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Replacing stressful challenges with positive coping strategies: a resilience program for clinical placement learning

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Abstract

Clinical education is foundational to health professional training. However, it is also a time of increased stress for students. A student’s perception of stressors and their capacity to effectively manage them is a legitimate concern for educators, because anxiety and decreased coping strategies can interfere with effective learning, clinical performance and capacity to care for patients. Resilience is emerging as a valuable construct to underpin positive coping strategies for learning and professional practice. We report the development and evaluation of a psycho-education resilience program designed to build practical skills-based resilience capacities in health science (physiotherapy) students. Six final year undergraduate physiotherapy students attended four action research sessions led by a clinical health psychologist. Resilience strategies drawn from cognitive behavioural therapy, and positive and performance psychology were introduced. Students identified personal learning stressors and their beliefs and responses. They chose specific resilience-based strategies to address them, and then reported their impact on learning performance and experiences. Thematic analysis of the audio-recorded and transcribed action research sessions, and students’ de identified notes was conducted. Students’ initial descriptions of stressors as ‘problems’ outside their control resulting in poor thinking and communication, low confidence and frustration, changed to a focus on how they managed and recognized learning challenges as normal or at least expected elements of the clinical learning environment. The research suggests that replacing stressful challenges with positive coping strategies offers a potentially powerful tool to build self-efficacy and cognitive control as well as greater self-awareness as a learner and future health practitioner.

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References

  • Ahern, N. R., Ark, P., & Byers, J. (2008). Resilience and coping strategies in adolescents–additional content. Paediatric Care, 20(10), S1–S8.

    Article  Google Scholar 

  • Alzahem, A. M., van der Molen, H. T., Alaujan, A. H., Schmidt, H. G., & Zamakhshary, M. H. (2011). Stress amongst dental students: A systematic review. European Journal of Dental Education, 15(1), 8–18.

    Article  Google Scholar 

  • Alzahem, A., Van der Molen, H., & De Boer, B. (2013). Effect of year of study on stress levels in male undergraduate dental students. Advances in Medical Education and Practice, 4, 4217–222.

  • Atkinson, P., & Delamont, S. (1977). Mock-ups and cock-ups: The stage management of guided discovery instruction. In P. Woods, & M. Hammersley (Eds.), School experience: Explorations in the Sociology of education (pp. 87–108). London: Croon Helm.

  • Attride-Stirling, J. (2001). Thematic networks: An analytic tool for qualitative research. Qualitative Research, 1(3), 385–405.

    Article  Google Scholar 

  • Balague, G. (2005). Anxiety: From pumped to panicked. In: Murphy, S. (ed.). The sport psych handbook. A complete guide to today’s best mental training techniques (pp. 73–91). USA: Human Kinetics Publishers, Inc.

  • Barlow, C., & Hall, B. L. (2007). ‘What about Feelings?’: A Study of Emotion and Tension in Social Work Field Education. Social Work Education, 26(4), 399–413.

    Article  Google Scholar 

  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. New York: Guilford Press.

    Google Scholar 

  • Billett, S. (2001). Knowing in practice: Re-conceptualising vocational expertise. Learning and Instruction, 11(6), 431–452.

    Article  Google Scholar 

  • Boud, D., & Molloy, E. (2012). Rethinking models of feedback for learning: The challenge of design. Assessment & Evaluation in Higher Education, 38(6), 698–712.

  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research In Psychology, 3(2), 77–101.

    Article  Google Scholar 

  • Buccieri, K., Pivko, S., & Olzenak, D. (2011). How Does a Physical Therapist Acquire the Skills of an Expert Clinical Instructor? Journal of Physical Therapy Education, 25(2), 17–25.

    Google Scholar 

  • Chan, D. S. K. (2002). Associations between student learning outcomes from their clinical placement and their perceptions of the social climate of the clinical learning environment. International Journal of Nursing Studies, 39(5), 517–524.

    Article  Google Scholar 

  • Chipchase, L. S., Buttrum, P. J., Dunwoodie, R., Hill, A. E., Mandrusiak, A., & Moran, M. (2012). Characteristics of student preparedness for clinical learning: Clinical educator perspectives using the Delphi approach. BMC Med Educ 12112.

