以成人学习理论指导检验医师和技师规范化培训的思考与探索

doi:10.3760/cma.j.cn115259-20211220-01556

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (8): 736-739.DOI: 10.3760/cma.j.cn115259-20211220-01556

以成人学习理论指导检验医师和技师规范化培训的思考与探索

赵秀英

清华大学临床医学院清华大学附属北京清华长庚医院检验医学科,北京 102218

收稿日期:2021-12-20 发布日期:2022-08-01
通讯作者: 赵秀英, Email: zhaoxiuying2001@163.com
基金资助:
清华大学双一流大学推进计划-研究生教育教学改革项目(201905J029)

Reflection and reflective practice of adult learning theories in standardized training of residents and technicians in laboratory medicine

Zhao Xiuying

Department of Clinical Laboratory, Beijing Tsinghua Changgung Hospital & School of Clinical Medicine, Tsinghua University, Beijing 102218, China

Received:2021-12-20 Published:2022-08-01
Contact: Xiuying Zhao, Email: zxya00340@btch.edu.cn
Supported by:
Graduate Education Innovation Grants, Tsinghua University (201905J029)

摘要/Abstract

摘要： 检验医师和技师规范化培训具有典型的成人教育特点。本文结合成人学习理论,探讨了在检验医师和技师规范化培训中进行基于自我意识驱动的培训安排,以学习周期理论为指导、与实际工作经验相结合开展理论教学,以目标为导向开展实践教学,采取多段式全方位的考核与评估,建设支撑与激励并重的教学环境,以提高检验医师和技师规范化培训效果。

关键词: 医学检验, 成人学习理论, 规范化培训, 胜任力, 目标导向性

Abstract: Training of residents and junior technicians in laboratory medicine is a typical adult education. With purpose to improve the training effect, this paper discusses how to integrate self-directed learning and experience-driven learning into curriculum implementation. Educators should carry out theoretical teaching under rule of learning cycle and involving theoretical teaching with skill training. By adopting multiple stage assessment and evaluation, we can build a reflective learning environment with equal emphasis on support and motivation.

Key words: Medical laboratory science, Adult learning theories, Competency, Standardized training, Orientation

中图分类号:

R-05

赵秀英. 以成人学习理论指导检验医师和技师规范化培训的思考与探索[J]. 中华医学教育杂志, 2022, 42(8): 736-739.

Zhao Xiuying. Reflection and reflective practice of adult learning theories in standardized training of residents and technicians in laboratory medicine[J]. Chinese Journal of Medical Education, 2022, 42(8): 736-739.

参考文献

[1] Murchland JB. The implications of andragogy on continuing education[J]. Trans Ophthalmol Soc N Z, 1981,33:108-111.
[2] Monrouxe LV, Bullock A,Cole J, et al. How prepared are UK medical graduates for practice? Final report from a programme of research commissioned by the General Medical Council [R]. 2014-06-14.
[3] Ramamurthy S, Er HM, Devi Nadarajah V, et al. Medical students' orientation toward lifelong learning in an outcome-based curriculum and the lessons learnt[J]. Med Teach, 2021,43(sup1):S6-S11. DOI: 10.1080/0142159X.2019.1646894.
[4] Lavoie P, Michaud C, Bélisle M, et al. Learning theories and tools for the assessment of core nursing competencies in simulation: A theoretical review[J]. J Adv Nurs, 2018,74(2):239-250. DOI: 10.1111/jan.13416.
[5] Zonzi A, Barkham M, Hardy GE, et al. Zone of proximal development (ZPD) as an ability to play in psychotherapy: a theory-building case study of very brief therapy[J]. Psychol Psychother, 2014,87(4):447-464. DOI: 10.1111/papt.12022.
[6] Fewster-Thuente L, Batteson TJ. Kolb's Experiential Learning Theory as a Theoretical Underpinning for Interprofessional Education[J]. J Allied Health, 2018,47(1):3-8.
[7] Koenemann N, Lenzer B, Zottmann JM, et al. Clinical Case Discussions - a novel, supervised peer-teaching format to promote clinical reasoning in medical students[J]. GMS J Med Educ, 2020,37(5):Doc48. DOI: 10.3205/zma001341.
[8] Er HM, Nadarajah VD, Chen YS, et al. Twelve tips for institutional approach to outcome-based education in health professions programmes[J]. Med Teach, 2021,43(sup1):S12-S17. DOI: 10.1080/0142159X.2019.1659942.
[9] Taylor DC, Hamdy H. Adult learning theories: implications for learning and teaching in medical education: AMEE Guide No. 83[J]. Med Teach, 2013,35(11):e1561-1572. DOI: 10.3109/0142159X.2013.828153.
[10] Black CC. Experiential Teaching Paradigms: Adapting the Medical Education Literature to Academic Pathology Practice[J]. Acad Pathol, 2019,6:2374289519892553. DOI: 10.1177/2374289519892553.
[11] Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE Guide No. 31[J]. Med Teach, 2007,29(9):855-871. DOI: 10.1080/01421590701775453.
[12] Ende J. Feedback in clinical medical education[J]. JAMA, 1983,250(6):777-781.
[13] Cruess RL, Cruess SR, Steinert Y. Amending Miller's Pyramid to Include Professional Identity Formation[J]. Acad Med, 2016,91(2):180-185. DOI: 10.1097/ACM.0000000000000913.
[14] Watmough S, Box H, Bennett N, et al. Unexpected medical undergraduate simulation training (UMUST): can unexpected medical simulation scenarios help prepare medical students for the transition to foundation year doctor?[J]. BMC Med Educ, 2016,16:110. DOI: 10.1186/s12909-016-0629-x.
[15] Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review[J]. JAMA, 2009,302(12):1316-1326. DOI: 10.1001/jama.2009.1365.
[16] Pelgrim EA, Kramer AW, Mokkink HG, et al. The process of feedback in workplace-based assessment: organisation, delivery, continuity[J]. Med Educ, 2012,46(6):604-612. DOI: 10.1111/j.1365-2923.2012.04266.x.
[17] van der Vleuten CP. Medical education research: a vibrant community of research and education practice[J]. Med Educ, 2014,48(8):761-767. DOI: 10.1111/medu.12508.
[18] Bauer R, Gharabaghi A. Estimating cognitive load during self-regulation of brain activity and neurofeedback with therapeutic brain-computer interfaces[J]. Front Behav Neurosci, 2015,9:21. DOI: 10.3389/fnbeh.2015.00021.

以成人学习理论指导检验医师和技师规范化培训的思考与探索

Reflection and reflective practice of adult learning theories in standardized training of residents and technicians in laboratory medicine

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