Une étude phénoménologique des expériences des résidents et des professeurs en matière d'engagement des apprenants dans la normalisation de l'évaluation sur le lieu de travail
DOI :
https://doi.org/10.36834/cmej.76192Résumé
Contexte : Les évaluations en milieu de travail (EMT) font désormais partie intégrante de l'enseignement médical centré sur l'apprenant. Des recherches antérieures ayant établi un lien entre l'engagement de l'apprenant et la mise en œuvre de l’EMT, cette étude explore les expériences des résidents et des membres du corps professoral en matière d'engagement de l'apprenant dans la normalisation de la pratique de l'EMT.
Méthodes : La phénoménologie transcendantale a été utilisée comme approche qualitative, en portant une attention particulière aux expériences vécues des participants. Un guide d’entrevue semi-structurée a été utilisé pour interroger cinq membres du corps professoral et cinq résidents qui avaient pratiqué l’EMT. Les entrevues ont été transcrites et analysées à l'aide d'une analyse phénoménologique des données.
Résultats : Trois thèmes ont été identifiés entre l'engagement de l'apprenant et la conduite des EMT : (a) l'environnement de travail, (b) les rôles et les relations, et (c) l'enseignement et l'apprentissage mutuellement bénéfiques. L'engagement de l'apprenant dans le cadre de l’EMT s'est produit lorsque les participants ont interagi entre eux et avec le milieu clinique pour faciliter l'enseignement et l'apprentissage. Les deux groupes de participants ont fait part de leur désir de participer à l’EMT, mais des contraintes de temps ont parfois entravé leur participation. Les résidents ont indiqué que l’EMT avait amélioré leurs connaissances et ont admis avoir ressenti des émotions négatives lors de l'évaluation. Dans l'ensemble, les participants ont reconnu les avantages réciproques de la participation à l’EMT pour leur développement professionnel.
Conclusion : Les résultats de l'étude suggèrent que l'engagement de l'apprenant influence l'utilisation de l’EMT. Par conséquent, il peut être bénéfique de considérer le rôle de l'engagement de l'apprenant pour normaliser l'application de l’EMT pour l'enseignement et l'apprentissage dans le contexte clinique.
Références
Cate OT. Competency-based postgraduate medical education: past, present and future. GMS J Med Educ. 2017;34(5):Doc69. https://doi.org/10.3205/zma001146
Lockyer J, Carraccio C, Chan MK, et al. Core principles of assessment in competency-based medical education. Med Teach. 2017 Jun;39(6):609–16. https://doi.org/10.1080/0142159X.2017.1315082 DOI: https://doi.org/10.1080/0142159X.2017.1315082
Earl L, Steven Katz, Campbell G, et al. Rethinking classroom assessment with purpose in mind. Crown in right of the Governments of Alberta. 2006;112. Available from: https://www.edu.gov.mb.ca/k12/assess/wncp/full_doc.pdf [Accessed Sept 24, 2020].
Jenkins CE. The relationship between formative assessment and student engagement at Walters State Community College. ProQuest LLC. [Tennessee]: East Tennessee State University; 2010. Available from: https://dc.etsu.edu/cgi/viewcontent.cgi?article=3034&context=etd [Accessed Jun 9, 2022].
Norcini J, Burch V. Workplace-based assessment as an educational tool: AMEE Guide No. 31. Med Teach. 2007 Jan;29(9–10):855–71. https://doi.org/10.1080/01421590701775453 DOI: https://doi.org/10.1080/01421590701775453
Stiggins R. From formative assessment to assessment for learning: a path to success in standards-based schools. Phi Delta Kappan. 2005 Dec;87(4):324–8. https://doi.org/10.1177/003172170508700414 DOI: https://doi.org/10.1177/003172170508700414
Reschly AL, Pohl AJ, Christenson SL, SpringerLink. Student engagement effective academic, behavioral, cognitive, and affective interventions at school. 1st ed. 2020. Cham: Springer International Publishing; 2020. xix+331. https://doi.org/10.1007/978-3-030-37285-9 DOI: https://doi.org/10.1007/978-3-030-37285-9
Kahu ER. Framing student engagement in higher education. Studies Higher Educ. 2013 Jun;38(5):758–73. https://doi.org/10.1080/03075079.2011.598505 DOI: https://doi.org/10.1080/03075079.2011.598505
Fredricks JA, Blumenfeld PC, Paris AH. School engagement: potential of the concept, state of the evidence. review of educational research. 2004 Mar 1;74(1):59–109. https://doi.org/10.3102/00346543074001059 DOI: https://doi.org/10.3102/00346543074001059
Dijksterhuis MGK, Schuwirth LWT, Braat DDM, Teunissen PW, Scheele F. A qualitative study on trainees’ and supervisors’ perceptions of assessment for learning in postgraduate medical education. Med Teach. 2013 Aug;35(8):e1396–402. https://doi.org/10.3109/0142159X.2012.756576 DOI: https://doi.org/10.3109/0142159X.2012.756576
