Table 1 3-hour meetings

The 3-h meeting, an established practice in hospitals in the northern part of Denmark since 2002, aim to engage residents in generating educational initiatives supported by management [6]. Its key-element is hospital management involving residents in the process of how to improve the educational environment and activities in the clinical work setting. This is done by creating a reflective space and an appreciative inquiry process in each department in the hospital – for 3 h. The meeting comprises reflection, dialogue, and coming up with new ideas. The meeting results in suggestions for action plans, and leads to redesign of training and work, and to implementation of more than hundred educational activities at the hospital each year. Records of the residents’ reflections, action plans, and blue print for action on important educational issues have been collected in an annual electronic report since 2006.