"我感到胸中有一股能量在冲击":全科医生继续职业发展中的学习体现。

IF 3 2区 教育学 Q1 EDUCATION & EDUCATIONAL RESEARCH Advances in Health Sciences Education Pub Date : 2024-04-29 DOI:10.1007/s10459-024-10332-4
Stense Kromann Vestergaard, Torsten Risor
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引用次数: 0

摘要

医学教育中的学习涵盖了广泛的学习理论,而体现视角最近开始出现在卫生专业人员的继续职业发展(CPD)中。然而,有关 CPD 学习中的体现体验的实证研究却很少,尤其是在全科医学实践中。在本研究中,我们旨在从体现的角度探讨全科医生(GPs)在持续专业发展过程中的学习体验,研究体现元素--身体、行动、情感、认知以及与周围环境和他人的互动--的外观,从而建立学习中体现的解释结构。我们借鉴了 "体现情感 "和 "相互融合 "的概念来构建我们对体现的理解。我们对四位丹麦全科医生和三位加拿大全科医生进行了访谈,以深入了解他们的具体学习经历;访谈和分析受到了微观现象学的启发,并采用了复杂适应系统方法。我们构建了一个学习的解释性结构,包括两个入口点(不和谐与世俗)、一个由八个部分组成的学习阶段,以及一个由两个出口点(和谐与持续失衡)组成的结束阶段。学习阶段的所有组成部分--社区、自豪感、验证、演练、可操作性、思维空间、氛围和为未来做准备--都具有体现情感和相互融入的特点,并以多向和非线性的方式相互作用。我们讨论了将体现视角融入现有学习理论的问题,并认为全科医生的持续专业发展将从中受益。
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"I felt like a little kind of jolt of energy in my chest": embodiment in learning in continuing professional development for general practitioners.

Learning in medical education encompasses a broad spectrum of learning theories, and an embodiment perspective has recently begun to emerge in continuing professional development (CPD) for health professionals. However, empirical research into the experience of embodiment in learning in CPD is sparse, particularly in the practice of general medicine. In this study, we aimed to explore general practitioners' (GPs') learning experiences during CPD from an embodiment perspective, studying the appearance of elements of embodiment-the body, actions, emotions, cognition, and interactions with the surroundings and others-to build an explanatory structure of embodiment in learning. We drew on the concepts of embodied affectivity and mutual incorporation to frame our understanding of embodiment. Four Danish and three Canadian GPs were interviewed to gain insight into specific learning experiences; the interviews and the analysis were inspired by micro-phenomenology, augmented with a complex adaptive systems approach. We constructed an explanatory structure of learning with two entrance points (disharmony and mundanity), an eight-component learning phase, and an ending phase with two exit points (harmony and continuing imbalance). All components of the learning phase-community, pride, validation, rehearsal, do-ability, mind-space, ambiance, and preparing for the future-shared features of embodied affectivity and mutual incorporation and interacted in multi-directional and non-linear ways. We discuss integrating the embodiment perspective into existing learning theories and argue that CPD for GPs would benefit from doing so.

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来源期刊
CiteScore
6.90
自引率
12.50%
发文量
86
审稿时长
>12 weeks
期刊介绍: Advances in Health Sciences Education is a forum for scholarly and state-of-the art research into all aspects of health sciences education. It will publish empirical studies as well as discussions of theoretical issues and practical implications. The primary focus of the Journal is linking theory to practice, thus priority will be given to papers that have a sound theoretical basis and strong methodology.
期刊最新文献
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