Barrett A, Galvin R, Scherpbier AJJA, Teunissen PW, O’Shaughnessy A, Horgan M. Is the learning value of workplace-based assessment being realised? A qualitative study of trainer and trainee perceptions and experiences. Postgrad Med J. 2017 Mar;93(1097):138–42. https://doi.org/10.1136/postgradmedj-2015-133917 DOI: https://doi.org/10.1136/postgradmedj-2015-133917
Lörwald AC, Lahner FM, Nouns ZM, et al. The educational impact of Mini-Clinical Evaluation Exercise (Mini-CEX) and Direct Observation of Procedural Skills (DOPS) and its association with implementation: a systematic review and meta-analysis. Zhang Q, editor. PLoS ONE. 2018 Jun 4;13(6):1–15. https://dx.plos.org/10.1371/journal.pone.0198009 DOI: https://doi.org/10.1371/journal.pone.0198009
Spike N, Alexander H, Elliott S, et al. In-training assessment - its potential in enhancing clinical teaching. Med Educ. 2000 Oct;34(10):858–61. http://doi.wiley.com/10.1046/j.1365-2923.2000.00755.x DOI: https://doi.org/10.1046/j.1365-2923.2000.00755.x
Billett S. Toward a workplace pedagogy: guidance, participation, and engagement. Adult Educ Quart. 2002 Nov 1;53(1):27–43. https://doi.org/10.1177/074171302237202 DOI: https://doi.org/10.1177/074171302237202
Prentice S, Benson J, Kirkpatrick E, Schuwirth L. Workplace-based assessments in postgraduate medical education: a hermeneutic review. Med Educ. 2020 Nov;54(11):981–92. https://doi.org/10.1111/medu.14221 DOI: https://doi.org/10.1111/medu.14221
Andreassen P, Malling B. How are formative assessment methods used in the clinical setting? A qualitative study. Int J Med Educ. 2019 Nov 22;10:208–15. https://doi.org/10.5116/ijme.5db3.62e3 DOI: https://doi.org/10.5116/ijme.5db3.62e3
Ali J, Goh A. Student perceptions of workplace-based assessment. Clin Teach. 2017;14(5):319–24. https://doi.org/10.1111/tct.12588 DOI: https://doi.org/10.1111/tct.12588
Acai A, Li SA, Sherbino J, Chan TM. Attending emergency physicians’ perceptions of a programmatic workplace-based assessment system: the McMaster Modular Assessment Program (McMAP). Teach Learn Med. 2019 Aug 8;31(4):434–44. https://doi.org/10.1080/10401334.2019.1574581 DOI: https://doi.org/10.1080/10401334.2019.1574581
Harlen W, James M. Assessment and Learning: differences and relationships between formative and summative assessment. Assess Educ: Princ Policy Pract. 1997 Nov;4(3):365–79. https://doi.org/10.1080/0969594970040304 DOI: https://doi.org/10.1080/0969594970040304
Liang Y, Noble LM. Chinese doctors’ views on workplace-based assessment: trainee and supervisor perspectives of the mini-CEX. Med Educ Online. 2021;26(1):1869393. https://doi.org/10.1080/10872981.2020.1869393 DOI: https://doi.org/10.1080/10872981.2020.1869393
Jones A. Bridging the implementation gap: normalisation process theory in educational settings. 2017 Apr 15; Available from: https://www.researchgate.net/publication/316666078_Bridging_the_implementation_gap_normalization_process_theory_in_educational_settings
Massie J, Ali J. Workplace-based assessment: a review of user perceptions and strategies to address the identified shortcomings. Adv in Health Sci Educ. 2015 May 24;21(2):455–73. https://doi.org/10.1007/s10459-015-9614-0 DOI: https://doi.org/10.1007/s10459-015-9614-0
Persaud D, Cole J, Jainarine R, Khalid Z. Internal medicine residency program in Guyana: a collaborative model for sustainable graduate medical education in resource-limited settings. Front Public Health. 2017 May 29;5:112. https://doi.org/10.3389/fpubh.2017.00112 DOI: https://doi.org/10.3389/fpubh.2017.00112
Etheridge L, Boursicott K. Performance and workplace assessment. In: A practical guide for medical teachers. 4th ed. London; New York: Churchill Livingstone/Elsevier; 2013. p. 307–14. Available from: https://www.elsevier.com/books/a-practical-guide-for-medical-teachers/dent/978-0-7020-8170-5
McQueen SA, Petrisor B, Bhandari M, Fahim C, McKinnon V, Sonnadara RR. Examining the barriers to meaningful assessment and feedback in medical training. Amer J Surg. 2016 Feb;211(2):464–75. https://doi.org/10.1016/j.amjsurg.2015.10.002 DOI: https://doi.org/10.1016/j.amjsurg.2015.10.002
Husserl E. Ideas: general introduction to pure phenomenology. New York, NY: Routledge; 2012;434 p. Available from: https://www.routledge.com/Ideas-General-Introduction-to-Pure-Phenomenology/Husserl/p/book/9780415519038#:~:text=The%20publication%20of%20Ideas%20in,the%20essence%20of%20consciousness%22%20itself. [Accessed on Mar 22, 2023].
