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《那些讨厌的孩子》:关于医学教育中学习者抵触情绪的有意义对话

"Those Darn Kids": Having Meaningful Conversations about Learner Resistance in Medical Education.

作者信息

Wyatt Tasha R, Graves Lisa, Ellaway Rachel H

机构信息

Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.

Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan, USA.

出版信息

Teach Learn Med. 2025 Jun-Jul;37(3):422-429. doi: 10.1080/10401334.2024.2354454. Epub 2024 May 22.

Abstract

The concept of describes the principles professionals should follow when they seek to counter social harm and injustice. Applied to medical education, the principles of professional resistance can help learners and teachers balance the responsibilities to respond to harm and injustice with their roles and responsibilities as health professionals. However, there remains the problem of how educators and leaders can constructively respond to learner acts of resistance. It would seem that many leaders have dismissed learner resistance with variations on "Those Darn Kids!", a complaint that has long been levied at those in younger generations who challenge power and authority. How can productive change in medical education be achieved if learners' complaints are not taken seriously? Rather than dismissal, leaders and educators in these situations need the tools to engage learners in conversations that draw out their concerns.

摘要

专业抵抗的概念描述了专业人员在试图对抗社会伤害和不公正时应遵循的原则。应用于医学教育,专业抵抗原则可以帮助学习者和教师在作为卫生专业人员的角色和责任与应对伤害和不公正的责任之间取得平衡。然而,教育工作者和领导者如何能够建设性地回应学习者的抵抗行为,这一问题仍然存在。似乎许多领导者都以“那些讨厌的孩子!”之类的说法来驳回学习者的抵抗,这种抱怨长期以来一直针对那些挑战权力和权威的年轻一代。如果不认真对待学习者的抱怨,医学教育如何能够实现有效的变革?在这些情况下,领导者和教育工作者需要的不是驳回,而是工具,以便与学习者进行对话,了解他们的担忧。

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