  • Chou, C., Kalet, A., & Hauer, K. (2014). A Research Agenda for Remediation in Medical Education (pp. 339–348). New York: Remediation in Medical Education. Springer.

    Book  Google Scholar 

  • Crouch, M., & McKenzie, H. (2006). The logic of small samples in interview-based qualitative research. Social Science Information, 45(4), 483–499.

    Article  Google Scholar 

  • Dahan, H., & Bedos, C. (2010). A typology of dental students according to their experience of stress: A qualitative study. Journal of Dental Education, 74(2), 95–103.

    Google Scholar 

  • Dalton, Megan, Davidson, Megan, & Keating, Jenny. (2011). The Assessment of Physiotherapy Practice (APP) is a valid measure of professional competence of physiotherapy students: A cross-sectional study with Rasch analysis. Journal of Physiotherapy, 57(4), 239–246.

    Article  Google Scholar 

  • Delany, C., & Bragge, P. (2009). A study of physiotherapy students’ and clinical educators’ perceptions of learning and teaching. Medical Teacher, 31(9), e402–e411.

    Article  Google Scholar 

  • Delany, C., & Watkin, D. (2009). A study of critical reflection in health professional education: Learning where others are coming from. Advances in Health Science Education, 14(3), 411–429.

    Article  Google Scholar 

  • Dobson, K., & Khatri, N. (2000). Cognitive therapy: Looking forward, looking back (pp. 56907–56923). Clinical Psychology: Science and Practice.

    Google Scholar 

  • Dornan, T., Boshuizen, H., King, N., & Scherpbier, A. (2007). Experience-based learning: A model linking the processes and outcomes of medical students’ workplace learning. Medical Education, 41(1), 84–91.

    Article  Google Scholar 

  • Downe-Wamboldt, B. (1992). Content analysis: Method, applications, and issues. Health Care for Women International, 13(3), 313–321.

  • Dunn, L., Morgan, C., O’Reilly, M., & Parry, S. (2004). The Student Assessment Handbook. London: Routledge Falmer.

    Google Scholar 

  • Dyrbye, L., Thomas, M., & Shanafelt, T. (2005). Medical student distress: Causes, consequences, and proposed solutions. Mayo Clinic Proceedings (Vol. 80(12)).

  • Egan, T., & Chrystal, J. (2009). Communities of clinical practice: The social organization of clinical learning. Health, 13(1), 107–125.

    Google Scholar 

  • Elliott, M. (2002). The clinical environment: A source of stress for undergraduate nurses. The Australian Journal Of Advanced Nursing: A Quarterly Publication Of The Royal Australian Nursing Federation, 20(1), 34–38.

    Google Scholar 

  • Ellis, A. (1980). Rational-emotive therapy and cognitive behavior therapy: Similarities and differences. Cognitive Therapy and Research, 4(4), 325–340.

    Article  Google Scholar 

  • Eraut, M., & Hirsh, W. (2010). The significance of workplace learning for individuals, groups and organisations. Oxford: SKOPE (Monograhp 6).

  • Faure, M., Unger, M., & Burger, M. (2002). Physiotherapy students’ perceptions of an innovative approach to clinical practice orientation. South African Journal of Physiotherapy, 58(2), 3–8.

    Google Scholar 

  • Finn, J. (1999). An exploration of helping processes in an online self-help group focusing on issues of disability. Health and Social Work, 24(3), 220–231.

    Article  Google Scholar 

  • Firth-Cozens, J. (2001a). Interventions to improve physicians’ well-being and patient care. Social Science and Medicine, 52(2), 215–222.

    Article  Google Scholar 

  • Firth-Cozens, J. (2001b). Medical student stress. Medical Education, 35(1), 6–7.

    Article  Google Scholar 

  • Frank, L., & Cassady, S. (2005). Health and Wellness in Entry-level Physical Therapy Students: Are Measures of Stress, Anxiety, and Academic Performance Related? Cardiopulmonary Physical Therapy Journal, 16(4), 5–13.

    Google Scholar 

  • Gammon, J., & Morgan-Samuel, H. (2005). A study to ascertain elect of structured student tutorial support on student stress, self-esteem and coping. Nursing Education Practice, 5161–5171.

