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Medical Education for the Future: Identity, Power and Location 2011 [Kõva köide]

  • Formaat: Hardback, 292 pages, kõrgus x laius: 235x155 mm, kaal: 1340 g, XVI, 292 p., 1 Hardback
  • Sari: Advances in Medical Education 1
  • Ilmumisaeg: 09-Feb-2011
  • Kirjastus: Springer
  • ISBN-10: 9048196914
  • ISBN-13: 9789048196913
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  • Formaat: Hardback, 292 pages, kõrgus x laius: 235x155 mm, kaal: 1340 g, XVI, 292 p., 1 Hardback
  • Sari: Advances in Medical Education 1
  • Ilmumisaeg: 09-Feb-2011
  • Kirjastus: Springer
  • ISBN-10: 9048196914
  • ISBN-13: 9789048196913
The purpose of medical education is to benefit patients by improving the work of doctors. Patient centeredness is a centuries old concept in medicine, but there is still a long way to go before medical education can truly be said to be patient centered. Ensuring the centrality of the patient is a particular challenge during medical education, when students are still forming an identity as trainee doctors, and conservative attitudes towards medicine and education are common amongst medical teachers, making it hard to bring about improvements. How can teachers, policy makers, researchers and doctors bring about lasting change that will restore the patient to the heart of medical education? The authors, experienced medical educators, explore the role of the patient in medical education in terms of identity, power and location. Using innovative political, philosophical, cultural and literary critical frameworks that have previously never been applied so consistently to the field, the authors provide a fundamental reconceptualisation of medical teaching and learning, with an emphasis upon learning at the bedside and in the clinic. They offer a wealth of practical and conceptual insights into the three-way relationship between patients, students and teachers, setting out a radical and exciting approach to a medical education for the future.The authors provide us with a masterful reconceptualization of medical education that challenges traditional notions about teaching and learning.  The book critiques current practices and offers new approaches to medical education based upon sociocultural research and theory.  This thought provoking narrative advances the case for reform and is a must read for anyone involved in medical education.  -

 

David M. Irby, PhD, Vice Dean for Education,University of California, San Francisco School of Medicine; and co-author of Educating Physicians: A Call for Reform of Medical School and Residency









"This book is a truly visionary contribution to the Flexner centenary. It is compulsory reading for the medical educationalist with a serious concern for the future - and for the welfare of patients and learners in the here and now."

 

