Studying the dynamics of interrelations between styles and types of thinking of professionals in the context of higher medical education

Lyubov Alekseevna Kramskaya, Y. M. Perevozkina, Yuliya Vladimirovna Poshekhonova, M. Kashapov
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Abstract

Introduction. The relevance of studying professional thinking in the context of higher medical education is determined by theoretical and practical significance of the problem, which has an epistemological, not ontological nature: the formation of doctor’s professional clinical thinking. The article presents the findings of an empirical study of psychological patterns underlying the correlation between styles and types of thinking among medical students, attending physicians, and doctors in academic and professional activities. The purpose of the article is to identify the dynamics of relationships between styles and types of thinking among doctors at different stages of their professional development. Materials and Methods. Stylistic and typological features of doctors’ thinking were established by analyzing acmeological and psychological mechanisms of professionals’ creative thinking in the context of a metacognitive approach. Based on the resource approach to understanding the phenomenon of professional thinking, clinical thinking is considered as the highest cognitive process of searching, detecting and resolving problems, identifying externally unspecified, implicit properties of the cognizable and transformed medical situation. The following methods were used: A.K. Belousova’s ‘Styles of thinking inventory’ and V.A. Ganzen, K.B. Malyshev, L.V. Oginets’s ‘Method of identifying the type of thinking and the level of creativity’. Results. The authors have revealed the interrelation between styles and types of thinking of medical students, attending physicians and doctors. It was established that the dominant type and style of medical students, attending physicians and doctors’ thinking are the imaginative type of thinking and the practical style of thinking. The authors clarified and described the dynamics of interrelations between thinking styles and types in medical students, attending physicians and doctors. It varies depending on the stage of doctor’s professionalization. The psychological peculiarities of typical and stylistic characteristics of doctor's thinking were revealed. The authors summarized the connection of doctors' creative abilities with leading styles and types of thinking and described the resources of professionalization of clinical thinking. Conclusions. The article presents the understanding of doctor’s professional thinking as a type of thinking, whose laws are based on general laws of thinking, but follow the specifics of medical activities. It is shown that the connections between the styles and types of doctor’s thinking acquire quantitative and qualitative peculiarities at the certain stages of doctor’s professional development.
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在高等医学教育背景下,研究专业人员思维方式和思维类型之间相互关系的动态
介绍。在高等医学教育背景下研究专业思维的相关性是由问题的理论意义和实践意义决定的,它具有认识论而非本体论的性质:医生专业临床思维的形成。本文介绍了对医学生、主治医生和医生在学术和专业活动中思维风格和类型之间相关性的心理模式的实证研究结果。本文的目的是确定医生在其专业发展的不同阶段的思维风格和类型之间的动态关系。材料与方法。从元认知的角度分析了专业人员创造性思维的心理学和心理学机制,确立了医生思维的文体特征和类型特征。基于对专业思维现象的资源理解,临床思维被认为是寻找、发现和解决问题的最高认知过程,识别可认知和转化的医疗状况的外部不明确的、隐含的属性。使用了以下方法:A.K. Belousova的“思维风格清单”和V.A. Ganzen, K.B. Malyshev, L.V. Oginets的“识别思维类型和创造力水平的方法”。结果。作者揭示了医学生、主治医师和医生的思维方式和类型之间的相互关系。确立了医学生、主治医师和医生思维的主导类型和风格是想象性思维和实践性思维。作者阐明并描述了医学生、主治医师和医生的思维方式和类型之间相互关系的动态。它根据医生职业化所处的阶段而有所不同。揭示了医生思维的典型心理特征和文体特征。作者总结了医生的创新能力与领先的思维方式和类型的联系,并描述了临床思维专业化的资源。结论。医生的职业思维是一种思维,其规律既以一般思维规律为基础,又与医疗活动的具体情况密切相关。研究表明,在医生专业发展的特定阶段,医生思维方式和思维类型之间的联系呈现出定量和定性的特点。
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