Gersten Jonker

56   Chapter 3 Supervisors could imagine working with entrustment of the professional activity but most pointed out that they would like to personally observe the student or doctor before decreasing supervision: With a new teammember I think you’d want to double-check whether things are done well, as at the end of the day, you, as a supervisor, are responsible for your patients. But the entrustment process will be faster, you won’t need a build-up anymore. (Su20) The ACTY teaching sessions fostered learning especially by exchanging and discussing real-life experienced clinical cases. Students felt it broadened their view on acute care, enhanced retention of knowledge and promoted clinical reasoning. The exclusive, confidential setting of these sessions was deemed important for interactivity and safety to express oneself. Specifically the small scale added value. We learn more in a small group and there’s more opportunity to share experiences. In larger settings it’s more like taking turns to contribute to the discussion. (St39) Group size of around 12 students was believed to be optimal. Further value could be added by including simulation training, and input from a wider array of teachers from different backgrounds. Students thought the mentor to be of added value. Students gave examples of mentors providing advice about rotation choices and helpingwith applications for training posts. You have someone to direct questions to, discuss things, and obtain advice when you’re in doubt; this is all very handy. (St4) Mentor meetings left room for individual approaches, which students and mentors appreciated. Most mentors explained to have chosen a casual, companion approach. A few students stated that the purpose and role of mentoring was unclear and wished more clearly written guidance on mentoring. Mentors felt they did not need more instruction. Supervisors emphasized the merit of mentoring and mentors indicated that this varies per student: I think it’s very dependent on how things are going, which problems you encounter and how you’re supported on the ward. If that goes arduous, it’s great to have someone to unload with. I think one student has more needs there than another. (M4)

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