  • Grace, S., & Trede, F. (2013). Developing professionalism in physiotherapy and dietetics students in professional entry courses. Studies in Higher Education, 38(6), 793–806.

    Article  Google Scholar 

  • Green, J., & Britten, N. (1998). Qualitative research and evidence based medicine. BMJ, 316(7139), 1230–1232.

    Article  Google Scholar 

  • Greenfield, B. H. (2006). The meaning of caring in five experienced physical therapists. Physiotherapy Theory and Practice, 22(4), 175–187.

    Article  Google Scholar 

  • Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.

    Article  Google Scholar 

  • Haines, M. E., Norris, M. P., & Kashy, D. A. (1996). The effects of depressed mood on academic performance in college students. Journal of College Student Development, 37(5), 519–526.

  • Harland, T. (2012). University Teaching. London: Routledge.

    Google Scholar 

  • Hartup, J. K., Murphy, R. A., Plowman, L. M., & Myers, R. (2010). Progression through osteopathic training in Australia: The student experience. International Journal of Osteopathic Medicine, 13(4), 160–165.

    Article  Google Scholar 

  • Hayward, L. M., Noonan, A. C., & Shain, D. (1999). Qualitative Case Study of Physical Therapist Students’ Attitudes, Motivations, and Affective Behaviors. Journal of Allied Health, 28(3), 155–164.

    Google Scholar 

  • Higgs, J., Ajjawi, R., & Smith, M. (2009). Working and learning in communities of practice. In J. Higgs, M. Smith, G. Webb, M. Skinner, & A. Croker (Eds.), Contexts of physiotherapy practice (pp. 117–128). Sydney: Churchill Livingstone.

    Google Scholar 

  • Higgs, J., & McAlister, L. (2007). Being a clinical educator. Advances in Health Sciences Education, 12(2), 187–200.

  • Hobbs, C., Henley, E., Higgs, J., & Williams, V. (2000). Clinical education program strategies for challenging times. Focus on Health Professional Education: A Multi-Disciplinary Journal, 2(2), 1–17.

  • Howe, A., Smajdor, A., & Stockl, A. (2012). Towards an understanding of resilience and its relevance to medical training. Medical Education, 4(6), 349–356.

  • Jacob, T., Gummesson, C., Nordmark, E., El-Ansary, D., Remedios, L., & Webb, G. (2012). Perceived Stress and Sources of Stress Among Physiotherapy Students From 3 Countries. Journal of Physical Therapy Education, 26(3), 57–65.

    Google Scholar 

  • Jacob, T., Itzchak, E. B., & Raz, O. (2013). Stress among healthcare students—A cross disciplinary perspective. Physiotherapy Theory Practice, 29(5), 401–412.

    Article  Google Scholar 

  • Janicik, R., & Fletcher, K. (2003). Teaching at the bedside: A new model. Medical Teacher, 25(2), 127–130.

    Article  Google Scholar 

  • Joffe, B. (2005). Models of clinical education. In M. Rose & D. Best (Eds.), Transforming practice through clinical education, professional supervision and mentoring. Edinburgh: Elsevier.

    Google Scholar 

  • Jungbluth, C., Macfarlane, I. M., Veach, P. M., & Leroy, B. S. (2011). Why is everyone so anxious? An exploration of stress and anxiety in genetic counseling graduate students. Journal of Genetic Counseling, 20(3), 270–286.

    Article  Google Scholar 

  • Kahn, R. L., & Byosiere, M. (1992). Stress in organizations. In M. Dunnette & L. Hough (Eds.), Handbook of industrial & organizational psychology (pp. 571–650). Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Kampfe, C. M., Mitchell, M. M., Boyless, J. A., & Sauers, G. O. (1999). Undergraduate students’ perceptions of the internship: An exploratory study. Rehabilitation Education, 13(4), 359–367.

    Google Scholar 

  • Kampfe, C. M., et al. (1995). Coping Strategies Used by Undergraduate Interns: Implications for Rehabilitation Education. Rehabilitation Counseling Bulletin, 38(4), 318–333.

    Google Scholar 

  • Kilminster, S., Zukas, M., Quinton, N., & Roberts, T. (2011). Preparedness is not enough: Understanding transitions as critically intensive learning periods. Medical Education, 45(10), 1006–1015.

