1762362337000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/tct.70156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/tct.70156"],"URL":"https:\/\/doi.org\/10.1111\/tct.70156","archive":["Portico"],"relation":{},"ISSN":["1743-4971","1743-498X"],"issn-type":[{"value":"1743-4971","type":"print"},{"value":"1743-498X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-10-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70156"}}