Jonine Jancey, Gemma Crawford, Elizabeth Bowman, Katharina Wolf, Tama Leaver, Stella Bialous, Kahlia McCausland
Perceptions of social media harms and potential management strategies: vaping case study
BMC public health
clinical practice variability characterized 2 clinicians making different treatment decisions despite encountering similar case study explores medical residents fellows experience interpret intersupervisor clinical practice variability variations influence learning seventeen senior residents fellows internal medicine hematology thrombosis medicine postgraduate year 3 participated semistructured interviews clinical rotation thrombosis medicine december 2019 march 2021 data collection analysis occurred iteratively concurrently manner consistent constructivist grounded theory variation theory used guide development interview questions central tenet theory learning occurs experiencing 3 sequential patterns variation contrast generalization fusion participants recruited purposively respect specialty theoretical sufficiency reached clinical practice variability experienced participants residents fellows attributed practice variability intrinsic differences among supervisors interinstitutional differences selection interpretation evidence patient preferences priorities fears participation decisionmaking process clinical practice variability helped residents fellows discern key features cases influenced decisionmaking contrast group similar cases appropriate evidence could applied generalization develop attitudes consistent providing individualized patient care fusion observing practice variability helpful fifth sixthyear residents less helpful third fourthyear residents clinical practice variability helped residents fellows discern critical aspects group similar patients practice individualized medicine future research characterize clinical practice variability influences learning across spectrum training supervisors could encourage learning practice variability curricula could modified allow learners greater opportunity reflect consolidate practice differences observe