Betwixt and Between: A Pilot Study Exploring the Experiences of Clinical Educators Teaching in a Dispersed Model of Entry-Level Physiotherapy Curriculum

Authors

  • Sarah Barradell
  • Felicity Blackstock
  • Sally Mastwyk
  • Clarice Tang
  • Joan Leo
  • Janet McConville

DOI:

https://doi.org/10.18552/ijpblhsc.v6i2.511

Keywords:

clinical educator, health sciences, phenomenology, physiotherapy, pracacademic, practice-based education

Abstract

Education of the future healthcare workforce has long been a partnership between university and healthcare sectors, with students learning under the shared guidance of academics and clinicians. Traditionally, academics have taught in the classroom and clinicians have engaged students at the patient bedside. Using a phenomenologically-oriented approach, this pilot project explored the experiences of clinicians who team-taught a theoretical subject in a classroom environment. Purposeful sampling of physiotherapy staff within a metropolitan healthcare organisation was used. Six clinicians were recruited and, prior to teaching, completed a blended educational program about higher education teaching and learning. The clinicians taught classes of twenty students within new classroom spaces co-located at the healthcare organisation, with curricula provided by the university. Two semi-structured interviews were conducted with each clinician at the beginning and end of the allocated teaching period. Transcripts from the semi-structured interviews were analysed and four themes emerged. First, physiotherapists initially identified as clinicians not teachers, but their perceptions later broadened. Second, the intention of teaching was patient-focused. Third, the balancing of multiple roles resulted in challenges for the clinicians; and fourth, the experience involved new immersion in digital media. This work explores a different form of educator role – likened to a pracademic – and supports the need for considered approaches to teaching and links between theory/education and practice to meet the demands of modern healthcare and university learning.

References

Anderson, J.K. (2009) ‘The work role transition of expert clinician to novice academic educator’. Journal of Nursing Education, 48 (4), 203–208 https://doi.org/10.3928/01484834-20090401-02

Boud, D. (2012) ‘Problematising practice-based education’. in Practice-Based Education Perspectives and Strategies. ed. by Higgs, J., Barnett, R., Billett, S., Hutchings, M., and Trede, F. Rotterdam, Netherlands: Sense pp. 55-70

Delany, C. and Bragge, P. (2009) ‘A study of physiotherapy students’ and clinical educators’ perceptions of learning and teaching’. Medical Teacher, 31 (9), e402–e411 https://doi.org/10.1080/01421590902832970

DeVita, M.A. (2007) ‘Simulation and the prognosis for the apprenticeship model of health care education’. Journal of Intensive Care Medicine, 22 (5), 310–311 https://doi.org/10.1177/0885066607304435

Duffy, R. (2013) ‘Nurse to educator? Academic roles and the formation of personal academic identities’. Nurse Education Today, 33 (6), 620–624 https://doi.org/10.1016/j.nedt.2012.07.020

Higgs, J. (2012) ‘Practice-based education: The practice-education-context-quality nexus’. in Practice-Based Education Perspectives and Strategies. ed. by Higgs, J., Barnett, R., Billett, S., Hutchings, M., and Trede, F. Rotterdam, Netherlands: Sense, 3–12

Higgs, J. and Hunt, A. (1999) ‘Rethinking the beginning practitioner introducing the “interactional professional”’. in Educating Beginning Practitioners: Challenges for Health Professional Education. ed. by Higgs, J., and Edwards, H. Oxford: Butterworth-Heinemann, 10–18

Higgs, J., Hunt, A., Higgs, C., and Neubauer, D. (1999) ‘Physiotherapy education in the changing international healthcare and educational contexts’. Advances in Physiotherapy, 1 (1), 17–26 https://doi.org/10.1080/140381999443528

Hurst, K.M. (2010) ‘Experiences of new physiotherapy lecturers making the shift from clinical practice into academia’. Physiotherapy, 96 (3), 240–247 https://doi.org/10.1016/j.physio.2009.11.009

Johnson, R. and Waterfield, J. (2004). ‘Making words count: The value of qualitative research’. Physiotherapy Research International, 9 (3), 121–131 https://doi.org/10.1002/pri.312

Kell, C. and Jones, L. (2007) ‘Mapping placement educators' conceptions of teaching’. Physiotherapy, 93 (4), 273–282 https://doi.org/10.1016/j.physio.2006.11.011

Kolb, A.Y. and Kolb, D.A. (2012) ‘Experiential learning theory’. in Encyclopedia of the Sciences of Learning. ed. by Seele, N.M. Boston, MA: Springer, 1215–1219

