Clinical narratives in residency education: Exploration of the learning process.

Background: Post-professional residency educational programs aim to advance the knowledge and skills of therapists in a clinical specialty area, however, little is known about the process, outcomes, or effectiveness of residency education. Purpose: The purpose of this study was to use narrative as a...

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Publicado en:Physiotherapy Theory & Practice Vol. 35; no. 12; pp. 1202 - 1218
Autores principales: Furze, Jennifer A., Greenfield, Bruce H., Barr, J Bradley, Geist, Kathleen, Gale, Judith, Jensen, Gail M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2019
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2018.1472686
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        atl: Clinical narratives in residency education: Exploration of the learning process.
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          Furze, Jennifer A.
          Greenfield, Bruce H.
          Barr, J Bradley
          Geist, Kathleen
          Gale, Judith
          Jensen, Gail M.
        affil: Department of Physical Therapy, Creighton University, School of Pharmacy and Health Professions, Omaha, NE, USA
      sug:
        subj:
          Clinical Exemplars
          Internship and Residency
          Learning
          Professional Development
          Human
          Interns and Residents
          Physical Therapists
          Qualitative Studies
          Retrospective Design
          Narratives
          Cognition
          Reflection
          Content Analysis
          Thematic Analysis
          Diagnostic Reasoning
          Skill Acquisition
          Professional Identity
          Morals
          United States
          Male
          Female
          Male
          Female
      ab: Background: Post-professional residency educational programs aim to advance the knowledge and skills of therapists in a clinical specialty area, however, little is known about the process, outcomes, or effectiveness of residency education. Purpose: The purpose of this study was to use narrative as a teaching and learning tool to gain insight into the progressive development of the residents' learning process. Design: Qualitative methods including a retrospective analysis of residents' narratives were used to explore the professional development and thought process of residents. Methods: Six physical therapy residents wrote reflective narratives across 4 time placements during their one-year residency. Qualitative content analysis was used to analyze the data for types of reflection across time frames and to construct themes based on meaning statements. Results: Four main themes evolved from the residents' clinical narratives: 1) developing clinical reasoning skills; 2) developing professional formation and identity; 3) moral agency; and 4) emerging characteristics of expertise Conclusions: In this study, clinical narratives served as a pedagogical tool to enhance aspects of clinical expertise. The utilization of clinical narrative may be used as one tool to help to create reflective practitioners with improved skills foundational to clinical practice.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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