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Autor/inn/enSmith, C. Scott; Morris, Magdalena; Francovich, Chris; Hill, William; Gieselman, Janet
TitelA Qualitative Study of Resident Learning in Ambulatory Clinic
QuelleIn: Advances in Health Sciences Education, 9 (2004) 2, S.93-105 (13 Seiten)Infoseite zur Zeitschrift
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1382-4996
DOI10.1023/B:AHSE.0000027435.37893.47
SchlagwörterClinics; Ethnography; Reflection; Program Effectiveness; Program Improvement; Medical Students; Graduate Students; Medical Education; Medical Schools; Physician Patient Relationship; Medical Care Evaluation; Clinical Teaching (Health Professions); Clinical Experience; Instructional Effectiveness; Observation
AbstractQualitative analysis of a large ethnographic database from observations of a resident teaching clinic revealed three important findings. The first finding was that breakdown, a situation where an "actor" (such as a person or the group) is not achieving expected effectiveness, was the most important category because of its frequency and explanatory power. The next finding was that exposure to breakdown was a necessary ingredient for reflective learning. The final finding was that effective response to breakdown (with concomitant reflective learning) requires six factors to be present: the patient is engaged directly;responsibility is matched to authority; tools are matched to tasks; information resources are matched to need; values are matched between co-participants; and expectations are matched with capacity. These findings have implications for planning, improvements and further studies in ambulatory teaching clinics. (As Provided).
AnmerkungenSpringer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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