Suppr超能文献

“我感觉胸口有一股小小的能量涌动”:全科医生继续职业发展中学习的体现

"I felt like a little kind of jolt of energy in my chest": embodiment in learning in continuing professional development for general practitioners.

作者信息

Vestergaard Stense Kromann, Risor Torsten

机构信息

Section of Education, Steno Diabetes Center Copenhagen, Borgmester Ib Juuls Vej 83, Herlev, Copenhagen, 2730, Denmark.

Section of General Practice, Department of Public Health, University of Copenhagen, København, Denmark.

出版信息

Adv Health Sci Educ Theory Pract. 2025 Feb;30(1):103-124. doi: 10.1007/s10459-024-10332-4. Epub 2024 Apr 29.

Abstract

Learning in medical education encompasses a broad spectrum of learning theories, and an embodiment perspective has recently begun to emerge in continuing professional development (CPD) for health professionals. However, empirical research into the experience of embodiment in learning in CPD is sparse, particularly in the practice of general medicine. In this study, we aimed to explore general practitioners' (GPs') learning experiences during CPD from an embodiment perspective, studying the appearance of elements of embodiment-the body, actions, emotions, cognition, and interactions with the surroundings and others-to build an explanatory structure of embodiment in learning. We drew on the concepts of embodied affectivity and mutual incorporation to frame our understanding of embodiment. Four Danish and three Canadian GPs were interviewed to gain insight into specific learning experiences; the interviews and the analysis were inspired by micro-phenomenology, augmented with a complex adaptive systems approach. We constructed an explanatory structure of learning with two entrance points (disharmony and mundanity), an eight-component learning phase, and an ending phase with two exit points (harmony and continuing imbalance). All components of the learning phase-community, pride, validation, rehearsal, do-ability, mind-space, ambiance, and preparing for the future-shared features of embodied affectivity and mutual incorporation and interacted in multi-directional and non-linear ways. We discuss integrating the embodiment perspective into existing learning theories and argue that CPD for GPs would benefit from doing so.

摘要

医学教育中的学习涵盖了广泛的学习理论,并且一种具身视角最近已开始在卫生专业人员的继续职业发展(CPD)中显现出来。然而,关于继续职业发展中学习的具身体验的实证研究却很匮乏,尤其是在普通医学实践中。在本研究中,我们旨在从具身视角探索全科医生在继续职业发展期间的学习体验,研究具身元素——身体、行动、情感、认知以及与周围环境和他人的互动——的呈现,以构建学习中具身的解释性结构。我们借鉴了具身情感和相互融合的概念来构建我们对具身的理解。我们对四位丹麦全科医生和三位加拿大全科医生进行了访谈,以深入了解具体的学习体验;访谈和分析受到微观现象学的启发,并辅以复杂适应系统方法。我们构建了一个具有两个切入点(不和谐和世俗性)、一个由八个部分组成的学习阶段以及一个带有两个出口点(和谐和持续失衡)的结束阶段的学习解释性结构。学习阶段的所有组成部分——社区、自豪感、认可、排练、可行性、思维空间、氛围以及为未来做准备——都具有具身情感和相互融合的共同特征,并以多方向和非线性的方式相互作用。我们讨论了将具身视角整合到现有学习理论中,并认为全科医生的继续职业发展将因此受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ca9/11925986/0a184aa477d6/10459_2024_10332_Fig1_HTML.jpg

相似文献

1
"I felt like a little kind of jolt of energy in my chest": embodiment in learning in continuing professional development for general practitioners.
Adv Health Sci Educ Theory Pract. 2025 Feb;30(1):103-124. doi: 10.1007/s10459-024-10332-4. Epub 2024 Apr 29.
4
Continuous professional development for GPs: experience from Denmark.
Postgrad Med J. 2014 Jul;90(1065):383-7. doi: 10.1136/postgradmedj-2012-131679. Epub 2014 May 26.
5
A new comprehensive model for Continuous Professional Development.
Eur J Gen Pract. 2017 Dec;23(1):20-26. doi: 10.1080/13814788.2016.1256998. Epub 2016 Dec 20.
6
Survey of Irish general practitioners' preferences for continuing professional development.
Educ Prim Care. 2018 Jan;29(1):13-21. doi: 10.1080/14739879.2017.1338536. Epub 2017 Jun 14.
8
Continuing education for general practitioners working in rural practice: a review of the literature.
Educ Prim Care. 2018 May;29(3):151-165. doi: 10.1080/14739879.2018.1450096. Epub 2018 Apr 6.
10
General practitioners' and students' experiences with feedback during a six-week clerkship in general practice: a qualitative study.
Scand J Prim Health Care. 2016 Jun;34(2):172-9. doi: 10.3109/02813432.2016.1160633. Epub 2016 Apr 19.

本文引用的文献

1
Some Learning Theories for Medical Educators.
Med Sci Educ. 2021 Mar 22;31(3):1157-1172. doi: 10.1007/s40670-021-01270-6. eCollection 2021 Jun.
2
The rich potential for education research in family medicine and general practice.
Adv Health Sci Educ Theory Pract. 2021 May;26(2):753-763. doi: 10.1007/s10459-020-09994-7. Epub 2020 Sep 28.
3
Embodiment and Objectification in Illness and Health Care: Taking Phenomenology from Theory to Practice.
J Clin Nurs. 2020 Nov;29(21-22):4403-4412. doi: 10.1111/jocn.15431. Epub 2020 Aug 16.
4
Practice-Based Small Group Learning (PBSGL) in Scotland: the past, the present and the future.
Educ Prim Care. 2019 Nov;30(6):337-341. doi: 10.1080/14739879.2019.1666662. Epub 2019 Sep 17.
5
Body pedagogics: embodied learning for the health professions.
Med Educ. 2019 Oct;53(10):967-977. doi: 10.1111/medu.13916. Epub 2019 Jun 19.
6
Continuing professional development to foster behaviour change: From principles to practice in health professions education.
Med Teach. 2019 Sep;41(9):1045-1052. doi: 10.1080/0142159X.2019.1615608. Epub 2019 May 26.
7
Theory, a lost character? As presented in general practice education research papers.
Med Educ. 2019 May;53(5):443-457. doi: 10.1111/medu.13793. Epub 2019 Feb 5.
8
Variation and adaptation: learning from success in patient safety-oriented simulation training.
Adv Simul (Lond). 2017 Oct 31;2:21. doi: 10.1186/s41077-017-0054-1. eCollection 2017.
9
Intercorporeality as a theory of social cognition.
Theory Psychol. 2015 Aug;25(4):455-472. doi: 10.1177/0959354315583035. Epub 2015 May 6.
10
Ten years of practice-based small group learning (PBSGL) in Scotland - a survey of general practitioners.
Educ Prim Care. 2016 Jul;27(4):306-13. doi: 10.1080/14739879.2016.1179597. Epub 2016 May 4.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验