实践社区:本科纵向实习的理论框架
Liza Kirtchuk1, Sharon Markless2
1King's Undergraduate Medical Education in the Community, Centre for Education, Faculty of Life Sciences and Medicine, King's College London, London, UK.
The clinical teacher
|November 14, 2023
概括
实践社区 (CoP) 理论有助于理解医学学生在纵向实习中的学习. 诸如患者护理贡献和支持性环境等因素使合法外围参与成为可能,增强教育体验.
科学领域:
- 医学教育研究 医学教育研究
- 社会学习理论社会学习理论
- 一般实践培训一般实践培训
背景情况:
- 纵向实习在本科医学中越来越多地用于学生的学习和专业身份.
- 实践共同体 (CoP) 理论为理解这些环境中的学习提供了一个潜在的框架.
- 在纵向安置期间基于CoP的学习的经验证据目前有限.
研究的目的:
- 探索医学学生在纵向通用实践实习期间如何参与实践社区 (CoP).
- 识别能够或阻碍学生参与这些合作伙伴的因素.
主要方法:
- 采用案例研究方法,整合了采访,书面反思和例行评估的数据.
- 使用感应性主题分析从收集的数据中确定关键主题.
主要成果:
- 研究了学生在合作伙伴关系中的参与,重点关注合法的边缘参与.
- 合法边缘参与的关键推动因素包括为患者护理做出贡献,欢迎临床环境,获得非正式实践资源和有效的导师支持.
- 实践中的社会化代理人也在学生融入中发挥了作用.
结论:
- 实践社区 (CoP) 理论为理解纵向实习中的抽象学习过程提供了有价值的透镜.
- 合法边缘参与的程度各不相同,受特定的促成因素的影响.
- 了解这些因素对设计医疗教育中有效的课程和安置结构产生影响.
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