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从临床医生转变为本科医学教育工作者的过程涉及四种转变模式。

The journey from clinician to undergraduate medical educator involves four patterns of transformation.

作者信息

Riveros-Perez Efrain, Rodriguez-Diaz Jorge

机构信息

Obstetric Anesthesia Division, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta University, Augusta, GA, USA.

Surgery Department, Clinica de los Andes, Tunja, Colombia.

出版信息

Adv Med Educ Pract. 2017 Dec 27;9:7-15. doi: 10.2147/AMEP.S146384. eCollection 2018.

Abstract

OBJECTIVES

Traditionally, teaching is part of a clinician's job. Some practitioners recognize the teaching activity as rewarding. This study explored the ways clinical practitioners experience their journey from clinicians to medical teachers, analyzing their prior experiences of teaching and learning, conceptions of good teaching and learning, perceptions of learning environments, and finally, how those factors influence their approaches to teaching.

METHODS

Data for phenomenographic analysis were collected through semi-structured interviews conducted in Spanish and administered to twelve clinical teachers in three medical schools in Colombia.

RESULTS

Through sequential phases of analysis, we constructed a conceptual diagram to identify critical concepts, themes, and categories that describe patterns that clinicians adopt during their journey to become medical teachers. We identified two themes and four patterns that describe the journey from practitioner to medical teacher: the identity theme, referring to "what" practitioners showed as the object of the journey and the changing process theme referring to "how" participants adopt changes during the journey. We describe four patterns that describe the journey that physicians adopt when exposed to the experience of clinical teaching.

CONCLUSION

It is possible to identify two themes and to devise at least four patterns in ways of experiencing the journey to medical teacher. These patterns are not a fixed set of characteristics, but rather a spectrum of experiences. Taking into consideration the professional identity of clinical teachers and the path of their teaching process change, it might be possible to devise better strategies for teaching development activities.

摘要

目标

传统上,教学是临床医生工作的一部分。一些从业者认为教学活动是有意义的。本研究探讨了临床从业者从临床医生转变为医学教师的过程中所经历的方式,分析了他们以往的教学与学习经历、对良好教学与学习的观念、对学习环境的认知,以及最终这些因素如何影响他们的教学方法。

方法

通过以西班牙语进行的半结构化访谈收集现象学分析的数据,并将其应用于哥伦比亚三所医学院的12名临床教师。

结果

通过连续的分析阶段,我们构建了一个概念图,以识别描述临床医生在成为医学教师过程中所采用模式的关键概念、主题和类别。我们确定了两个主题和四种模式来描述从从业者到医学教师的转变:身份主题,指从业者在转变过程中所展现的“是什么”;变化过程主题,指参与者在转变过程中“如何”接受变化。我们描述了医生在经历临床教学体验时所采用的四种模式。

结论

有可能识别出两个主题,并设计出至少四种体验成为医学教师过程的模式。这些模式不是一组固定的特征,而是一系列的体验。考虑到临床教师的职业身份及其教学过程变化的路径,或许有可能为教学发展活动设计出更好的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27c6/5749381/6019417eef3b/amep-9-007Fig1.jpg

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