Document Detail


Perspective: redefining context in the clinical encounter: implications for research and training in medical education.
MedLine Citation:
PMID:  20520047     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Physician training and practice occur in complex environments. These complex environments, or contexts, raise important challenges and opportunities for research and training in medical education. The authors explore how studies from fields outside medicine can assist medical educators with their approach to the notion of context in the clinical encounter. First, they discuss the use of the term context in the clinical encounter as it relates to medical education. They then detail the meaning and use of the term in diverse fields outside medicine, such as mathematics, physics, and psychology, all of which suggest a nonlinear approach to the notion of context. Next, the authors highlight two inclusive theories, situated cognition and ecological psychology, that propose factors that relate to context and that suggest some potential next steps for research and practice. By redefining context as it relates to the clinical encounter (by linking it to theory and research from several diverse fields), the authors hope to move the field forward by providing guidance for the theory, research, and practice of medical education.
Authors:
Steven J Durning; Anthony R Artino; Louis N Pangaro; Cees van der Vleuten; Lambert Schuwirth
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  85     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-03     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  894-901     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine (NEP), F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland 20814, USA. sdurning@usuhs.mil
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MeSH Terms
Descriptor/Qualifier:
Awareness
Clinical Competence
Cognition
Education, Medical*
Humans
Learning
Mathematics
Physics
Professional Autonomy
Psychology
Research
Terminology as Topic

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


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