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共同建构式患者模拟作为医疗保健领域持续专业发展的体验式工具

Co-Constructive Patient Simulation as an Experiential Tool for Continuing Professional Development in Healthcare.

作者信息

de Carvalho Filho Marco Antonio, Sehlbach Carolin, Martin Andrés

机构信息

Wenckebach Institute, Center for Education Development and Research in Health Professions (CEDAR), Lifelong Learning, Education and Assessment Research Network (LEARN), University Medical Centre Groningen, Groningen, The Netherlands.

Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.

出版信息

J CME. 2023 Mar 29;12(1):2192378. doi: 10.1080/28338073.2023.2192378. eCollection 2023.

Abstract

In this commentary, we examine how to use the recently developed educational method called Co-constructive Patient Simulation (CCPS) to improve continuous professional development in healthcare. CCPS invites learners to participate in the creation of meaningful simulated scenarios while fostering reflection-in/on/for-action and community-building. By participating in the creation of the simulated scenarios, learners guarantee that the challenges addressed by the learning activities are aligned with their developmental stages and needs. Additionally, as learners may invite supervisors to take the "hot seat" during the simulation session, the CCPS approach allows learners to witness how supervisors would handle situations perceived as challenging. This exchange of roles creates an opportunity for camaraderie, as supervisors expose themselves and assume a vulnerable position. This camaraderie facilitates educational bonding and community building. As a result, in this participatory and co-creative approach to simulation, experts become the facilitators of a learner-centred activity, which increases motivation and allows tailored and contextualised learning. This co-constructive approach to simulation adds to the repertoire of more traditional CPD strategies by fostering spontaneity and authenticity. It integrates learning opportunities in clinical practice, amplifies learner's critical reflection and autonomy, and harnesses real-life challenges to offer meaningful solutions to lifelong learning. The democratic environment optimised by experts joining the activity and sharing their vulnerabilities with trainees further catalyzes the creation of a community for teaching, learning, and shared development.

摘要

在本评论中,我们探讨如何运用最近开发的名为“共同构建患者模拟”(CCPS)的教育方法来促进医疗保健领域的持续专业发展。CCPS邀请学习者参与创建有意义的模拟场景,同时培养行动中的反思、对行动的反思以及为行动的反思,并促进社区建设。通过参与模拟场景的创建,学习者确保学习活动所解决的挑战与他们的发展阶段和需求相一致。此外,由于学习者可能会邀请主管在模拟环节中“坐热座”,CCPS方法使学习者能够目睹主管将如何处理被视为具有挑战性的情况。这种角色互换为同志情谊创造了机会,因为主管们展现了自己并处于易受影响的位置。这种同志情谊促进了教育联系和社区建设。因此,在这种参与性和共同创造性的模拟方法中,专家成为以学习者为中心活动的促进者,这提高了积极性并允许进行量身定制和情境化的学习。这种共同构建的模拟方法通过培养自发性和真实性,丰富了更传统的持续专业发展策略。它将学习机会整合到临床实践中,增强学习者的批判性反思和自主性,并利用现实生活中的挑战来为终身学习提供有意义的解决方案。专家参与活动并与学员分享他们的易受影响之处所优化的民主环境,进一步催化了教学、学习和共同发展社区的创建。

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