Department of Pediatrics at University of Cincinnati College of Medicine in Cincinnati, OH, USA.
Department of Pediatrics at Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine in Cincinnati, OH, USA.
Perspect Med Educ. 2024 Oct 3;13(1):469-480. doi: 10.5334/pme.1404. eCollection 2024.
Validity is frequently conceptualized in health professions education (HPE) assessment as an argument that supports the interpretation and uses of data. However, previous work has shown that many validity scholars believe argument and argumentation are relatively lacking in HPE. To better understand HPE's discourse around argument and argumentation with regard to assessment validity, the authors explored the discourses present in published HPE manuscripts.
The authors used a bricolage of critical discourse analysis approaches to understand how the language in influential peer reviewed manuscripts has shaped HPE's understanding of validity arguments and argumentation. The authors used multiple search strategies to develop a final corpus of 39 manuscripts that were seen as influential in how validity arguments are conceptualized within HPE. An analytic framework drawing on prior research on Argumentation Theory was used to code manuscripts before developing themes relevant to the research question.
The authors found that the elaboration of argument and argumentation within HPE's validity discourse is scant, with few components of Argumentation Theory (such as intended audience) existing within the discourse. The discourse was legitimized via authorization (reference to authority), rationalization (reference to institutionalized action), and mythopoesis (narrative building). This legitimation has cemented the discourse in HPE despite minimal exploration of what argument and argumentation are.
This study corroborates previous work showing the dearth of argument and argumentation present within HPE's validity discourse. An opportunity exists to use Argumentation Theory in HPE to better develop validation practices that support use of argument.
在健康职业教育(HPE)评估中,有效性通常被概念化为支持对数据的解释和使用的论点。然而,先前的研究表明,许多有效性学者认为,在 HPE 中,论证和论证相对较少。为了更好地理解 HPE 在评估有效性方面的论证和论证的论述,作者探讨了发表的 HPE 手稿中存在的论述。
作者使用了批判话语分析方法的组合,以了解有影响力的同行评议手稿中的语言如何塑造了 HPE 对有效性论点和论证的理解。作者使用了多种搜索策略来开发最终的 39 篇手稿的语料库,这些手稿被认为在 HPE 中概念化有效性论点方面具有影响力。一个借鉴了论证理论的先前研究的分析框架被用来对手稿进行编码,然后再开发与研究问题相关的主题。
作者发现,在 HPE 的有效性论述中,论证和论证的阐述很少,论证理论的很少组成部分(如预期受众)存在于论述中。这种论述通过授权(引用权威)、合理化(引用制度化的行动)和神话创作(叙事构建)得到了合法化。尽管对论证和论证的探索很少,但这种合法化已经在 HPE 中巩固了这种论述。
这项研究证实了先前的研究表明,HPE 的有效性论述中缺乏论证和论证。在 HPE 中使用论证理论的机会存在,可以更好地发展支持论证使用的验证实践。