Saturday, November 10, 2012
Blog 8
My original inquiry was: Why and how is it important for medical experts to be intellectually curious, intentional and mindful professionals?
Over the weeks when I looked through the evidence and the implications surrounding this claim; I have revised my claim to read as the following:In the field of medical education; competencies such as communicator, collaborator, manager, health advocate, scholar and professional have risen as priority items to be deemed as facets that augment the medical expert.
The demand for these competencies has emerged from societal expectations, as well as, the need for physicians to be equipped with the attitudes and skills needed to flourish in the system. Thus it is meaningful and relevant to the cliental and the society they serve. As a teacher, expertise of the subject is rarely sufficient to be a viable teacher. The competencies associated with the role such as compassion, communication, collaboration, student advocate, manager and professionalism are attitudes and skills that add to the characteristics of being an effective and affective teacher. If we explicitly emulate these characteristics in the process of teaching, we actually create a learning environment that is infused with these attitudes. The attitudes however, are not charged ions and cannot be absorbed by the students unless the students are primed with receptors (awareness). Similar to what we see with medical education. The competencies have to be emulated with exemplars that are radical and informative at the same time to catch the attention of the audience and transend into a transformational learning.
Transformational learning is learning that becomes a part of the learner. Learning environments that foster critical thinking, reflective practices, creative and experiential learning evokes transformational learning. The kind of experiential learning provided with a dissection lab (as described in my second blog how more that anatomical details are learned here), standardized patients (as described in previous blogs that students realize the magnitude of personalized communication and doctor-patient relationship), SIM lab (where automated mannequins that simulate various clinical conditions are mimicked) students experience the whole idea of thinking quickly and sharply to make the appropriate decision to deal with the crisis.
So far we have the learning objectives (LO) mapped to the teaching methods. The next stage is the assessment of the skills and attitudes. The direction to the competencies if outlined in the LO draws the students attention to it. If the teaching methods emulate the appropriate competencies explicitly, then students then feel more prepared to embrace the competencies. When students express the competencies if they are rewarded with repeated affirmation these competencies could be conditional responses.
Assessments to measure the learning can be multilayered. The cognitive domain could be coupled with the affective domain. Generating rubrics do not completely irradiate personal biases of the assessor but does limit the chances of the results being shadowed by them. Until such time as robots will assess these domains it is not possible to eliminate the personal opinions and biases compeletly.
Thus, I infer that information is the logos that make logical sense of why they are learning what they learn. When competencies are integrated into the learning we add the pathos aspect and we filter the product of logos and pathos with ethos to remove personal biases and misconceptions.
Thank you peers and profs for your feedback, which, contributed to my thinking process.
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Hi Anna,
ReplyDeleteYou seem very settled with where your inquiry has led you. I was struck by your comment about robots being able to objectively observe and avoid personal bias. Yikes! Humans using robots to think for them. Would that provide us with greater truth or cause us to question which human created and programmed the robot and what values, attitudes and beliefs the programmer brings to the equation. With objectivity not possible, what do we find as acceptable?
Beth
Anna,
ReplyDeleteWE MISSED YOU LAST NIGHT! Michael and Pierre were especially hard on us last night as a result (OK they weren't - they were their usual fantastic selves).
What I really liked about your blog this week is the idea of modeling behavior to our students. In particular, I liked that you turned the concepts you identified (communicator, collaborator, manager, health advocate, scholar and professional) onto us as teachers. This implies that these are skills that we should all be acquiring. Thus the skills are universally desirable. This could be part of the Hidden Curriculum concept that we talked about tonight.
My summary of it is that it is the learning outcomes our courses have that are not explicitly expressed. That is, they are not listed in the curriculum. And in fact, we may not even be aware of them, unless we are engage in reflective practice to undercover them for ourselves. Its a fascinating concept, so you'll need to ask Micheal or Pierre for a better explanation.
Anyway, your blog struck a cord with me because I spend a lot of time contemplating the affective component of my teaching and whether I am connecting with my students. So my question to you is, as you consider the skills you identified, what are the values behind those skills? Why do you care about them and what does it say about what you value?
The first paragraph of Jules' comment always makes me laugh. :)
ReplyDeleteIt's great to see you take into account what you've learned so far to evaluate your claim. It is a little convoluted the way it's phrased, though, so it's hard to know what to do with it. Maybe something like "In the field of medical education, competencies such as communication, collaboration, management, health advocacy, scholarship and professionalism are now recognized as important facets of medical expertise". That would remove some unnecessary words and focus on competencies instead of roles.
I do wonder how you've resolved the tension you wrote of in earlier posts between expertise and competence. One could argue that none of these competencies are necessary for medical expertise, but they might be necessary for competence of various sorts. One might even argue that some of these competencies are even irrelevant to medical expertise. For example, would someone who had a wealth of medical knowledge, vast in its depth and breadth, be discounted as a medical expert merely because she didn't collaborate well? Would someone who collaborated well be accepted as a medical expert on that basis? It's hard to see the connection. And given your earlier posts, it seems important for you to find a way to explain how these competencies could be connected to expertise.
The points you raise regarding competence in the system and teaching competence seem to reinforce the distinction between competence and expertise. One can be an expert who competent practitioners consult, right?
I wonder if it would help to recognize four options (which themselves may have degrees): competent practitioner, expert, expert and competent practitioner, and neither. Maybe it's best to accept that people can play different roles and that not everyone can excel as a practitioner AND as an expert -- even if those who can do both represent an ideal.
Otherwise, I'm on board with what you have here!