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Fox et al study of physicians, jarvis

Fox et al study of physicians, jarvis






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    Fox et al study of physicians, jarvis Fox et al study of physicians, jarvis Presentation Transcript

    • Fox’s Study of Physicians (1989)• Found change preceded learning, rather thanCME initiated change• Found blurring between personal andenvironmental forces for change inphysicians• Found 10 discreet forces for change
    • Forces for change that resulted in learning(Fox et al.)• Curiosity• Desire for personal well-being• Desire for financial well-being• Stage of career• Competence• Clinical environment• Relationships with medical institutions• Relating to others in the profession• Regulations• Family and community
    • Three Conclusions - Fox et al. Study
    • Jarvis Characterization of Learningfrom Experience (Paradoxes ofLearning -1992)• Non Learning• Non-Reflective Learning• Reflective Learning
    • Non Learning• Presumption - the typical response to the worldand the basis of most social living experiences;a trust that the world will not change• Non-consideration - a variety of reasons thatpeople do not respond to a learning situation• Rejection - some people have an experience,but reject the possibility of learning from it
    • Non-Reflective Learning• Preconscious Learning - what Marsick andWatkins called incidental learning; occurs at theedge of consciousness or periphery of vision.Knowledge is vague and has not becomeconscious knowledge• Skills Learning - training; learning that occurs inan action mode of experience• Memorization - most common meaning of term“learning” - authoritative knowledge is learned inorder to be reproduced
    • Reflective Learning• Contemplation - process of thinking about anexperience and coming to a conclusion;behaviorists didn’t consider this learning• Reflective Skills Learning - often called reflectivepractice. Schön called it reflection-in-action.• Experimental Learning - theory tried out inpractice
    • Jarvis has argued that the mind, theself, and our identity as individualsare all socially constructed andlearned through experiencePeople who have similar experiencesmay have similar perspectives on theworld - this gives rise to concepts ofgroup consciousness, such as classor gender consciousness