Varpio Lara, Grassau Pamela, Hall Pippa
Department of Medicine, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.
Palliative Care Research and Education, Bruyére Research Institute, Ottawa, Ontario, Canada.
Med Educ. 2017 Feb;51(2):136-145. doi: 10.1111/medu.13125. Epub 2016 Nov 23.
The arts and humanities are gradually gaining a foothold in health professions education as a means of supporting the development of future clinicians who are compassionate, critical and reflexive thinkers, while also strengthening clinical skills and practices that emphasise patient-centredness, collaboration and interprofessional practices. Assignments that tap into trainee creativity are increasingly used both to prepare learners for the demands of clinical work and to understand the personal and professional challenges learners face in these contexts. Health professions educators need methods for interpreting these creations in order to understand each learner's expressions. This paper describes two theoretical frameworks that can be used to understand trainees' unique learning experiences as they are expressed in arts- and humanities-based creations.
The authors introduce the philosophical underpinnings and interpretation procedures of two theoretical frameworks that enable educators to 'hear' and 'see' the multilayered expressions embedded within arts- and humanities-based student creations: Gilligan's Listening Guide and Kress and van Leeuwen's approach to visual rhetoric. To illustrate how these frameworks can be used, the authors apply them to two creative summaries that learners made as part of a humanities-informed, interprofessional education intervention that took place in a non-acute-care teaching hospital. The interpretations of two creative summaries, a poem and a pair of paintings, highlight how applying these theoretical frameworks can offer important insights into learners' experiences.
This cross-cutting edge paper describes how the Listening Guide and visual rhetoric can help health professions educators listen to and read the arts- and humanities-based creative expressions made by learners. Insights gained from these interpretations can advance the understanding of students' personal experiences in different learning environments and can inform curriculum development.
艺术与人文学科正逐渐在健康职业教育中站稳脚跟,作为一种支持培养富有同情心、批判性和反思性思维的未来临床医生的手段,同时也强化以患者为中心、协作和跨专业实践的临床技能与做法。越来越多地使用挖掘学员创造力的作业,既为让学习者做好应对临床工作要求的准备,也为了解学习者在这些情境中面临的个人和职业挑战。健康职业教育工作者需要解读这些作品的方法,以便理解每个学习者的表达。本文介绍了两种理论框架,可用于理解学员在基于艺术和人文的作品中所表达的独特学习经历。
作者介绍了两种理论框架的哲学基础和解读程序,使教育工作者能够“倾听”和“看到”基于艺术和人文的学生作品中所蕴含的多层次表达:吉利根的倾听指南以及克雷斯和范·莱文的视觉修辞方法。为说明这些框架的使用方式,作者将它们应用于学习者作为在一家非急症护理教学医院开展的以人文学科为导向的跨专业教育干预的一部分所创作的两份创意总结。对一首诗和一组绘画这两份创意总结的解读,突出了应用这些理论框架如何能为学习者的经历提供重要见解。
这篇前沿论文描述了倾听指南和视觉修辞如何能帮助健康职业教育工作者倾听和解读学习者基于艺术和人文的创意表达。从这些解读中获得的见解可增进对学生在不同学习环境中个人经历的理解,并为课程开发提供参考。