Article Gold Open Access 2025

Learning in a contextually complex rural clinical placement

Advances in Health Sciences Education
Journal
Abstract

Introducing students to real-world contexts through clinical placements can provide rich learning experiences. In health professional education, these placements primarily focus on the supervised development of clinical skills within discipline-specific contexts. However, numerous implicit contexts influence the learning event, which may not be explicitly addressed in the placement’s curriculum or teaching structure but are nonetheless pedagogically significant. This study examines the distinctive contexts of a student-led, interdisciplinary Aboriginal allied health service placement in rural South Australia, highlighting the contexts’ unique experiential characteristics. We used a bricolage of phenomenological engagement and abductive thinking to investigate students’ experiences within and across these learning contexts. Students’ accounts revealed that their experiences at the intersections of these contexts held pedagogical significance. This finding prompts critical questions about the design and delivery of educational placements to maximise the inherent learning potential of contexts. We discuss the role of context in clinical placements and explore how context and context complexity can be effectively configured to support student learning across various clinical placement settings and models. We propose that developing context awareness and perspective, and attending to context convergence, can enhance meaningful learning in complex environments. © The Author(s) 2025.

Keywords

Author Keywords

Student learning Context complexity Learning in context Rural clinical placement

Index Keywords

Teaching learning human Article awareness Vocational education curriculum health practitioner health service drug therapy abductive reasoning indigenous people South Australia
Author Affiliations
Flinders University, Adelaide, SA, Australia, College of Medicine and Public Health, Adelaide, SA, Australia
Funding & Acknowledgements
No funding information
References 10 References
1 Arthars, Natasha, Constructing shared understanding of complex interdisciplinary problems: Epistemic games in interdisciplinary teamwork, Journal of the Learning Sciences, 33, 2, pp. 405-442, (2024)
2 Bates, Joanna, Mapping the dark matter of context: a conceptual scoping review, Medical education, 50, 8, pp. 807-816, (2016)
3 Bennett, Paul, Supporting rural/remote primary health care placement experiences increases undergraduate nurse confidence, Nurse Education Today, 33, 2, pp. 166-172, (2013)
4 Wholeness of Nature Goethe S Way Toward A Science of Conscious Participation in Nature, (1996)
5 Bourke, Lisa, Developing a conceptual understanding of rural health practice, Australian Journal of Rural Health, 12, 5, pp. 181-186, (2004)
6 Bradley, Donna, Experiences of Nursing and Allied Health Students Undertaking a Rural Placement - Barriers and Enablers to Satisfaction and Wellbeing, Australian and International Journal of Rural Education, 30, 1, pp. 51-63, (2020)
7 Briggs, Lynne, Student Experiences and Perceptions of Participation in Student-Led Health Clinics: A Systematic Review, Journal of Social Work Education, 56, 2, pp. 238-259, (2020)
8 Burke, Derek, How Doctors Think and Learn, How Doctors Think and Learn, pp. 1-186, (2020)
9 Chiffi, Daniele, Anticipation, abduction and the economy of research: The normative stance, Futures, 115, (2020)
10 Clement, Tim, ‘Noticing’ in health professions education: Time to pay attention?, Medical Education, 57, 4, pp. 305-314, (2023)
Quick Actions
Full Text via DOI
Citation Metrics
0
Times Cited (Scopus)

References 10
Document Identifiers