Professor Tim Dornan, University of Manchester Medical School and Maastricht University Graduate School of Health Professions Education.
Part I Medical Education---A Democratising Force for Medicine
1(60)
1 Medical Education as Patient
3(16)
Not Prophecy, but Spotting Trends
3(3)
Medical Education in an Historical Key
6(2)
Identity
7(1)
Location
7(1)
Crossroads and Crisis: How Is the Patient?
8(2)
The Symptom May Be the `Education' in Medical Education, While the Cure May Be a New Approach to Education
10(9)
Designing Learning for Work
14(1)
Collaborative Learning at Work
14(1)
Communication at Work
15(1)
Democracy at Work
15(1)
The Work of Identity
16(1)
Reflexivity at Work
17(2)
2 Beyond Practical Reasoning
19(14)
From Critical Thinking to Practical Reasoning: A Necessary but Not Sufficient Change in Medical Education
19(7)
A New Wave of Medical Education Thinking
26(3)
`Good Enough' is Not Good Enough
29(4)
3 Learning from Learning Theory
33(10)
To the Things Themselves
33(4)
Where's the Sense in Medical Education?---Re-Visiting Practical Knowing
37(6)
4 Socio-Cultural Learning Theories
43(18)
Learning from History
43(1)
Three Approaches to Learning
44(3)
Miller Lite?
47(3)
Contrasting Metaphors for Learning
50(2)
Activity Theory
52(3)
Cognitive Apprenticeship and Distributed Cognition
55(1)
Dynamicist Learning and Complexity
55(2)
Systems Thinking and Learning
57(3)
Conclusions
60(1)
Part II Identity, Power and Location in Medical Education
61(124)
5 Producing Doctors
63(18)
What is `Identity?'
63(3)
From the Identity of `Medical Student' to the Identity of `Doctor': Can Learning Theory Illuminate This Transition?
66(2)
Actor-Network Theory (ANT)
68(2)
Communities of Practice (COP)
70(5)
Participation vs. Reification
72(1)
Participation vs. Non-Participation
73(1)
Modes of Belonging
73(2)
Cultural-Historical Activity Theory (CHAT)
75(6)
6 New Forms of Identity in a Runaway World of Medicine
81(12)
Can the Center Hold?
81(1)
The Doctor as Diagnostician, Symptomatologist and Connoisseur
82(4)
The Doctor at Work in the Twenty-First Century: Emergence of New Identities Such as the `Medical Citizen'
86(4)
Two Sample Identities in Transition: Doctor as Diagnostician and Doctor as Teacher
90(3)
7 The Medical Educator and the Clinical Teacher
93(14)
Unpicking the Threads
93(2)
A Framework for Discussing the Identity of the Medical Educator
95(1)
Identities in Crisis and Transformation
96(2)
Using Social Learning Theory Frameworks to Identify the Medical Educator and Clinical Teacher
98(9)
8 Identity Construction of the Medical Educator Through Learning and Writing
107(12)
Introduction
107(2)
Identity Defined by Philosophy of Teaching and Learning: Student-Centeredness and Democracy in the Classroom and Clinic
109(2)
Empathy and the `Prospero Effect'
111(1)
Medical Education's Conservatism
112(1)
The `Constituent Principle'
113(1)
A Literary Perspective on Identities of the Medical Educator
114(5)
9 Power in Medical Education
119(16)
Bodies of Power
119(5)
Sovereign, Capillary, Virtue and Virtual Power
124(11)
Sovereign Power
124(3)
Capillary Power
127(3)
Virtue Power
130(3)
Virtual Power
133(2)
10 Place Matters: Location in Medical Education
135(18)
Introduction
135(1)
Where Are We in Medical Education?
136(5)
Hospital Architectures and Cognitive Architectures
141(3)
The Platform
144(1)
The White Cube
145(2)
Work-Based Learning: Vocation as Location and Deterritorialization
147(6)
11 Learning by Simulation and the Simulation of Learning
153(18)
An Age of Simulation
153(3)
Theory of Simulation: Classical to Postmodern
156(2)
Strengths and Weaknesses of Learning by Simulation
158(4)
Bodies and Nobodies
158(1)
Assessment
159(1)
Theory
159(3)
The Simulation Project: Will a Dialogue Emerge Between Simulation and Work-Based Learning?
162(9)
The Project of Simulation
162(4)
Simulation of Learning for Interpersonal Communication
166(5)
12 Global Medical Education---A Post-Colonial Dilemma
171(14)
Imperialism by the Back Door?
171(3)
Comparative Education
174(1)
Is Western Medical Education Infectious?
175(3)
Flaws in the Global Medical Education Vision
178(1)
Global, Local or `Glocal'? The Trade in Knowledge as a Commodity
179(3)
From Reinforcing the Colonial Legacy to Challenging the Colonial Gaze
182(1)
Empire and Forms of Resistance
183(2)
Part III Medical Education Research---A Democratising Force for Medical Education
185(56)
13 Let's Get Real: Medical Students Learning from, with and About Patients
187(14)
Productive Forms of the Medical Encounter
187(1)
Towards an Authentic Patient-Centered Medical Education
188(3)
Medical Students Learning from Patients, Supported by Clinical Teachers: A New Vintage
191(6)
Patient, Medical Student and Doctor Exchanges in Medical Education
197(4)
14 Texts, Authoring and Reading in Medical Education
201(14)
The Patient as Text
201(7)
Kinds of Text in Reading Patients: A Summary Model
208(1)
Text Is Not an Answer, but a Question
209(1)
Problem-Based Learning or Patient-Based Learning?
210(1)
Evidence for the Value of a Triadic Model
211(4)
15 Lack, Trajectories and Ruptures in Medical Education Research
215(12)
Medical Education Research at a Crossroads
215(3)
Origins of Medical Education Research
218(4)
A Five-Point Agenda for Improving Medical Education Research
222(5)
16 A Framework for Medical Education Research: Cultures, Contexts and Concepts
227(14)
Identity, Power and Location Revisited
228(1)
Landscapes of Research: Cultures, Contexts and Concepts
229(12)
Cultures
229(3)
Contexts
232(5)
Concepts
237(1)
Landscape
238(3)
Part IV A Medical Education for the Future
241(24)
17 Identities, Powers and Locations: What Does the Future Hold for Medical Education?
243(10)
A Focus on Pedagogy
243(1)
Crisis and Crossroads Redux and Some Notes on Method
244(2)
The More Things Change, the More They Remain the Same
246(7)
18 From Pedagogy to Policy: A Regulatory Framework for Medical Education
253(12)
Developing a Creative Dialogue Between Pedagogy and Policy
253(2)
Putting Patients at the Center of Policy
255(1)
Academies Provide the Locations for Dialogue Between Pedagogy and Policy
256(1)
Policy as Text
257(5)
Coda
262(3)
References 265(18)
Author Index 283(4)
Subject Index 287