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Table 3 Tabular outcome space

From: Symbolic access: medical students’ awareness of institutional culture and its influence on learning, a phenomenographic study

OUTCOME SPACE

Categories of Description

Dimensions of Variation

Interactions with Educators

Relationship with Peers

Educational Environment

Race

Rejection

No initiation by educators to develop educator-student relationships.

No rejection described in relation to relationship with peers.

1st -4th year: Students not welcomed by medical community.

5th &6th year: Feelings of illegitimacy in the community by students.

Exclusion and poor community identification by SoC.

Disregarded

1st -4th year: Students not recognized by community.

Clinical Years: Students ignored during significant community events.

No disregard described in relation to relationship with peers.

1st year: Students completely ignored by medical community.

2nd -4th year: Students on medical campus but not prioritized.

5th &6th year: stressful often with little support from educators.

Neglect and othering of SoC based on race.

Alienation

Significant isolation during early years of the programme.

Minimal academic alienation, based on race, described by collective.

1st − 4th year: Students separated from the medical community in lecture theatres.

Sense of estrangement from the community.

Actualization

3rd and 4th year: Clinical Skills educators source of community acceptance.

5th &6th year: Recognition and prioritization close to graduation.

Facilitated a sense of community and identity development. Students ‘seen’ by peers. Source of comfort and guide for students to navigate the academic and clinical space.

3rd and 4th year: Clinical Skills lessons opportunity to learn skills to be used in future. Safe environment.

5th &6th year: Opportunity to meaningfully participate.

Positive experiences of encouragement by seniors of same race.