Document Detail

Informal learning in postgraduate medical education: from cognitivism to 'culturism'.
MedLine Citation:
PMID:  16048629     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Work-based learning occupies a central role in the training and ongoing development of the medical workforce. With this arises the need to understand the processes involved, particularly those relating to informal learning. Approaches to informal learning in postgraduate medical education have tended to consider the mind as an independent processor of information. METHOD: In this paper, such cognitive approaches are critiqued and an alternative socio-cultural view on informal learning described. Recent and imminent changes in postgraduate medical education are identified, namely the reduction in patient experience, the fragmentation of teaching, and the development of competency frameworks and structured curricula. It is argued that although the latter may be useful in the construction of formal learning programmes, they will do little to enhance the progression of the individual from newcomer to old-timer or the cultural assimilation of the learner into a profession. DISCUSSION: Strategies for enhancing informal learning in the workplace are recommended in which increased attention is paid to the development of the medical apprentice within a community of social practice. These include the establishment of strong goals, the use of improvised learning practices, attention to levels of individual engagement and workplace affordances, immersion in professional discourse and behaviours, support in relation to the development of a professional identity and the provision of opportunities to transform social practice.
Tim Swanwick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical education     Volume:  39     ISSN:  0308-0110     ISO Abbreviation:  Med Educ     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-28     Completed Date:  2005-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605655     Medline TA:  Med Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  859-65     Citation Subset:  IM    
Department of Postgraduate General Practice Education, London Deanery, London, UK.
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MeSH Terms
Education, Medical, Graduate / methods*,  trends
Interprofessional Relations
Professional Autonomy
Teaching / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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