Monday 24 November 2014

Student saturation

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Recently I sent out my research survey questions to a selected group of students. The Google form was accessible through a tinyurl mailed to the students. It was created attractively to add appeal by using relevant images and colour, and asked for 10 minutes of the students’ time. Like my pilot survey only 2 students responded. However unlike previously, a follow-up note using the mail merge add-on did not elicit more responses. While the subject of my research is related to students’ experiences and many have indicated a keenness to bring change, I'm wondering why the response rate was so poor.

Are senior students saturated by the numerous requests for evaluation, feedback and research participation? Involvement in research is voluntary so they have every right to refrain from participation yet this does have serious implication for a PhD project that hinges on the students' experiences in engaging with the curriculum. 

Perhaps students have become emotionally detached.  Individual achievement and motivation to succeed in the course can override broader concerns such as becoming part of a community of inquiry for change. Timing is a factor that I now recognize as crucial. Final year-end exams and the beginning of a short summer vacation are not conducive to responding to extra requests. I will retry the survey at the start of 2015 when students are refreshed and inspired to face new challenges.

As the link between emotions and affect becomes clearer, I consider alternative strategies to encourage students to feel empowered to act beyond the confines of the designed curriculum.






Monday 3 November 2014

A thorny issue


A thorn bush in the northern areas of South Africa seems to be a significant symbol for the problem of disrespect in Obstetrics, which is not straight forward, rather complex with multiple prongs. There is a need to draw on the different perspectives, from different angles in terms of the behavior and attitudes of the many actors, as well as engaging with emotions. 

Stepping into one of these thorn bushes is extremely painful, initiating a sharp reaction. A prick, a jab or a deep gash may result in lasting pain and discomfort. Similarly negative experiences of birthing can have detrimental consequences for mums, students, midwives and others involved.

The silencing of these practices seems to demonstrate an unwillingness to engage in difficult issues, perhaps the emotional labour is too unsettling. It feels like we are conditioned to keep our distance from the thorns, to stay away, which appears to exacerbate the “othering” of relationships.


Is the medical curriculum providing the space and opportunity for students to develop the muscle to recognize the thorns and bounce off them, or teaching and building resilience to insulate future doctors from harm, or shifting away from discomfort to accomplish the requisite knowledge and skills at the expense of other competencies?