Vagle MD. Crafting phenomenological research. 2nd edition. New York: Routledge; 2018. 214 p. https://doi.org/10.4324/9781315173474 DOI: https://doi.org/10.4324/9781315173474
Streubert HS, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.
Smith DW. Phenomenology. In: Zalta EN, editor. The Stanford encyclopedia of philosophy. 2018th ed. Stanford, California: Metaphysics Research Lab, Stanford University; 2018. Available from: https://plato.stanford.edu/archives/sum2018/entries/phenomenology/. [Accessed On Feb 18, 2021].
Englander M. The interview: data collection in descriptive phenomenological human scientific research. J Phenomenol Psychol. 2012;43(1):13–35. https://doi.org/10.1163/156916212X632943 DOI: https://doi.org/10.1163/156916212X632943
Peoples K. How to write a phenomenological dissertation: a step-by-step guide. 1 edition. Thousand Oaks, California: SAGE Publications, Inc; 2020. 192 p. Available from: https://us.sagepub.com/en-us/nam/how-to-write-a-phenomenological-dissertation/book261976
Varpio L, Ajjawi R, Monrouxe LV, O’Brien BC, Rees CE. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. Med Educ. 2017 Jan;51(1):40–50. https://doi.org/10.1111/medu.13124 DOI: https://doi.org/10.1111/medu.13124
Zoom Video Communications, Inc. Zoom. San Jose, California; 2021. Available from: https://zoom.us/
Fleming J. Recognizing and resolving the challenges of being an insider researcher in work-integrated learning. International J Work-Integ Learn. 2018;19(3):311–20. Available from: https://files.eric.ed.gov/fulltext/EJ1196753.pdf [Accessed on Mar 22, 2023].
Hycner RH. Some guidelines for the phenomenological analysis of interview data. Human Studies. 1985;8:279–303. https://doi.org/10.1007/BF00142995 DOI: https://doi.org/10.1007/BF00142995
Ortlipp M. Keeping and using reflective journals in the qualitative research process. The Qualitative Report. 2008 Dec 1;13(4):695–705. Available from: https://nsuworks.nova.edu/tqr/vol13/iss4/8
Javadi M, Zarea K. Understanding thematic analysis and its pitfall. J Clie Care. 2016;1(1):34–40. https://doi.org/10.15412/J.JCC.02010107 DOI: https://doi.org/10.15412/J.JCC.02010107
Kuper A, Lingard L, Levinson W. Critically appraising qualitative research. BMJ. 2008 Aug 7;337:a1035. https://doi.org/10.1136/bmj.a1035 DOI: https://doi.org/10.1136/bmj.a1035
Cohen L, Manion L, Morrison K. Research methods in education. 8th edition. London ; New York: Routledge; 2017. 944 p. Available from: https://www.routledge.com/Research-Methods-in-Education/Cohen-Manion-Morrison/p/book/9781138209886 DOI: https://doi.org/10.4324/9781315456539
May C, Finch T. Implementing, embedding, and integrating practices: an outline of normalization process theory. SAGE Publications. 2009;43(3):535–54. https://doi.org/10.1177/0038038509103208 DOI: https://doi.org/10.1177/0038038509103208
McNaughton RJ, Steven A, Shucksmith J. Using normalization process theory as a practical tool across the life course of a qualitative research project. Qual Health Res. 2020 Jan 1;30(2):217–27. https://doi.org/10.1177/1049732319863420 DOI: https://doi.org/10.1177/1049732319863420
Wood P. Overcoming the problem of embedding change in educational organizations: a perspective from normalization process theory. Manag Educ. 2017 Jan;31(1):33–8 https://doi.org/10.1177/0892020616685286 DOI: https://doi.org/10.1177/0892020616685286
Harris P, Bhanji F, Topps M, et al. Evolving concepts of assessment in a competency-based world. Med Teach. 2017 Jun;39(6):603–8. https://doi.org/10.1080/0142159X.2017.1315071 DOI: https://doi.org/10.1080/0142159X.2017.1315071
Konopasek L, Norcini J, Krupat E. Focusing on the formative: building an assessment system aimed at student growth and development. Acad Med. 2016 Nov;91(11):1492–7. https://doi.org/10.1097/ACM.0000000000001171 DOI: https://doi.org/10.1097/ACM.0000000000001171
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