Formerly Birmingham Medical School, University of Birmingham, Birmingham, UK.
Birmingham Medical School, University of Birmingham, Birmingham, UK.
Clin Teach. 2022 Oct;19(5):e13513. doi: 10.1111/tct.13513. Epub 2022 Aug 9.
Trainee health professionals must be competent self-regulated learners, particularly when learning in busy, unpredictable clinical settings. Whilst research indicates self-regulated learning (SRL) is influenced both by learners' individual actions and their interactions with others, how these combine to foster SRL requires further exploration. We have used Zimmerman's learner-focused SRL model and the situative perspective of communities of practice (CoPs) to investigate how UK trainee clinical scientists regulate their learning. Our aims were to develop a holistic understanding of SRL in the clinical workplace incorporating both individual and social aspects and to suggest ways of maximising learning for trainee clinical scientists and other health professionals.
Semi-structured interviews were conducted with 13 trainees on the Scientist Training Programme. Transcripts were analysed both inductively and deductively (abductively) using Zimmerman's model and CoPs to explore how trainees regulate their learning.
Thematic analysis yielded four themes: approach to learning, engagement and execution of tasks in practice; self-reflection and reaction; and autonomy and role construction. Themes linked concepts from Zimmerman's model and CoPs, as illustrated by our trainee-workplace congruence model. Our model suggests optimal conditions for SRL, and we highlight the importance of trainers in supporting trainee development.
Our trainee-workplace congruence model links concepts from Zimmerman's model and CoPs to provide a framework for understanding how trainee clinical scientists regulate their learning and navigate its social aspects. Whilst trainees must take responsibility for their learning, trainers can facilitate SRL through attention to trainee-workplace 'fit' and encouraging trainee participation in communities of practice.
实习医疗专业人员必须是有能力的自主学习者,尤其是在忙碌、不可预测的临床环境中学习时。虽然研究表明自主学习(SRL)受到学习者个人行为及其与他人互动的影响,但这些因素如何结合起来促进 SRL 还需要进一步探索。我们使用 Zimmerman 的以学习者为中心的 SRL 模型和实践共同体(CoPs)的情境视角来调查英国实习临床科学家如何调节他们的学习。我们的目的是从个体和社会两个方面全面了解临床工作场所中的 SRL,并为实习临床科学家和其他医疗保健专业人员提出最大程度地促进学习的方法。
对科学家培训计划中的 13 名实习生进行了半结构化访谈。使用 Zimmerman 的模型和 CoPs 对转录本进行了归纳和演绎(推断)分析,以探讨实习生如何调节他们的学习。
主题分析产生了四个主题:学习方法、在实践中任务的参与和执行;自我反思和反应;以及自主性和角色构建。主题将 Zimmerman 的模型和 CoPs 的概念联系起来,正如我们的实习生-工作场所一致性模型所示。我们的模型表明了 SRL 的最佳条件,我们强调了培训师在支持实习生发展方面的重要性。
我们的实习生-工作场所一致性模型将 Zimmerman 的模型和 CoPs 的概念联系起来,为理解实习临床科学家如何调节他们的学习并驾驭其社会方面提供了一个框架。虽然实习生必须对自己的学习负责,但培训师可以通过关注实习生与工作场所的“契合度”并鼓励实习生参与实践共同体,来促进 SRL。