title: Determinants of effective clinical learning: a student and teacher perspective in Saudi Arabia.
abstract: BACKGROUND
  Graduating clinically competent medical students is probably the principal objective of all medical curricula. Training for clinical competence is rather a complex process and to be effective requires involving all stakeholders, including students, in the processes of planning and implanting the curriculum. This study explores the perceptions of students of the College of Medicine at King Abdul-Aziz Bin Saud University for Health Sciences (KASU-HS), Riyadh, Saudi Arabia of the features of effective clinical rotations by inviting them to answer the question: "Which experiences or activities in your opinion have contributed to the development of your clinical competence? This college was established in 2004 and adopted a problem-based learning curriculum.
  
  
  METHODS
  This question was posed to 24 medical students divided into three focus groups. A fourth focus group interview was conducted with five teachers. Transcriptions of the tape-recorded focus group interviews were qualitatively analyzed using a framework analysis approach.
  
  
  RESULTS
  Students identified five main themes of factors perceived to affect their clinical learning: (1) the provision of authentic clinical learning experiences, (2) good organization of the clinical sessions, (3) issues related to clinical cases, (4) good supervision and (5) students' own learning skills. These themes were further subdivided into 18 sub-themes. Teachers identified three principal themes: (1) organizational issues, (2) appropriate supervision and (3) providing authentic experiences.
  
  
  CONCLUSIONS
  Consideration of these themes in the process of planning and development of medical curricula could contribute to medical students' effective clinical learning and skills competency.
authors.affiliation: King Saud Ben Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia.
authors.forename: A I
authors.initials: AI
authors.lastname: Alhaqwi
authors.forename: H T
authors.initials: HT
authors.lastname: van der Molen
authors.forename: H G
authors.initials: HG
authors.lastname: Schmidt
authors.forename: M E
authors.initials: ME
authors.lastname: Magzoub
mesh_terms: D002982:Clinical Clerkship / Q000706:statistics & numerical data; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003479:Curriculum; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007858:Learning; D010465:Perception; D018794:Problem-Based Learning; D036301:Qualitative Research; D012529:Saudi Arabia; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013637:Tape Recording; D013663:Teaching