公衆衛生医師の熟達と経験学習に関する探索的研究  [in Japanese] Study of learning experiences of expert public health physicians  [in Japanese]

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Abstract

目的 : 公衆衛生医師の経験学習に焦点をあて,その熟達化の過程を明らかにする.<br>研究方法 : 10人のExpertを対象に,仮説探索型研究をおこなった.インタビューの分析には,グラウンデッド・セオリー・アプローチを用いた.<br>結果 : 学生時代では,先輩医師から公衆衛生の重要性を,臨床医時代には,患者との関わりからプライマリ・ケアについて学んでいた.また,公衆衛生医師として,13の経験から11の教訓を学んでいた.<br>  一方,公衆衛生マインドは,自己関連,患者関連,社会関連,組織関連の4つの信念のカテゴリーからなり,特に,社会関連の信念がコアとなっていた.<br>結論 : 特有の経験学習が明らかとなった.熟達論および経験学習の観点から考察した.

Objective: The objective of this study was to clarify the learning processes of expert public health physicians.<br>Research questions: The research questions were as follows. 1) What kind of learning experiences do public health physicians have? What do they learn from these experiences? 2) What kind of thoughts do they have? How do they form these thoughts?<br>Methods: Ten expert public health physicians, who had worked as public servants for more than 10 years, had worked in an administrative position, and had been recommended by colleague public health physicians, were interviewed with a semistructured interview form. The data were analyzed on the basis of the Grounded Theory Approach.<br>Results: Regarding these physicians' learning experiences, during medical school and residency they learned the importance of public health from senior public health physicians, as hospital physicians they learned about primary care from patients with psychiatric illnesses and intractable illnesses, and as public servants they learned lessons in 11 categories though events in 13 categories.<br>  Regarding thoughts about public health, 4 categories were found; self-related thoughts, patient-related thoughts, social-related thoughts, and organization-related thoughts. The social-related thoughts were of central importance.<br>Conclusions: The learning experiences of expert public health physicians were clarified. Theoretical implications are considered on the basis of theories of achieving expertise and learning experiences.

Journal

  • Igaku Kyoiku / Medical Education (Japan)

    Igaku Kyoiku / Medical Education (Japan) 44(4), 227-235, 2013-08-25

    Japan Society for Medical Education

References:  30

Codes

  • NII Article ID (NAID)
    10031201204
  • NII NACSIS-CAT ID (NCID)
    AN00013280
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    03869644
  • NDL Article ID
    024867670
  • NDL Call No.
    Z19-586
  • Data Source
    CJP  NDL  J-STAGE 
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