Integrating Threshold Concepts and Ways of Thinking and Practising: Supporting Physiotherapy Students to Develop a Holistic View of the Profession through Concept Mapping
DOI:
https://doi.org/10.18552/ijpblhsc.v6i1.419Keywords:
clinical practice, concept maps, physiotherapy, threshold concepts, ways of thinking and practisingAbstract
The work practices of a health professional involve a complex weaving together of knowing what, knowing how, and knowing why. To help students engage with what is required for practice, educators need to have an expansive view of what it means to be a health professional in the rapidly changing real-world contexts that people inhabit today. Threshold concepts, and the complementary framework Ways of Thinking and Practising (WTP), are educational ideas that can help educators to think in those broad ways about health’s knowledge base, behaviours, and values, and how these appear in the curriculum. This article offers a case example from a pre-clinical entry-level physiotherapy subject to illustrate how threshold concepts and WTP informed what students came to understand about health professional practice. A curriculum that considers threshold concepts and WTP in combination helps both educators and students to engage with learning from multiple perspectives and to develop a connected understanding of their chosen profession. Helping students to articulate the connections between knowledge (e.g. threshold concepts) and how this knowledge is put to use (e.g. through the WTP of the profession) enables them to reconsider practice-related contexts in meaningful ways.
References
Åkerlind, G., Carr-Gregg, S., Field, R., Houston, L., Jones, J., Lupton, M., McKenzie, J., and Treloar, C. (2010) 'A threshold concepts focus to first year law curriculum design: supporting student learning using variation theory'. Paper presented at the 13th Pacific Rim First Year in Higher Education Conference, Adelaide, Australia available from http://fyhe.com.au/past_papers/papers10/content/pdf/12B.pdf
Baillie, C., Bowden, J.A., and Meyer, J.H.F. (2013) 'Threshold capabilities: Threshold concepts and knowledge capability linked through variation theory'. Higher Education, 65 (2), 227–246 https://dx.doi.org/10.1007/s10734-012-9540-5
Barradell, S., Barrie, S., and Peseta, T. (2017) 'Ways of thinking and practising: Highlighting the complexities of higher education curriculum'. Innovations in Education and Teaching International, 3, 266–275 https://dx.doi.org/10.1080/14703297.2017.1372299
Barradell, S. and Peseta, T. (2016) 'Promise and challenge of identifying threshold concepts: A cautionary account of using transactional curriculum inquiry'. Journal of Further and Higher Education, 40 (2), 262–275 https://dx.doi.org/10.1080/0309877X.2014.971105
Barradell, S. and Peseta, T. (2017) 'Putting threshold concepts to work in health sciences: Insights for curriculum design from a qualitative research synthesis'. Teaching in Higher Education, 22 (3), 349–372 https://dx.doi.org/10.1080/13562517.2016.1248390
Chipchase, L. (2007) 'Factors affecting curriculum content and the integration of evidence-based practice in entry-level physiotherapy programs'. Journal of Allied Health, 36 (1), 17–23
Clouder, L. (2005) 'Caring as a “threshold concept”: Transforming students in higher education into health(care) professionals'. Teaching in Higher Education, 10 (4), 505–517 https://dx.doi.org/10.1080/13562510500239141
Davies, M. (2011) 'Concept mapping, mind mapping and argument mapping: What are the differences and do they matter?’ Higher Education, 62 (3), 279–301 https://dx.doi.org/10.1007/s10734-010-9387-6
Foote, W. (2013) 'Threshold theory and social work education'. Social Work Education: The International Journal, 32 (4), 424–430 https://dx.doi.org/10.1080/02615479.2012.680436
Hay, D., Kinchin, I., and Lygo-Baker, S. (2008) 'Making learning visible: The role of concept mapping in higher education'. Studies in Higher Education, 33 (3), 295–311 https://dx.doi.org/10.1080/03075070802049251
Higgs, J. (2016) 'Deliberately owning my practice model: Realising my professional practice'. in Educating the Deliberate Professional: Preparing for Future Practices. ed. by Trede, F., and McEwen, C. New York: Springer, 189–203
