title: Clinical Positioning Space: Residents' Clinical Experiences in the Outpatient Oncology Clinic.
abstract: In this article, we present a case study of residents' clinical experiences and communication in outpatient oncology consultations. We apply positioning theory, a dynamic alternative to role theory, to investigate how oncology residents and patients situate themselves as persons with rights and duties. Drawing from seven qualitative interviews and six days of observation, we investigate the residents' social positioning and their conversations with patients or supervisors. Our focus is on how (a) relational shifts in authority depend on each situation and its participants; (b) storylines establish acts and positions and narratively frame what participants can expect from a medical consultation viewed as a social episode; and (c) the positioning of rights and duties can lead to misunderstandings and frustrations. We conclude that residents and patients locate themselves in outpatient conversations as participants who jointly produce and are produced by patients' and nurses' storylines about who should take responsibility for treatment.
authors.affiliation: Aarhus University, Aarhus, Denmark.
authors.forename: Lars H
authors.initials: LH
authors.lastname: Williams
authors.affiliation: Aarhus University, Aarhus, Denmark.
authors.forename: Mette K
authors.initials: MK
authors.lastname: Christensen
authors.affiliation: Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Carsten
authors.initials: C
authors.lastname: Rytter
authors.affiliation: Aarhus University, Aarhus, Denmark peter@medu.au.dk.
authors.forename: Peter
authors.initials: P
authors.lastname: Musaeus
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D003657:Decision Making; D003718:Denmark; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007400:Interprofessional Relations; D007407:Interviews as Topic; D008297:Male; D016522:Oncology Service, Hospital; D019982:Organizational Case Studies; D010045:Outpatients; D010819:Physician's Role / Q000523:psychology*; D010817:Physician-Patient Relations
keywords: cancer; communication; education, professional; interviews; nursing; relationships, health care; research, qualitative