    Article  Google Scholar 

  • Lake, F., & Hamdorf, J. (2004). Teaching on the run tips 5: Teaching a skill. Medical Journal of Australia, 18(1), 327–328.

  • Lake, F., & Ryan, G. (2005). Teaching on the run tips 11: The junior doctor in difficulty. Medical Journal of Australia, 183(9), 475.

    Google Scholar 

  • Lazaras, R. S., & Folkman, S. F. (1984). Stress. New York, Springer: Appraisal and Coping.

    Google Scholar 

  • Lekkas, P., Larsen, T., Kumar, S., et al. (2007). No model of clinical education for physiotherapy students is superior to another: A systematic review. Australian Journal of Physiotheraphy, 53(1), 19–28.

    Article  Google Scholar 

  • Lindstroem, B. (2001). The meaning of resilience. International Journal of Adolescent Medicine and Health, 13(1), 7–12.

    Google Scholar 

  • Linley, A., et al. (2006). Positive psychology: Past, present, and (possible) future. The Journal of Positive Psychology, 1(1), 3–16.

    Article  Google Scholar 

  • Löfmark, A., & Wikblad, K. (2001). Facilitating and obstructing factors for development of learning in clinical practice: A student perspective. Journal of Advanced Nursing, 34(1), 43–50.

    Article  Google Scholar 

  • Luthar, S. S., & Cicchetti, D. (2000). The construct of resilience: Implications for interventions and social policies. In Development and psychopathology, 12(4), 857–885.

  • Maidment, J. (2003). Problems experienced by students on field placement: Using research findings to inform curriculum design and content. Australian Social Work, 56(1), 50–60.

    Article  Google Scholar 

  • Mann, K., Gordon, J., & Macleod, A. (2009). Reflection and reflective practice in health professions education: A systematic review. Advances in Health Sciences Education, 14(14), 595–621.

  • Marshall, L., Allison, A., Nykamp, D., & Lankea, S. (2008). Perceived Stress and Quality of Life Among Doctor of Pharmacy Students. American Journal of Pharmaceutical Education, 72(6), 137–146.

    Article  Google Scholar 

  • Martin, A. J., & Marsh, H. W. (2006). Academic resilience and its psychological and educational correlates: A construct validity approach. Psychology in the Schools, 43(3), 267–281.

    Article  Google Scholar 

  • Martin, A. J., & Marsh, H. W. (2008). Academic buoyancy: Towards an understanding of students’ everyday academic resilience. Journal of School Psychology, 46(1), 53–83.

    Article  Google Scholar 

  • Mason, S. L. (2006). Radiography student perceptions of clinical stressors. Radiologic Technology, 77(6), 437–450.

    Google Scholar 

  • McAllister, M., & McKinnon, J. (2009). The importance of teaching and learning resilience in the health disciplines: A critical review of the literature. Nurse Education Today, 29(4), 371–379.

    Article  Google Scholar 

  • McGaghie, W. C., Issenberg, S. B., Cohen, E. R., Barsuk, J. H., & Wayne, D. B. (2011). Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Academic Medicine: Journal of the Association of American Medical Colleges, 86(6), 706–711.

    Article  Google Scholar 

  • McGaghie, W. C., Issenberg, S. B., Petrusa, E. R., & Scalese, R. J. (2010). A critical review of simulation-based medical education research: 2003–2009. Medical Education, 44(1), 50–63.

    Article  Google Scholar 

  • McLeod, S., Romanini, J., Cohn, E., & Higgs, J. (1997). Models and roles in clinical education. In: Mcallister, L., Lincoln, M., Mcleod, S., & Maloney, D. (eds.). Facilitating learning in clinical settings. Stanley Thornes, Cheltenham, UK.

  • McNiff, J., & Whitehead, J. (2006) All you need to know about action research. London: Sage.

  • Meyer, J. H. F., & Land, R. (2003). Threshold concepts and troublesome knowledge (1): Linkages to ways of thinking and practising within the disciplines (pp. 412–424). Oxford: Improving Student Learning - Ten Years On. OCSLD.

    Google Scholar 

  • Mitchell, M. M., & Kampfe, C. M. (1993). Student coping strategies and perceptions of fieldwork. American Journal of Occupational Therapy, 47(6), 535–540.