Land, R. and Meyer, J.H.F (2010) 'Threshold concepts and troublesome knowledge (5): Dynamics of assessment'. in Threshold Concepts and Transformational Learning. ed. by Meyer, J.H.F., Land, R., and Baillie, C. Rotterdam: Sense Publishers, 61–80
Land, R. and Meyer, J.H.F. (2011) 'The scalpel and the “mask”: Threshold concepts and surgical education'. in Surgical Education: Theorising an Emerging Domain. ed. by Fry, H., and Kneebone, R. London: Springer, 91–106
Lennon, S. (2011) 'The theoretical basis for evidence-based neurological physiotherapy’. in Physical Management for Neurological Conditions'. ed. by Stokes, M., and Stack, E. London, England: Elsevier, 235–242
Lennon, S. and Bassile, C. (2009) 'Guiding principles for neurological physiotherapy’. in Pocketbook of Neurological Physiotherapy. ed. by Lennon, S., and Stokes, M. London, England: Elsevier, 97–111
McCune, V. and Hounsell, D. (2005) 'The development of students' ways of thinking and practising in three final-year biology courses'. Higher Education, 49 (3), 255–289 https://dx.doi/10.1007/s107340046660
Meyer, J. and Land, R. (2003) ‘Threshold concepts and troublesome knowledge: Linkages to ways of thinking and practising within the disciplines'. Enhancing Teaching-Learning (ETL) Environments in Undergraduate Courses Project. Edinburgh: University of Edinburgh
Meyer, J.H.F. (2012) ‘“Variation in Student Learning” as a threshold concept’. Journal of Faculty Development, 26 (3), 8–13
Meyer, J.H.F., and Land, R. (2005) 'Threshold concepts and troublesome knowledge (2): Epistemological considerations and a conceptual framework for teaching and learning'. Higher Education, 49 (3), 373–388 https://dx.doi/10.1007/s10734-004-6779-5
Meyer, J.H.F., Land, R., and Davies, P. (2008) 'Threshold concepts and troublesome knowledge (4): Issues of variation and variability'. in Threshold Concepts within the Disciplines. ed by Land, R., Meyer, J.H.F., and Smith, J. Rotterdam: Sense Publishers, 59-74
Novak, J.D. (1990a) 'Concept mapping: A useful tool for science education'. Journal of Research in Science Teaching, 27 (10), 937–949 https://dx.doi/ DOI: 10.1002/tea.3660271003
Novak, J.D. (1990b) 'Concept maps and vee diagrams: Two metacognitive tools for science and mathematics education'. Instructional Science, 19 (1), 29–52 https://doi.org/10.1007/BF00377984
Novak, J.D. and Cañas, A. (2008) 'The theory underlying concept maps and how to construct them'. Technical Report IHMC Cmap Tools 2006-01 Rev 01-2008. Retrieved from http://cmap.ihmc.us/Publications/ResearchPapers/TheoryCmaps/TheoryUnderlyingConceptMaps.htm
Novak, J.D. and D.B. Gowin. (1984) Learning How to Learn. New York and Cambridge, UK: Cambridge University Press
Nudo R.J. (2007) ‘Postinfarct cortical plasticity and behavioral recovery’. Stroke, 38 (2 Suppl), 840–845 https://doi.org/10.1161/01.STR.0000247943.12887.d2
Rattray, J. (2016) 'Affective dimensions of liminality'. in. Threshold Concepts in Practice. ed. by Land, R., Meyer, J.H.F., and Flanagan, M. Rotterdam: Sense Publishers, 77–91
Rodger, S. and Turpin, M. (2011) 'Using threshold concepts to transform entry level curricula'. Paper presented at the Research and Development in Higher Education: Higher Education on the Edge, Gold Coast, Australia
Sharples, M., Adams, A., Ferguson, R., Gaved, M., McAndrew, P., Rienties, B., Weller, M., and Whitelock, D. (2014) 'Innovating pedagogy 2014'. Open University Innovation Report. Milton Keynes: Open University
Shumway-Cook, A. and Woolacott, M.H. (2012) Motor Control Translating Research into Clinical Practice 4th ed. Baltimore: Lippincott Williams and Wilkins
Smith, M., Ajjawi, R., and Jones, M. (2009 ) 'Clinical reasoning in physiotherapy'. in Contexts of Physiotherapy Practice. ed by Higgs, J., Smith, M., Webb, G., Skinner, M., and Croker, A. Chatswood, Australia: Elsevier, 102–114
Tanner, B. (2011) 'Threshold concepts in practice education: Perceptions of practice educators'. British Journal of Occupational Therapy, 74 (9), 427–434 https://dx.doi/10.4276/030802211X13153015305592
World Health Organisation (2018) International Classification of Functioning, Disability and Health (ICF) http://www.who.int/classifications/icf/en/
Zoghi, M., Brown, T., Williams, B., Roller, L., Jaberzadeh, S., Palermo, C., ….. and Holt, T.-A. (2010) ‘Learning style preferences of Australian health science students’. Journal of Allied Health, 39 (2), 95–103
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