Korthagen, F.A.J. and Kessels, J.P.A.M. (1999) ‘Linking theory and practice: Changing the pedagogy of teacher education’. Educational Researcher, 28 (4), 4–17 https://doi.org/10.3102/0013189X028004004

Lathlean, J. (2007) ‘Researching the implementation of pioneering roles in nursing and midwifery. Empirical Insights about lecturer practitioners, consultant nurses and nurse registrars’. Journal of Research in Nursing, 12 (1), 29–39 https://doi.org/10.1177/1744987106073582

McDaniel, E.A. and Colarulli, G.C. (1997) ‘Collaborative teaching in the face of productivity concerns: The Dispersed Team Model’. Innovative Higher Education, 22 (1), 19–36 https://doi.org/10.1023/A:1025147408455

Murray, C., Stanley, M., and Wright, S. (2014) ‘The transition from clinician to academic in nursing and allied health: A qualitative meta-synthesis’. Nurse Education Today, 34 (3), 389–395 https://doi.org/10.1016/j.nedt.2013.06.010

Nelson, L. and McSherry, R.G.N. (2002) ‘Exploring the lecturer/practitioner role: Individuals perceptions of the lived experience’. Nurse Education in Practice, 2 (2), 109–118 https://doi.org/10.1054/nepr.2002.0061

Öhman, A., Hägg, K., and Dahlgren, L. (2005) ‘A stimulating, practice-based job facing increased stress – Clinical supervisors’ perceptions of professional role, physiotherapy education and the status of the profession’. Advances in Physiotherapy, 7 (3), 114–122 https://doi.org/10.1080/14038190510010359

Orrell, J., Gonda, J., Longson, D., and Edgecombe, K. (1997) ‘Making it all count’. (Paper presented at the Higher Education Research & Development Society of Australia Advancing International Perspectives Conference, Adelaide, Australia

Patton, M.Q. (1999) ‘Enhancing the quality and credibility of qualitative analysis’. Health Services Research, 34 (5 Part 2), 1189–1208

Posner, P.L. (2009) ‘The pracademic: An agenda for re-engaging practitioners and academics’. Public Budgeting & Finance. 29 (1), 12–26 https://doi.org/10.1111/j.1540-5850.2009.00921.x

Rees, C.E. (2017) ‘Short report: Transitions in health professional education: Theory, research and practice’. Focus on Health Professional Education: A Multi-disciplinary Journal, 18 (3), 4–9 https://doi.org/10.11157/fohpe.v18i3.244

Smith, C. and Boyd, P. (2012) ‘Becoming an academic: The reconstruction of identity by recently appointed lecturers in nursing, midwifery and the allied health professions’. Innovations in Education and Teaching International, 49 (1), 63–72 https://doi.org/10.1080/14703297.2012.647784

Smith, M. and Higgs, J. (2013) ‘Health professionals becoming university teachers’. in Educating Health Professionals: Becoming a University Teacher. ed. by Loftus, S., Gerzina, T., Higgs, J., Smith, M., and Duffy, E. Rotterdam: Sense, 15–22

Stevenson, K., Chadwick, A.V., and Hunter, S.M. (2004) ‘National survey of lecturer/practitioners in physiotherapy’. Physiotherapy, 90 (3), 139–144 https://doi.org/10.1016/j.physio.2004.01.003

Tom, A.R. (1997) Redesigning Teacher Education. Albany, NY: SUNY Press

van Lankveld, T., Schoonenboom, J., Volman, M., Croiset, G., and Beishuizen, J. (2017) ‘Developing a teacher identity in the university context: A systematic review of the literature’. Higher Education Research & Development, 36 (2), 325–342 https://doi.org/10.1080/07294360.2016.1208154

van Manen, M. (1990) Researching Lived Experience: Human Science for an Action Sensitive Pedagogy. Albany, NY: SUNY Press

Warner, M.L. (2015) ‘From clinical practice to academia’. The Journal of Physician Assistant Education, 26 (2), 109–110 https://doi.org/10.1097/JPA.0000000000000019

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Published

2018-11-28

How to Cite

Barradell, S., Blackstock, F., Mastwyk, S., Tang, C., Leo, J., & McConville, J. (2018). Betwixt and Between: A Pilot Study Exploring the Experiences of Clinical Educators Teaching in a Dispersed Model of Entry-Level Physiotherapy Curriculum. International Journal of Practice-Based Learning in Health and Social Care, 6(2), 80–94. https://doi.org/10.18552/ijpblhsc.v6i2.511