    Article  Google Scholar 

  • Molloy, E., & Keating, J. (2011). Targeted preparation for clinical practice (pp. 59–82). Netherlands: Developing Learning Professionals. Springer.

    Google Scholar 

  • Monrouxe, L. V. (2010). Identity, identification and medical education: Why should we care? Medical Education, 44(1), 40–49.

    Article  Google Scholar 

  • Monrouxe, L., & Sweeney, K. (2013). Between two worlds: Medical students narrating identity tensions. In C. Figley, P. Huggard, & C. Rees (Eds.), First do no self harm (pp. 44–66). Promoting physician stress resilience: Oxford University Press, Oxford.

    Chapter  Google Scholar 

  • Morse, J., & Singleton, J. (2001). Exploring the Technical Aspects of “Fit” in Qualitative Research. Qualitative Health Research, 11(6), 841–847.

    Article  Google Scholar 

  • Muchinsky, P. (2003). Psychology Applied to Work. USA: Thomson Wadsworth.

    Google Scholar 

  • Nelson, N. G., Dell’Oliver, C., Koch, C., & Buckler, R. (2001). Stress, coping, and success among graduate students in clinical psychology. Psychological Reports, 88(3 Pt 1), 759–767.

    Article  Google Scholar 

  • Nerdrum, P., Rustoen, T., & Helge Ronnestad, M. (2009). Psychological Distress among Nursing, Physiotherapy and Occupational Therapy Students: A Longitudinal and Predictive Study. Scandinavian Journal of Educational Research, 53(4), 363–378.

    Article  Google Scholar 

  • O’Meara, S., Kostas, T., Markland, F., & Previty, J. (1994). Perceived academic stress in physical therapy students. Journal of Physical Therapy Education, 8(2), 71–75.

    Google Scholar 

  • Omigbodun, O. O., Odukogbe, A.-T. A., Omigbodun, A. O., Yusuf, O. B., Bella, T. T., & Olayemi, O. (2006). Stressors and psychological symptoms in students of medicine and allied health professions in Nigeria. Social Psychiatry and Psychiatric Epidemiology, 41(5), 415–421.

    Article  Google Scholar 

  • Padesky, C. A., & Mooney, K. A. (2012). Strengths-Based Cognitive-Behavioural Therapy: A Four-Step Model to Build Resilience. Clinical Psychology and Psychotherapy, 19(4), 283–290.

    Article  Google Scholar 

  • Pritchard, M. E., Wilson, G. S., & Yamnitz, B. (2007). What Predicts Adjustment Among College Students? A Longitudinal Panel Study. Journal of American College Health, 56(1), 15–22.

    Article  Google Scholar 

  • Radcliffe, C., & Lester, H. (2003). Perceived stress during undergraduate medical training: A qualitative study. Medical Education, 37(1), 32–38.

    Article  Google Scholar 

  • Risdon, C., & Baptiste, S. (2013). First do no self harm: Understanding and promoting physician stress resilience. Bringing Complexity Thinking to Curriculum Development, 88, 88–125.

  • Rompf, E., Royse, D., & Dhooper, S. (1993). Anxiety Preceeding Field Work: What Students Worry About. Journal of Teaching in Social Work, 7(2), 81–95.

    Article  Google Scholar 

  • Rowe, M., Frantz, J., & Bozalek, V. (2012). The role of blended learning in the clinical education of healthcare students: A systematic review. Medical Teacher, 34(4), e216–e221.

    Article  Google Scholar 

  • Sarid, O., Anson, O., Yaari, A., & Margalith, M. (2004). Academic stress, immunological reaction, and academic performance among students of nursing and physiotherapy. Research in Nursing and Health, 27(5), 370–377.

    Article  Google Scholar 

  • Seaward, B. L. (2004). Managing Stress: Principles and Strategies for Health and Wellbeing. Boston: MA, Jones and Barlett.

    Google Scholar 

  • Secomb, J. (2008). A systematic review of peer teaching and learning in clinical education. Journal of Clinical Nursing, 17(6), 703–716.

    Article  Google Scholar 

  • Shechtman, Z. (2003). Stress in Israel: Voices in one group counseling session of counselor trainees. International Journal for the Advancement of Counseling, 25(4), 247–253.

