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A Constructive Reframing of Student Roles and Systems Learning in Medical Education Using a Communities of Practice
Jed D Gonzalo1, Britta M Thompson, Paul Haidet
1J.D. Gonzalo is assistant professor of medicine and public health sciences and associate dean for health systems education, Penn State College of Medicine, Hershey, Pennsylvania; ORCID: http://orcid.org/0000-0003-1253-2963. B.M. Thompson is professor of medicine and associate dean for learner assessment and program evaluation, Penn State College of Medicine, Hershey, Pennsylvania. P. Haidet is professor of medicine, humanities, and public health sciences and director of medical education research, Penn State College of Medicine, Hershey, Pennsylvania. K. Mann was professor emeritus, Division of Medical Education, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. D.R. Wolpaw is professor of medicine and humanities, senior consultant for education innovation, Regional Medical Campus, and director, Doctors Kienle Center for Humanistic Medicine, Penn State College of Medicine, Hershey, Pennsylvania.
Medical schools must adapt education to evolving health systems, preparing physicians with systems-ready skills. A new model, value-added clinical systems learning roles, integrates health systems science into patient care experiences.
Area of Science:
- Medical Education
- Health Systems Science
- Communities of Practice Theory
Background:
- Health systems are transforming, necessitating "systems-ready" healthcare providers.
- Medical educators must align curricula with evolving clinical practice environments.
- Traditional medical education needs reform to meet new healthcare demands.
Purpose of the Study:
- To explore value-added medical education, authentic student roles, and health systems science.
- To apply communities of practice theory to reframe medical student educational practices.
- To propose a new model for clinical experiences aligning education with health system needs.
Main Methods:
- Utilizing communities of practice theory as a framework.
- Analyzing current experiential roles for medical students.
- Proposing "value-added clinical systems learning roles" for students.
Main Results:
- Communities of practice theory offers insights into reframing educational practices.
- A new model of clinical learning roles can enhance student contributions to patient care.
- Students can learn health systems science at patient and population levels through these roles.
Conclusions:
- Medical education requires significant adaptation to prepare physicians for modern healthcare.
- Value-added clinical systems learning roles offer a promising approach for integrating health systems science.
- Implementing these new roles necessitates addressing challenges in professional formation and program design.
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