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虚拟教学中的心理需求满足:住院医师和教师的观点。

Psychological need fulfillment in virtual teaching: insights of residents and faculty.

机构信息

Department of Family Medicine, University of Alberta, Canada.

出版信息

Int J Med Educ. 2023 Jun 22;14:77-83. doi: 10.5116/ijme.6488.2625.


DOI:10.5116/ijme.6488.2625
PMID:37351937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10693391/
Abstract

OBJECTIVE: To explore benefits and challenges experienced by residents and faculty when teaching in virtual settings. METHODS: This was a qualitative descriptive study employing one-on-one semi-structured interviews with 10 residents and 12 faculty in the Department of Family Medicine at the University of Alberta, Canada, from May 2021 to May 2022. Participants were recruited via social media, resident and department events and email lists. Interview transcripts were analyzed descriptively and thematically employing the Self-Determination Theory (SDT) framework to map the identified benefits and challenges as facilitators and barriers to fulfilling teacher's basic psychological needs for autonomy, competence, and relatedness in virtual settings. RESULTS: Resident and faculty participants used virtual technology not only to deliver education, but also leveraged various platform features to support their needs in virtual settings. The emerging themes within benefits and challenges of virtual teaching were amenable to mapping onto three basic psychological needs of the SDT framework - autonomy (e.g., increased accessibility; lack of control over teaching environment), competence (e.g., increased self-confidence; technological limitations hindering skill development), and relatedness (e.g., timely exchange of information; difficulty with professional identity formation). CONCLUSIONS: Despite the inherent challenges, teaching in virtual settings can support teachers' psychological needs. Recommendations for the future delivery and facilitation of virtual learning include: giving high priority to engagement and active participation; nurturing autonomy and greater individual responsibility for learning; and creating an environment of emotional support. The SDT-informed strategies shown to be effective in in-person teaching need to be examined for their applicability in virtual settings.

摘要

目的:探讨在虚拟环境中教学时,住院医师和教师所体验到的益处和挑战。

方法:这是一项定性描述性研究,于 2021 年 5 月至 2022 年 5 月期间,在加拿大阿尔伯塔大学家庭医学系,采用一对一的半结构式访谈,对 10 名住院医师和 12 名教师进行了研究。通过社交媒体、住院医师和部门活动以及电子邮件列表来招募参与者。采用自我决定理论(SDT)框架对访谈记录进行描述性和主题分析,以映射确定的益处和挑战,将其作为满足教师在虚拟环境中自主、能力和相关的基本心理需求的促进因素和障碍。

结果:住院医师和教师参与者不仅使用虚拟技术来提供教育,还利用各种平台功能来满足他们在虚拟环境中的需求。虚拟教学的益处和挑战的主题可以映射到 SDT 框架的三个基本心理需求上 - 自主(例如,增加可访问性;缺乏对教学环境的控制)、能力(例如,增加自信;技术限制阻碍技能发展)和关联性(例如,及时交换信息;职业身份形成困难)。

结论:尽管存在固有挑战,但虚拟环境中的教学可以支持教师的心理需求。未来虚拟学习的交付和促进的建议包括:高度重视参与和积极参与;培养自主和更大的个人学习责任;并营造情感支持的环境。在面对面教学中被证明有效的 SDT 策略需要在虚拟环境中进行检验其适用性。

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本文引用的文献

[1]
Clarifying Eudaimonia and Psychological Functioning to Complement Evaluative and Experiential Well-Being: Why Basic Psychological Needs Should Be Measured in National Accounts of Well-Being.

Perspect Psychol Sci. 2023-9

[2]
Participation in a Resident-as-Teacher Rotation: Motivations of and Impacts on Faculty Coaches.

Acad Med. 2022-12-1

[3]
Evaluation of Online Near-Peer Teaching for Penultimate-Year Objective Structured Clinical Examinations in the COVID-19 Era: Longitudinal Study.

JMIR Med Educ. 2022-5-26

[4]
Digital Teaching in Medical Education: Scientific Literature Landscape Review.

JMIR Med Educ. 2022-2-9

[5]
Virtual Learning During the COVID-19 Pandemic: A Disruptive Technology in Graduate Medical Education.

J Am Coll Cardiol. 2020-5-26

[6]
Medical student well-being and lifelong learning: A motivational perspective.

Educ Health (Abingdon). 2019

[7]
Professional Loneliness and the Loss of the Doctors' Dining Room.

Ann Fam Med. 2018-9

[8]
Barriers and solutions to online learning in medical education - an integrative review.

BMC Med Educ. 2018-6-7

[9]
Professional Well-Being of Practicing Physicians: The Roles of Autonomy, Competence, and Relatedness.

Healthcare (Basel). 2018-2-2

[10]
How do clinicians become teachers? A communities of practice perspective.

Adv Health Sci Educ Theory Pract. 2016-12

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