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Academic Medicine : Journal of the Association of American Medical Colleges
|July 7, 2018
PubMed
Summary

Medical education training sites have diversified, creating a contextual learning matrix. Learners need support to navigate varied learning opportunities and understand the impact of context on their development as physicians.

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Area of Science:

  • Medical Education
  • Healthcare Systems

Background:

  • The healthcare landscape has shifted, expanding medical training beyond traditional academic centers.
  • This has resulted in diverse clinical learning environments with varied contextual influences.

Purpose of the Study:

  • To explore the influence of contextual variation on medical learning.
  • To introduce the concept of the "contextual curriculum" in medical education.

Main Methods:

  • Described contextual patterns in clinical learning environments (patients, practices, geography, systems, culture).
  • Conceptualized these patterns as a "contextual learning matrix" influencing learner development.

Main Results:

  • Learners' participation in the contextual matrix shapes their learning and professional identity.
  • Inability to recognize educational affordances in different contexts can lead to missed learning opportunities.

Conclusions:

  • Learners require support to recognize and leverage diverse learning opportunities across varied contexts.
  • Medical educators should make the "contextual curriculum" apparent to learners navigating changing environments.