Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Wilson Centre for Research in Education, University Health Network/University of Toronto, Toronto, ON, Canada.
Adv Health Sci Educ Theory Pract. 2020 Aug;25(3):673-689. doi: 10.1007/s10459-019-09952-y. Epub 2020 Jan 2.
Educators, practitioners, and policy makers are calling for stronger connections between continuing education (CE) for professionals and the concerns of workplaces where these professionals work. This call for greater alignment is not unique to the health professions. Researchers within the field of higher education have long wrestled with the complexities of aligning professional learning and workplace concerns. In this study, we extend this critical line of inquiry to explore the possible conceptual intersections between two CE programs acting within a single healthcare organization. Both programs are concerned with improving patient care, primarily by changing the ways professionals think and talk with one another. However, the two programs have different historical origins: one in a workplace, the other within a university setting. Introducing the concept of "modes of ordering" as a way to analyze the curricula, we argue the programs are operating through separate logics of learning. We label these two modes of ordering: (1) learning as standardization and (2) learning as identification. Through our discussion, we explore how these different modes demand different roles for educators and participants. Ultimately, we argue that both have value. However, we also argue that educators require conceptual tools to sensitize them to the possibility of competing logics of learning and the subsequent implications for their practice as educators. In conclusion, we offer the metaphor of CE educator as choreographer, connecting concepts and practices within these logics in productive ways while continually navigating the various learning imperatives acting on professionals at any given time.
教育工作者、从业者和政策制定者呼吁加强专业继续教育(CE)与这些专业人员工作场所关注事项之间的联系。这种对更大一致性的呼吁不仅限于卫生专业人员。高等教育领域的研究人员长期以来一直在努力应对将专业学习和工作场所关注事项对齐的复杂性。在这项研究中,我们将这一重要的研究方向扩展到探索一个单一医疗保健组织内的两个 CE 计划之间可能的概念交叉点。这两个项目都致力于通过改变专业人员彼此之间的思维和交流方式来改善患者护理,主要是通过改变专业人员的思维和交流方式来改善患者护理。然而,这两个项目有不同的历史渊源:一个源于工作场所,另一个源于大学环境。我们引入“排序模式”的概念作为分析课程的一种方式,认为这些项目是通过不同的学习逻辑运作的。我们将这两种排序模式标记为:(1)学习标准化和(2)学习认同。通过我们的讨论,我们探讨了这些不同模式如何为教育工作者和参与者提出不同的角色要求。最终,我们认为这两种模式都有价值。但是,我们也认为教育工作者需要概念工具来使他们意识到学习的逻辑存在竞争的可能性,以及这对他们作为教育工作者的实践可能产生的后续影响。总之,我们提出 CE 教育工作者作为编舞的隐喻,以富有成效的方式连接这些逻辑中的概念和实践,同时不断应对专业人员在任何给定时间面临的各种学习要求。