ABS376 - Exploring change in medical education and healthcare

Track:
1.3 Learning, knowledge and agency
What:
Paper in a Working Group Roundtable (WGRT)
When:
1 hour
Where:
Discussion:
0
Both medical education and healthcare delivery face complex challenges that require innovation and reform. Cultural Historical Activity Theory (CHAT) provides a means to identify and evaluate system innovations. The work-based education environment of medical education creates many contradictions as patient care and educational needs interact. We present our recent study using CHAT and knotworking to investigate a program of self-regulated learning and goal setting with third-year medical students as a starting point for discussion. In that study, we demonstrated how written learning goals that were shared with clinical supervisors could act as mediating artefacts that at times led to expansive learning as both students and supervisors used the written goals to create new ways of working together. In those cases, these collaborative efforts helped to reconcile the competing objects of a work-based education environment. The efficacy of the written learning goals to create expansive learning opportunities depended on whether students and supervisors chose to use their goals as their own tool or saw the goals as an externally imposed requirement. Through the exploration of this study and others in medical education and healthcare, this working group roundtable discussion will focus on identifying key CHAT research questions and the most effective research methodologies to investigate those questions in the medical setting. The use of mediating artefacts to address power, hierarchy, and agency as well as the competing objects created by educational and healthcare regulations are among the topics that will be explored.
Presenter
Washington University In St. Louis School of Medicine
Presenter
Washington University In St. Louis School Of Medicine
Presenter
Harvard University Medical School
Presenter
Uniformed Services University of the Health Sciences
Presenter
University of Toronto
Presenter
Uniformed Services University of the Health Sciences

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