Download Medical Education for the Future: Identity, Power and by Alan Bleakley PDF

By Alan Bleakley

The objective of scientific schooling is to learn sufferers by way of bettering the paintings of medical professionals. sufferer centeredness is a centuries previous suggestion in drugs, yet there's nonetheless some distance to move ahead of scientific schooling can actually be stated to wait and see situated. making sure the centrality of the sufferer is a selected problem in the course of clinical schooling, whilst scholars are nonetheless forming an identification as trainee medical professionals, and conservative attitudes in the direction of drugs and schooling are universal among clinical academics, making it demanding to result in advancements. How can academics, coverage makers, researchers and medical professionals lead to lasting swap that would repair the sufferer to the guts of clinical schooling? The authors, skilled scientific educators, discover the position of the sufferer in scientific schooling by way of id, strength and placement. utilizing leading edge political, philosophical, cultural and literary severe frameworks that experience formerly by no means been utilized so regularly to the sphere, the authors offer a primary reconceptualisation of scientific instructing and studying, with an emphasis upon studying on the bedside and within the health center. they give a wealth of functional and conceptual insights into the three-way dating among sufferers, scholars and academics, starting up an intensive and interesting method of a scientific schooling for the future.

"This e-book is a very visionary contribution to the Flexner centenary. it's obligatory studying for the clinical educationalist with a major main issue for the long run - and for the welfare of sufferers and inexperienced persons within the the following and now."

Professor Tim Dornan, college of Manchester clinical college and Maastricht college Graduate tuition of future health Professions

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Issues of implementation in work placement include quality of clinical team interactions, quality of teaching, coaching and assessment of learning and an understanding of how the hidden curriculum shapes professionalism and identity. The implications for the curriculum in the area of identity formation include formal instruction, for example in ethics, informal socialization through storytelling and symbols, such as pledges and white coat ceremonies, modeling by faculty (the enacted values of the practice community), clear methods of both assessing professionalism of students and evaluating professionalism of teachers (to include a central place for formative feedback).

The physician study has included 14 site visits, 184 interviews, 104 focus groups and more than 100 observations, plus immersion of the study team in the ‘learning sciences’ literature to draw out best evidence and principles. There is a focus on clinical learning. The mission of the study is to prepare knowledgeable, skilful and compassionate physicians committed to advancing the field. The Carnegie study suggests that in many respects, North American medical education still follows the Flexner Report of 1910, but has made progress in many medical schools in establishing a knowledge-generating culture of inquiry and discovery, including active learning methods.

Such outcomes were powerful tools, as they clearly set out what was expected of students and could double as assessment criteria. A set of learning outcomes can be attained through a variety of 30 2 Beyond Practical Reasoning methods and so standardization of outcomes does not translate into standardization of pedagogy. In fact, the opposite is the case—learning can be individualized. Outcomes also served, in the language of behaviorism, as reinforcement of desired behaviors. Educational liberals and innovators, however, were always critical of the perceived reductionist nature of learning outcomes, because they were prescriptive, paradoxically curtailing the creative possibilities for learners and teachers to create new knowledge.

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