"Being Absorbed in That Environment…It’s Just So Beneficial” – The Experiences of Physiotherapy Students in a Situated Learning Pilot Study
DOI:
https://doi.org/10.18552/ijpblhsc.v5i1.388Keywords:
health sciences, phenomenology, physiotherapy, practice-based education, studentsAbstract
In this article, we aim to add to the existing literature on practice-based education. First, we will present a form of situated learning, which involved piloting a new teaching and learning relationship between the university and healthcare setting. Second, we will examine how students made sense of this perspective of practice. Using a phenomenologically oriented approach, this pilot study explored the experiences of entry-level physiotherapy students learning in a classroom environment, facilitated by clinicians, and located on a healthcare partner’s site. Twenty students completed two concurrent, theoretically oriented subjects that did not involve traditional clinical practicum experience. Two individual semi-structured interviews were conducted with students. Data was thematically analysed using an inductive approach. Three inter-related themes emerged. First, meaning-making is enhanced by the relevance and authenticity afforded by immersion in a practice-oriented classroom environment where clinicians facilitate learning. Second, learning from those ‘in practice’ challenges students’ professional and academic accountability. Finally, new educational infrastructures influenced students’ agency in unanticipated ways. This work highlights that students valued contextual learning. While meaning-making was enhanced by the development of key new relationships with others and the environment, these relationships also influenced student agency. Recommendations for health professional curricula are discussed, and include: capitalising on learning with peers, bringing the hidden curriculum into view and creating opportunities for students to navigate uncertainty and change.
References
Blackstock, F.C., Barradell, S., Mastwyk, S., Tang, C.Y., McConville, J., and Leo, J. (2017) ‘From bedside to classroom: a pilot study exploring the experience of clinical educators teaching in a dispersed model of entry-level physiotherapy curriculum’. Manuscript in preparation.
D’Souza, M.S., Venkatesaperumal, R., Radhakrishnan, J., and Balachandran, S. (2013) ‘Engagement in clinical learning environment among nursing students: Role of nurse educators’. Open Journal of Nursing, 3, 25-32 https://doi.org/10.4236/ojn.2013.31004
Frenk, J., Chen, L., Bhutta, Z.A., Cohen, J., Crisp, N., Evans, T., … and Zurayk, H. (2010) ‘Health professionals for a new century: transforming education to strengthen health systems in an interdependent world’. The Lancet, 376 (9756), 1923-1958 https://dx.doi.org/10.1016/S0140-6736(10)61854-5
Goldie, J. (2012) ‘The formation of professional identity in medical students: Considerations for educators’. Medical Teacher, 34 (9), e641-e648 https://doi.org/10.3109/0142159x.2012.687476
Hafferty, F.W. (1998) ‘Beyond curriculum reform: Confronting medicine’s hidden curriculum’. Academic Medicine, 73 (4), 403-407 https://doi.org/10.1097/00001888-199804000-00013
Hammond, R., Cross, V., and Moore, A. (2016) ‘The construction of professional identity by physiotherapists: A qualitative study’. Physiotherapy, 102 (1), 71-77 https://dx.doi.org/10.1016/j.physio.2015.04.002
Higgs J. (2011) Practice-Based Education: A Framework for Professional Education. Sydney: Australian Learning and Teaching Council
Higgs, J. (2012) ‘Practice based education pedagogy: Situated, capability-development, relationship practice(s)’. in Practice Based Education Perspectives and Strategies. ed. by Higgs, J., Barnett, R., Billett, S., Hutchings, M., and Trede, F. Rotterdam: Sense Publishers, 71-80. https://doi.org/10.1007/978-94-6209-128-3_6
Karnieli-Miller, O., Vu, T. R., Holtman, M.C., Clyman, S.G., and Inui, T.S. (2010) ‘Medical students’ professionalism narratives: A window on the informal and hidden curriculum’. Academic Medicine, 85 (1), 124-133 https://doi.org/10.1007/978-94-6209-128-3_6
Karimi, Z., Ashktorab, T., Mohammadi, E., and Abedi, H. (2014) ‘Influential factors on learning through the hidden curriculum in the perspective of undergraduate baccalaureate nursing students’. Journal of Advances in Medical Education & Professionalism, 2 (2), 53–57
Kemmis, S., and Trede, F. (2010) ‘Practice and developing future practice’. in Education for Future Practice. ed. by Higgs, J., Fish, D., Goulter, I., Loftus, S., Reid, J., and Trede, F. Rotterdam: Sense Publishers, 29-39
Loftus, S., and Higgs, J. (2010) ‘Researching the individual in workplace research’. Journal of Education and Work, 23 (4), 377-388. https://dx.doi.org/10.1080/13639080.2010.495712
Solbrekke, T.D., Englund, T., Karseth, B., and Beck, E.E. (2016) ‘Educating for professional responsibility: From critical thinking to deliberative communication, or why critical thinking is not enough’. in Educating the Deliberate Professional: Preparing for Future Practices. ed. by Trede, F., and McEwen, C. New York: Springer, 29-44 https://doi.org/10.1007/978-3-319-32958-1_3
Su, Y.-H. (2011) ‘The constitution of agency in developing lifelong learning ability: The 'being' mode’. Higher Education, 62, 399-412 https://doi.org/10.1007/s10734-010-9395-6
Trede, F., and McEwen, C. (2012) ‘Developing a critical professional identity: Engaging self in practice’. in Practice-Based Education: Perspectives and Strategies. ed. by Higgs, J., Barnett, R., Billett, S., Hutchings, M., and Trede, F. Rotterdam: Sense Publishers, 27-40 https://doi.org/10.1007/978-94-6209-128-3_3
Trede, F., and McEwen, C. (2016) ‘Scoping the Deliberate Professional’. in Educating the Deliberate Professional. ed. by Trede, F., and McEwen, C. New York: Springer, 3-14. https://doi.org/10.1007/978-3-319-32958-1_1
van Manen, M. (1990) Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. Albany, New York, USA: State University of New York
Zepke, N. and Leach, L. (2010) ‘Improving student engagement: Ten proposals for action’. Active Learning in Higher Education, 11 (3), 167-177 https://doi.org/10.1177/1469787410379680
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