효과적인 임상실습을 위한 교육병원의 역할
The Role of the Teaching Hospital in the Effective Clerkship
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
A teaching hospital is a place where both patient care and learning occur together. To identify the role of the teaching hospital in an effective clerkship, we first determined the features of workplace learning and the factors that affect learning in the workplace, and then we proposed a role for the teaching hospitalin the clinical clerkship. Features of learning in a clerkship include learning in context, and learning from patients, supervising doctors, others in the team, and colleagues. During the clerkship, medical students learn in three-way learner-patient-teacher relationships, and students’ participation in the tasks of patient care is crucial for learning. Factors that influence learning in the workplace are associated with tasks, context, and learner. Tying the three factors together, we proposed a role for the teaching hospital in the three categories: involvement in the tasks of patient care, engagement in the medical team, and engagement in the learning environment and system. Supervising doctors and team members in a teaching hospital support students’ deep participation in patient care, while improving the learning environment through organizational guidelines and systems. Gathering both qualitative and quantitative data for the evaluation of a teaching hospital is important.
Abstract
A teaching hospital is a place where both patient care and learning occur together. To identify the role of the teaching hospital in an effective clerkship, we first determined the features of workplace learning and the factors that affect learning in the workplace, and then we proposed a role for the teaching hospitalin the clinical clerkship. Features of learning in a clerkship include learning in context, and learning from patients, supervising doctors, others in the team, and colleagues. During the clerkship, medical students learn in three-way learner-patient-teacher relationships, and students’ participation in the tasks of patient care is crucial for learning. Factors that influence learning in the workplace are associated with tasks, context, and learner. Tying the three factors together, we proposed a role for the teaching hospital in the three categories: involvement in the tasks of patient care, engagement in the medical team, and engagement in the learning environment and system. Supervising doctors and team members in a teaching hospital support students’ deep participation in patient care, while improving the learning environment through organizational guidelines and systems. Gathering both qualitative and quantitative data for the evaluation of a teaching hospital is important.
참고문헌 (17)
- Ashley, P., "‘They’ve all got to learn’: Medical students’ learning from patients in ambulatory (outpatient and general practice) consultations", Med Teach, 31(2), pp.e24~e31 (2009)
- Bleakley, A., "Students learning from patients : Let’s get real in medical education", Adv Health Sci Educ Theory Pract, 13(1), pp.89~107 (2008)
- Dornan, T., "Experiencebased learning : A model linking the processes and outcomes of medical students’ workplace learning", Med Educ, 41(1), pp.84~91 (2007)
- Dornan, T., "Medical education : theory and practice" (2011), Elsevier
- Eraut, M., "Non-formal learning and tacit knowledge in professional work", Br J Educ Psychol, 70(Pt 1), pp.113~136 (2000)
- Eraut, M., "Informal learning in the workplace", Stud Continu Educ, 26(2), pp.247~273 (2004)
- Hammick, M., "A best evidence systematic review of interprofessional education : BEME guide no. 9", Med Teach, 29(8), pp.735~751 (2007)
- Hammick, M., "Learning in interprofessional teams : AMEE guide no 38", Med Teach, 31(1), pp.1~12 (2009)
- Im, S. J., "Strategies for effective teaching in clinical clerkship", Hanyang Med Rev, 32(1), pp.51~58 (2012)
- Lee, Y. M., "Evaluating clinical teaching in medicine", Korean J Med Educ, 14(2), pp.293~300 (2002)
- Mol, S. S., "Patients’ views on student participation in general practice consultations: A comprehensive review", Med Teach, 33(7), pp.e397~e400 (2011)
- O’Brien, B., "Perceptions and attributions of third-year student struggles in clerkships: Do students and clerkship directors agree?", Acad Med, 82(10), pp.970~978 (2007)
- Post, R. E., "Residents-asteachers curricula: A critical review", Acad Med, 84(3), pp.374~380 (2009)
- Rees, C. E., ""User involvement is a sine qua non, almost, in medical education" : Learning with rather than just about health and social care service users", Adv Health Sci Educ Theory Pract, 12(3), pp.359~390 (2007)
- Sheehan, D., "Interns’ participation and learning in clinical environments in a New Zealand hospital", Acad Med, 80(3), pp.302~308 (2005)
- Slotnick, H. B., "How doctors learn : Physicians’ self-directed learning episodes", Acad Med, 74(10), pp.1106~1117 (1999)
- Stockhausen, L. J., "The patient as experience broker in clinical learning", Nurse Educ Pract, 9(3), pp.184~189 (2009)
