解决空白:在卫生专业人员教育研究领域中关注空缺的重要性。
Tackling the void: the importance of addressing absences in the field of health professions education research.
机构信息
Continuing Professional Development, PostMD Education, Faculty of Medicine, University of Toronto, 500 University Avenue, 6th Floor, Toronto, ON, M5G 1V7, Canada.
Department of Leadership, Higher and Adult Education, Ontario Institute for Studies in Education, University of Toronto, Toronto, Canada.
出版信息
Adv Health Sci Educ Theory Pract. 2021 Mar;26(1):5-18. doi: 10.1007/s10459-020-09966-x. Epub 2020 Mar 6.
Many processes and practices in the field of health professions education have been based more on tradition and assumption than on evidence and theory. As the field matures, researchers are increasingly seeking evidence to support various teaching and assessment methods. However, there is a tendency to focus on a limited set of topics, leaving other areas under-examined and limiting our understanding of the field. By explicitly examining areas that are undescribed, i.e. absences in the literature, researchers and scholars have the potential to enrich our practice and our field's understanding of what counts as legitimate research. Using the theoretical framework of Bourdieu's concept of field, we conducted an instrumental case study of three published research projects that each had a finding of absence. We examined each case individually, and then analyzed across cases. Our dataset included published papers, peer-review feedback, and reflective notes. Each of the cases interrogated a different form of absence: absence of content, absence of research, and absence of evidence. While the typology suggests that each absence was different, there were similarities across cases in terms of challenges in 'proving' the reality of the absence and some disbelief or discomfort with accepting the findings as rigorous and/or legitimate. Absence research has potential to add to our theoretical and methodological approaches to the field. This type of research is potentially an exciting and productive new way for scholars to shed light on aspects of health professions education that have received limited attention to date.
健康职业教育领域的许多过程和实践更多地基于传统和假设,而不是证据和理论。随着该领域的成熟,研究人员越来越多地寻求证据来支持各种教学和评估方法。然而,有一种倾向是只关注有限的一组主题,而忽略其他领域,从而限制了我们对该领域的理解。通过明确检查未被描述的领域,即文献中的缺失,研究人员和学者有可能丰富我们的实践和我们领域对什么是合法研究的理解。我们使用 Bourdieu 场域概念的理论框架,对三个已发表的研究项目进行了工具性案例研究,每个项目都有一个缺失的发现。我们分别对每个案例进行了分析,然后对案例进行了跨案例分析。我们的数据集包括已发表的论文、同行评审反馈和反思性注释。每个案例都探讨了不同形式的缺失:内容缺失、研究缺失和证据缺失。虽然类型学表明每个缺失都不同,但在“证明”缺失的现实方面存在相似之处,并且对接受这些发现作为严谨和/或合法的发现存在一些怀疑或不适。缺失研究有可能为我们对该领域的理论和方法方法做出贡献。这种类型的研究有可能为学者们提供一种令人兴奋和富有成效的新方法,以揭示迄今为止受到关注有限的健康职业教育的各个方面。