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Moving beyond solutionism: Re-imagining placements through an activity systems lens.

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Clinical placements face service-education tension due to de-coupled health and education systems. Re-imagining placements requires partnership recognizing inseparable learning and practice for workforce preparation.

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Area of Science:

  • Health Professions Education
  • Workforce Development
  • Socio-technical Systems

Background:

  • Clinical placements are crucial for training health professionals but face challenges in complex healthcare environments.
  • A 'service-education tension' arises, where placements are perceived as a burden, leading to simplistic, reductionist solutions.
  • Existing approaches fail to address the multifaceted nature of clinical placement challenges.

Purpose of the Study:

  • To analyze the disconnect between health and education systems regarding clinical placements.
  • To re-conceptualize clinical placements for the mutual benefit of patients, health services, and students.
  • To offer a sophisticated understanding of integrating students into the workplace for future workforce preparation.

Main Methods:

  • Utilized cultural-historical activity theory as a conceptual and analytical framework.
  • Examined a series of clinical education case studies within acute care settings.
  • Analyzed the 'health-education disconnect' through the lens of activity theory.

Main Results:

  • Solutionist approaches stem from a de-coupling of health and education, fragmenting the goal of workforce preparation.
  • The shared objective of preparing the future health workforce is often undermined by this fragmentation.
  • Recognizing learning and practice as inseparable is key to addressing the disconnect.

Conclusions:

  • Successful re-coupling of health and education systems for clinical placements necessitates a strong partnership.
  • This partnership must be founded on a shared commitment to workforce preparation and acknowledge the inseparability of learning and practice.
  • Continuous collaboration is essential to navigate the complexities of preparing the future health workforce within dynamic activity systems.