新冠战疫背景转化式学习理论带给医学人才培养路径的思考

doi:10.3969/j.issn.2096-045X.2020.05.003

摘要/Abstract

摘要： 受全球新型冠状病毒肺炎（以下简称新冠肺炎）疫情影响，医药卫生和医学教育领域正在面对与经历着不可预测的剧烈变化所带来的巨大挑战。在新冠战疫中转化式学习理论符合人们的认知过程。它是一种成人教育深度学习理论，面对突发事件，透过批判性反思，对先前的认知重构更新，以指导未来的行动。转化式学习理论经由21世纪全球医学卫生教育专家委员会的推介，在全球医学教育领域逐渐得到认同与实践。通过以转化式学习理论对医学人才培养路径反思，提出6个转化高等医学人才培养路径，为健康中国战略培养更多更好的医学人才。

关键词: 转化式学习, 医学人才, 培养路径

Abstract: Health professionals education has been experiencing huge challenges and unpredictable changes in the battle against global COVID-19 epidemic. In this context, transformative learning theory is a deep learning theory for adult higher education and is in line with people^,s cognition. It reconstructs and updates previous cognition through critical reflections to guide future actions. This theory has been promoted by the global educational commission of health professionals for the 21st century, and has gradually gained recognition and practice in medical education. This article applies the transformative learning theory to the training path of medical professions, and proposes six conversion paths for training better medical practitioners for the Healthy China 2030 Strategy.

Key words: transformative learning, health professionals, training path

中图分类号:

G640

田蕾, 孙宝志. 新冠战疫背景转化式学习理论带给医学人才培养路径的思考[J]. 医学教育管理, 2020, 6(5): 426-430.

Tian Lei, Sun Baozhi. Training path of medical practitioners with transformative learning in the battle against COVID-19[J]. Medical Education Management, 2020, 6(5): 426-430.

参考文献［30］

［1］	晋浩天, 苏雁, 唐一歌. 新冠肺炎疫情带来的医科新思考［N］.光明日报,2020-05-07(07).
［2］	国务院新闻办公室. 《抗击新冠肺炎疫情的中国行动》白皮书［EB/OL］.(2020-06-07)［2020-08-19］.http://www.xinhuanet.com/politics/2020-06/07/c_1126083364.htm?baike.
［3］	Homer-Dixon, T. The Upside of Down: catastrophe, creativity and the renewal of civilization［M］. London: Souvenir Press, 2006.
［4］	理查德•格里格, 菲利普•津巴多. 心理学与生活［M］. 王垒，译. 北京: 人民邮电出版社, 2016:161.
［5］	Joseph G M. Learning as transformation: critical perspectives on a theory in progress［J］. Journal of Physical Therapy Education, 2004, 27(1):417-417.
［6］	Mezirow, J. Contemporary paradigms of learning［J］. Adult Education Quarterly, 1996, 46(3):158-172.
［7］	Mezirow J. Transformative learning: theory to practice［J］. New Directions for Adult & Continuing Education, 1997, 1997(74):5-12.
［8］	史蒂芬•斯特林, 王子舟. 转化式学习与可持续性:基本概念的梳理［J］. 世界教育信息, 2019, 32(2):10-17.
［9］	李素卿(译)．了解与促进转化学习［M］．台湾: 五南图书出版社，1996: 2．
［10］	Frenk J, Chen L, Bhutta ZA et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world［J］.Lancet，2010，376 (9756):1923-1958.
［11］	Markos L, McWhinney W． Editors’ perspectives: auspice［J］. Journal of Transformative Education, 2003, 1(1):3-15.
［12］	Argyris C, Schn D. Organizational Learning ［M］. New York: Addison Wesley.1996.
［13］	Ison R, Stowell F. Systems practice for managing complexity, systems practice for managing complexity network［EB/OL］. (2020-08-01)［2020-08-19］.https://www.academia.edu/6882212/Systems_Practice_for_Managing_Complexity.
［14］	Townsend L, Gray J, Forber J. New ways of seeing: nursing students’ experiences of a pilot service learning program in Australia［J］. Nurse Educ Pract, 2016, 16 (1):60-65.
［15］	Moore J. Is higher education ready for transformative learning? A question explored in the study of sustainability［J］. Journal of Transformative Education, 2005, 3(1):76-91.
［16］	Nemec, Patricia B. Transformative learning［J］. Psychiatric Rehabilitation Journal, 2012, 35(6):478-479.
［17］	Lane SH, Huffman C, Brackney DE, et al. Going domestic: importing the study abroad experience. The development of a multicultural New York city study away program［J］. Nurs Forum, 2017, 52 (3):196-206.
［18］	Mastel-Smith B, Nash T, Caruso K. Addressing future demands: development of an online gerontological nursing course［J］. Geriatr Nurs, 2016,37 (5):404-407.
［19］	Kirkpatrick H, Tweedell D, Semogas D. Transformative learning through a research practicum for undergraduate nursing students［J］.J Nurs Educ, 2011,50 (10):595-598.
［20］	Mercer D, Kenworthy H, Pierce-Hayes I. Making rhetoric a reality: inclusion in practice as “transformative learning” ［J］. Mental Health and Social Inclusion, 2016, 20(2):110-118.
［21］	Neve H, Lloyd H, Collett T. Understanding students’ experiences of professionalism learning: a “threshold” approach［J］. Teach High Educ, 2017, 22 (1):92-108.
［22］	Thompson TD, Thompson EA. In at the deep end: an intensive foundation training in homeopathy for medical students［J］. Homeopathy, 2009, 98 (2):107-113.
［23］	Branch WT. The road to professionalism: reflective practice and reflective learning［J］. Patient Educ Couns, 2010,80 (3):327-332.
［24］	Price P, Hooper B, Krishnagiri S, et al. A way of seeing: how occupation is portrayed to students when taught as a concept beyond its use in therapy［J］. Am J Occup Ther, 2017, 71 (4):1-9.
［25］	Tsimane TA, Downing C. Transformative learning in nursing education: A concept analysis［J］. Int J Nurs Sci, 2019, 7(1):91-98.
［26］	Cohen AL, Pitman Brown P, Morales JP. Student journals: a means of assessing transformative learning in aging related courses［J］. Gerontol Geriatr Educ, 2015, 36 (2):185-203.
［27］	Elliott CM 2nd, Toomey RJ 3rd, Goodman BA, et al. Transformative learning: empathy and multicultural awareness in podiatric medical education［J］.J Am Podiatr Med Assoc, 2012, 102(1):39-46.
［28］	Greenhill J, Poncelet AN. Transformative learning through longitudinal integrated clerkships［J］.Med Educ, 2013, 47 (4):336-339.
［29］	Van Schalkwyk S, Bezuidenhout J, Burch VC,et al. Developing an educational research framework for evaluating rural training of health professionals: a case for innovation［J］. Med Teach, 2012, 34 (12): 1064-1069.
［30］	新华社. 习近平在北京大学师生座谈会上的讲话［EB/OL］.(2018-05-03)［2019-10-10］. http:// politics.people.com.cn/n1/2018/0503/c1024-29961468.html.

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[11]	喻荣彬，李茜，高兴亚，王林，沈洪兵. 南京医科大学基于HOPE 理念和I-CARE 模式的医学人才培养体系构建[J]. 医学教育管理, 2018, 4(1): 1-5,10.
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