Cutrer William B, Miller Bonnie, Pusic Martin V, Mejicano George, Mangrulkar Rajesh S, Gruppen Larry D, Hawkins Richard E, Skochelak Susan E, Moore Donald E
W.B. Cutrer is assistant professor, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee. B. Miller is senior associate dean for health sciences education and executive vice president for educational affairs, Vanderbilt University School of Medicine, Nashville, Tennessee. M.V. Pusic is assistant professor of emergency medicine and director, Division of Learning Analytics, NYU School of Medicine, New York, New York. G. Mejicano is senior associate dean for education, Oregon Health & Science University, School of Medicine, Portland, Oregon. R.S. Mangrulkar is associate dean for medical student education, University of Michigan Medical School, Ann Arbor, Michigan. L.D. Gruppen is professor, Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan. R.E. Hawkins is vice president, medical education outcomes, American Medical Association, Chicago, Illinois. S.E. Skochelak is group vice president, medical education, American Medical Association, Chicago, Illinois. D.E. Moore Jr is professor of medical education and administration and director, Office for Continuous Professional Development, Vanderbilt University School of Medicine, Nashville, Tennessee.
Acad Med. 2017 Jan;92(1):70-75. doi: 10.1097/ACM.0000000000001323.
Change is ubiquitous in health care, making continuous adaptation necessary for clinicians to provide the best possible care to their patients. The authors propose that developing the capabilities of a Master Adaptive Learner will provide future physicians with strategies for learning in the health care environment and for managing change more effectively. The concept of a Master Adaptive Learner describes a metacognitive approach to learning based on self-regulation that can foster the development and use of adaptive expertise in practice. The authors describe a conceptual literature-based model for a Master Adaptive Learner that provides a shared language to facilitate exploration and conversation about both successes and struggles during the learning process.
变革在医疗保健领域无处不在,这使得临床医生必须不断适应,以便为患者提供尽可能最佳的护理。作者提出,培养“精通适应性学习者”的能力将为未来的医生提供在医疗保健环境中学习以及更有效地应对变革的策略。“精通适应性学习者”的概念描述了一种基于自我调节的元认知学习方法,这种方法可以促进实践中适应性专业技能的发展和运用。作者描述了一个基于文献的“精通适应性学习者”概念模型,该模型提供了一种共享语言,以促进在学习过程中对成功与困难进行探索和交流。