Question of Competence , livre ebook

Cornell University Press - Brian D. Hodges and Lorelei Lingard (Editors); M. Brownell Anderson (Foreword)

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239 pages

English

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Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to-and what we ignore-in the education and assessment of medical trainees. Two leading figures in the field of medical education, Brian D. Hodges and Lorelei Lingard, drew together colleagues from the United States, Canada, and the Netherlands to explore competency from different perspectives, in order to spark thoughtful discussion and debate on the subject. The critical analyses included in the book's chapters cover the role of emotion, the implications of teamwork, interprofessional frameworks, the construction of expertise, new directions for assessment, models of self-regulation, and the concept of mindful practice. The authors juxtapose the idea of competence with other highly valued ideas in medical education such as emotion, cognition and teamwork, drawing new insights about their intersections and implications for one another.

Sujets

Medical sociology

Higher education

Informations

Publié par	Cornell University Press
Date de parution	11 octobre 2012
Nombre de lectures	0
EAN13	9780801465802
Langue	English

Informations légales : prix de location à la page 0,7500€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

The Question of Competence

A VOLUME IN THE SERIES The Culture and Politics of Health Care Work edited by Suzanne Gordon and Sioban Nelson A list of titles in this series is available at www.cornellpress.cornell.edu.

The Question of Competence

Reconsidering Medical Education in the TwentyFirst Century

Edited by Brian D. Hodges and Lorelei Lingard with a Foreword by M. Brownell Anderson

ILR Press an imprint of Cornell University Press Ithaca and London

All rights reserved. Except for brief quotations in a review, this book, or parts thereo f, must not be reproduced in any form without permission in writing from the publisher. For informati on, address Cornell University Press, Sage House, 512 East State Street, Ithaca, New York 14850.

First published 2012 by Cornell University Press

Printed in the United States of America

Library of Congress CataloginginPublication Data The question of competence : reconsidering medical education in the twenty-rst century / edited by Brian D. Hodges and Lorelei Lingard. p. cm.  (The culture and politics of health care work) Includes bibliographical references and index. ISBN 978-0-8014-5049-5 (cloth : alk. paper) 1.Medicaelducation.2.Competency-baseedinCl.3omcalic.noitacues,cn.eepetoHgdI. Brian David, 1964 II. Lingard, Lorelei. III. Series: Culture and politics of health care work. R735.Q47 2013 610.7dc23 2012013769

Cornell University Press strives to use environmentally responsible suppliers and materials to the fullest extent possible in the publishing of its books. Such materials include vegetable-based, low-VOC inks and acid-free papers that are recycled, totally chlorine-free, or partly composed of nonwood bers. For further information, visit our website at www.cornellpress.cornell.edu.

Clothprinting

10 9 8 7 6 5 4 3 2 1

For the Wilson Centre: A place that has inspired so many of us to think and to see in ways not imagined before we walked through its doors

Foreword M. Brownell Andersonix

Acknowledgments xiii

List of Abbreviations

Contents

Introduction 1 Brian D. Hodges and Lorelei Lingard

1. The Shifting Discourses of Competence Brian D. Hodges14

2. Rethinking Competence in the Context of Teamwork Lorelei Lingard42

3. Perturbations: The Central Role of Emotional Competence in Medical Training Nancy McNaughton and Vicki LeBlanc70

v i i i C o n t e n t s

4. Competence as Expertise: Exploring Constructions of Knowledge in Expert Practice Maria Mylopoulos97

5. Assessing Competence: Extending the Approaches to Reliability Lambert W. T. Schuwirth and Cees P. M. van der Vleuten113

6. Blinded by Insight: Self-Assessment and Its Role in Performance Improvement Kevin W. Eva, Glenn Regehr, and Larry D. Gruppen131

7. The Competent Mind: Beyond Cognition Annie S. O. Leung, Ronald M. Epstein, and CarolAnne E. Moulton155

References 177

Contributors 205 Index 209

Foreword

Medical education has been the subject of repeated examinations and in-depth reports about changes that are needed to improve the education of physicians. In 1910, Abraham Flexner wrote a report, funded by the Carnegie Foundation for the Advancement of Teaching, that advocated for changes and promoted standards for medical schools and is credited with changing the way doctors are educated. Perhaps most important, Flexner made medical education a social cause, demonstrating its impor-tance in everyones life. Flexners work exposed poor educational con-tent and processes in the preparation of physicians and began what has been a century-long concern with the quality of physician education and practice. Today, at the beginning of the twenty-rst century, the concern with the preparation of physicians continues unabated with signicant changes un-derway in the content, pedagogy, and assessment of physicians and other health care professionals. Two U.S.-based organizations, the American Board of Medical Specialties (ABMS) and the Accreditation Council for