Reframing Clinical Workplace Learning Using the Theory of Distributed Cognition

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Autor:innen
Pachler, Norbert
Genewein, Urs
Autor:in (Körperschaft)
Publikationsdatum
01.09.2013
Typ der Arbeit
Studiengang
Typ
01A - Beitrag in wissenschaftlicher Zeitschrift
Herausgeber:innen
Herausgeber:in (Körperschaft)
Betreuer:in
Übergeordnetes Werk
Academic Medicine
Themenheft
DOI der Originalpublikation
Link
Reihe / Serie
Reihennummer
Jahrgang / Band
88
Ausgabe / Nummer
9
Seiten / Dauer
1239-1245
Patentnummer
Verlag / Herausgebende Institution
Lippincott Williams & Wilkins
Verlagsort / Veranstaltungsort
Auflage
Version
Programmiersprache
Abtretungsempfänger:in
Praxispartner:in/Auftraggeber:in
Zusammenfassung
In medicine, knowledge is embodied and socially, temporally, spatially, and culturally distributed between actors and their environment. In addition, clinicians increasingly are using technology in their daily work to gain and share knowledge. Despite these characteristics, surprisingly few studies have incorporated the theory of distributed cognition (DCog), which emphasizes how cognition is distributed in a wider system in the form of multimodal representations (e.g., clinical images, speech, gazes, and gestures) between social actors (e.g., doctors and patients) in the physical environment (e.g., with technological instruments and computers). In this article, the authors provide an example of an interaction between medical actors. Using that example, they then introduce the important concepts of the DCog theory, identifying five characteristics of clinical representations-that they are interwoven, co-constructed, redundantly accessed, intersubjectively shared, and substantiated-and discuss their value for learning. By contrasting these DCog perspectives with studies from the field of medical education, the authors argue that researchers should focus future medical education scholarship on the ways in which medical actors use and connect speech, bodily movements (e.g., gestures), and the visual and haptic structures of their own bodies and of artifacts, such as technological instruments and computers, to construct complex, multimodal representations. They also argue that future scholarship should "zoom in" on detailed, moment-by-moment analysis and, at the same time, "zoom out" following the distribution of cognition through an overall system to develop a more integrated view of clinical workplace learning.
Schlagwörter
Fachgebiet (DDC)
330 - Wirtschaft
005 - Computer Programmierung, Programme und Daten
Projekt
Veranstaltung
Startdatum der Ausstellung
Enddatum der Ausstellung
Startdatum der Konferenz
Enddatum der Konferenz
Datum der letzten Prüfung
ISBN
ISSN
1938-808X
1040-2446
Sprache
Englisch
Während FHNW Zugehörigkeit erstellt
Unbekannt
Publikationsstatus
Veröffentlicht
Begutachtung
Peer-Review der ganzen Publikation
Open Access-Status
Lizenz
Zitation
PIMMER, Christoph, Norbert PACHLER und Urs GENEWEIN, 2013. Reframing Clinical Workplace Learning Using the Theory of Distributed Cognition. Academic Medicine. 1 September 2013. Bd. 88, Nr. 9, S. 1239–1245. Verfügbar unter: http://hdl.handle.net/11654/8769