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Fox et al study of physicians, jarvis


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Fox et al study of physicians, jarvis

  1. 1. 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
  2. 2. 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
  3. 3. Three Conclusions - Fox et al. Study
  4. 4. Jarvis Characterization of Learningfrom Experience (Paradoxes ofLearning -1992)• Non Learning• Non-Reflective Learning• Reflective Learning
  5. 5. 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
  6. 6. 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
  7. 7. 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
  8. 8. 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