| Autor: |
Maria Louise Gamborg, Rune Dall Jensen, Peter Musaeus, Maria Mylopoulos |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Gamborg, M L, Jensen, R D, Musaeus, P & Mylopoulos, M 2022, ' Balancing closure and discovery : adaptive expertise in the workplace ', Advances in Health Sciences Education, vol. 27, no. 5, pp. 1317-1330 . https://doi.org/10.1007/s10459-022-10177-9 |
| DOI: |
10.21203/rs.3.rs-1656121/v1 |
| Popis: |
BackgroundResidents must develop the knowledge and skills to handle an everchanging and demanding clinical workplace which requires a high degree of adaptability. To address this need, adaptive expertise has been suggested as an important framework for health professions education. However, research on the development of adaptive expertise has yet to explore how workplace supervision impacts residents’development. This study sought to investigate how clinical supervision might support the development of adaptive expertise.MethodsThe present study used a focused ethnography in two emergency departments. We observed 75 supervising situations with the 27 residents resulting in 116 pages of field notes. The majority of supervision was provided by senior physicians, but also included other healthcare professionals.ResultsWe found that supervision could serve two purposes: closure or discovery. Supervision aimed at discovery included practices that reflected instructional approaches said to promote adaptive expertise, such as productive struggle. Supervison aimed at closure included practices which reflected instructional approaches said to be important for efficient and safe patient care, such as verifying information. Our results suggest that supervision is a shared practice and responsibility.ConclusionWe argue that setting and aligning expectations before engaging in supervision is important. Furthermore, results demonstrated that supervision aimed towards discovery was not significantly more time consuming, and a feasible mode of supervision in appropriate situations. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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