    Article  Google Scholar 

  • Shiralkar, M. T., Harris, T. B., Eddins-Folensbee, F. F., & Coverdale, J. H. (2013). A systematic review of stress-management programs for medical students. Academic Psychiatry, 37(3), 158–164.

    Article  Google Scholar 

  • Kilminster, S. (2009). Recognising and bridging gaps: Theory, research and practice in clinical education. In C. Delany & E. Molloy (Eds.), Clinical Education in the Health Professions (pp. 38–51). Sydney: Churchill Livingstone.

    Google Scholar 

  • Smith, M., & Trede, F. (2013). Reflective practice in the transition phase from university student to novice graduate: Implications for teaching reflective practice. Higher Education Research and Development, 32(4), 632–645.

    Article  Google Scholar 

  • Stiller, K., Lynch, E., Phillips, A. C., & Lambert, P. (2004). Clinical education of physiotherapy students in Australia: Perceptions of current models. Australian Journal of Physiotherapy, 50(4), 243–247.

    Article  Google Scholar 

  • Tobin, P., & Carson, J. (1994). Stress and the student social worker. Social Work and Social Sciences Review, 5(3), 246–255.

    Google Scholar 

  • Trede, F., & Higgs, J. (2009). Models and philosophy of practice. In J. Higgs, M. Smith, G. Webb, M. Skinner, & A. Croker (Eds.), Contexts of physiotherapy practice (pp. 90–102). Sydney: Churchill Livingstone.

    Google Scholar 

  • Trede, F., Macklin, R., & Bridges, D. (2012). Professional identity development: A review of the higher education literature. Studies in Higher Education, 37(3), 365–384.

    Article  Google Scholar 

  • Trede, F., & Smith, M. (2014). Workplace educators’ interpretations of their assessment practices: A view through a critical practice lens. Assessment and Evaluation in Higher Education, 39(2), 154–167.

    Article  Google Scholar 

  • Tucker, B., Jones, S., Mandy, A., & Gupta, R. (2006). Physiotherapy students’ sources of stress, perceived course difficulty, and paid employment: Comparison between Western Australia and United Kingdom. Physiotherapy Theory and Practice, 22(6), 317–328.

    Article  Google Scholar 

  • Tyrrell, J., & Smith, H. (1996). Levels of psychological distress among occupational therapy students. British Journal of Occupational Therapy, 59(8), 365–371.

    Article  Google Scholar 

  • Van De Wiel, M., Van den Bossche, P., Janssen, S., & Jossberger, H. (2011). Exploring deliberate practice in medicine: How do physicians learn in the workplace? Advances in Health Sciences Education, 16(1), 81–95.

    Article  Google Scholar 

  • Walsh, J. M., Feeney, C., Hussey, J., & Donnellan, C. (2010). Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy, 96(3), 206–212.

    Article  Google Scholar 

  • Williams, K., et al. (2008). Improving bedside teaching: Findings from a focus group study of learners. Academic Medicine, 83(3), 257–264.

    Article  Google Scholar 

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Acknowledgements

The authors wish to acknowledge the contributions of Lara Edbrooke and Birgit Campbell, research assistants supporting the study, and the participating students in the study. This research was supported by an Australian Physiotherapy Association Trust Fund, The Pat Cosh grant.

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Authors and Affiliations

  1. Physiotherapy Department, School of Health Sciences, The University of Melbourne, Melbourne, Australia

    C. Delany, K. J. Miller, D. El-Ansary, L. Remedios & S. McLeod

  2. Department of Physical Therapy, University of British Columbia, Vancouver, Canada

    K. J. Miller

  3. Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia

    A. Hosseini

  4. SAM (Seek Arrive Maximise) Centre, Melbourne, Australia

    S. McLeod

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  1. C. Delany
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  3. D. El-Ansary
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  5. A. Hosseini
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  6. S. McLeod
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Correspondence to C. Delany.

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Delany, C., Miller, K.J., El-Ansary, D. et al. Replacing stressful challenges with positive coping strategies: a resilience program for clinical placement learning. Adv in Health Sci Educ 20, 1303–1324 (2015). https://doi.org/10.1007/s10459-015-9603-3

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