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Analysing the hidden curriculum: use of a cultural web

机译:分析隐藏的课程:使用文化网络

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摘要

>CONTEXT Major influences on learning about medical professionalism come from the hidden curriculum. These influences can contribute positively or negatively towards the professional enculturation of clinical students. The fact that there is no validated method for identifying the components of the hidden curriculum poses problems for educators considering professionalism. The aim of this study was to analyse whether a cultural web, adapted from a business context, might assist in the identification of elements of the hidden curriculum at a UK veterinary school.>METHODS A qualitative approach was used. Seven focus groups consisting of three staff groups and four student groups were organised. Questioning was framed using the cultural web, which is a model used by business owners to assess their environment and consider how it affects their employees and customers. The focus group discussions were recorded, transcribed and analysed thematically using a combination of a priori and emergent themes.>RESULTS The cultural web identified elements of the hidden curriculum for both students and staff. These included: core assumptions; routines; rituals; control systems; organisational factors; power structures, and symbols. Discussions occurred about how and where these issues may affect students’ professional identity development.>CONCLUSIONS The cultural web framework functioned well to help participants identify elements of the hidden curriculum. These aspects aligned broadly with previously described factors such as role models and institutional slang. The influence of these issues on a student’s development of a professional identity requires discussion amongst faculty staff, and could be used to develop learning opportunities for students. The framework is promising for the analysis of the hidden curriculum and could be developed as an instrument for implementation in other clinical teaching environments.
机译:>语境对医学专业知识学习的主要影响来自隐藏的课程。这些影响可以对临床学生的专业培养产生正面或负面的影响。没有有效的方法来识别隐藏课程的组成部分,这一事实给考虑专业性的教育工作者带来了问题。这项研究的目的是分析根据商业环境改编的文化网络是否有助于识别英国兽医学校隐性课程的内容。>方法采用了定性方法。组织了七个焦点小组,包括三个工作人员小组和四个学生小组。询问是使用文化网站进行的,文化网站是企业主用来评估其环境并考虑其如何影响其员工和客户的模型。焦点小组的讨论使用先验主题和紧急主题的组合进行记录,转录和主题分析。>结果文化网络为学生和教职员工确定了隐藏课程的要素。这些包括:核心假设;例行程序仪式控制系统;组织因素;电源结构和符号。讨论了这些问题如何以及在何处可能影响学生的专业身份发展。>结论。文化网络框架运作良好,可以帮助参与者识别隐藏课程的要素。这些方面与先前描述的因素(例如榜样和机构语)大致保持一致。这些问题对学生的专业身份发展的影响需要教职员工之间进行讨论,并可用于为学生提供学习机会。该框架有望用于隐藏课程的分析,并可以开发为在其他临床教学环境中实施的工具。

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