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Providing a liminal space: Threshold concepts for learning in palliative medicine
Anne O'Callaghan1,2, Andy Wearn1, Mark Barrow3
1Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Medical Teacher
|November 19, 2019
Summary
Palliative medicine training offers valuable learning for doctors. This study identified key "threshold concepts," like emotional engagement and communication, that are transformative and improve practice, guiding future medical education.
Area of Science:
- Medical Education
- Palliative Medicine
- Psychology
Background:
- Palliative medicine provides crucial training for doctors.
- Understanding effective learning strategies in palliative medicine is essential.
- The 'threshold concepts' framework offers a lens to analyze difficult but transformative learning.
Purpose of the Study:
- To identify threshold concepts in palliative medicine training for doctors.
- To understand the characteristics and impact of these concepts on learning.
- To inform curriculum development for palliative medicine education.
Main Methods:
- Qualitative, exploratory study using the threshold concepts framework.
- Semi-structured focus group interviews with doctors-in-training.
- Content analysis with deductive and inductive phases to identify threshold concepts.
Main Results:
- Five threshold concepts were identified in palliative medicine training.
- 'Emotional engagement' and 'communication management' were key threshold concepts.
- These concepts were highly valued, unique to the placement, and influenced future practice.
Conclusions:
- Specific threshold concepts are crucial for doctors in palliative medicine.
- Identifying these concepts aids in developing targeted learning support.
- Findings can inform and improve palliative medicine curriculum design for enhanced medical training.
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