Questioning Competence: A Discourse Analysis of Attending Physicians’ Use of Questions to Assess Trainee Competence
| Autor: | Lorelei Lingard, Tara J T Kennedy |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Questionnaires
Educational measurement Medical staff Discourse analysis Interpersonal and Small Group Communication Education Professional Competence Nursing Surveys and Questionnaires Medicine and Health Sciences Medical Staff Learning Humans Medicine Competence assessment Quality of care Competence (human resources) Ontario Medical education business.industry Teaching General Medicine Medical Education Emergency Medicine Education Medical Continuing Health Services Research Clinical Competence Educational Measurement Clinical competence business |
| Zdroj: | Department of Medicine Publications Lorelei Lingard |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/acm.0b013e318140168f |
| Popis: | BACKGROUND: Attending physicians (APs) must constantly assess trainees' competence to act independently, to promote learning while ensuring quality of care. This study aimed to explore, through discourse analysis of case presentations, the process of competence assessment for case-specific clinical independence. METHOD: Twenty-six case presentations in emergency medicine were observed and audiorecorded. A discourse analysis was conducted, focusing on APs' use of questioning strategies. RESULTS: Questioning strategies involved clarifying questions (to ensure APs' understanding of the case), probing questions (to probe trainees' understanding of a case or their underlying knowledge), and challenging questions (to challenge presuppositions). Case-related probing questions and challenging questions were found to be linguistic features of APs' assessments of trainees' competence. CONCLUSIONS: The identification of specific linguistic features of the process of competence assessment by APs provides a framework for faculty development and future study of the function and effects of such discourse patterns. |
| Databáze: | OpenAIRE |
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