Exploring instructional quality indicators in ambulatory medical settings: An ethnographic approach

Luis E. Zayas; Paul A. James; Judy A. Shipengrover; Diane G. Schwartz; Jason W. Osborne; Robin P. Graham

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Journal article

Exploring instructional quality indicators in ambulatory medical settings: An ethnographic approach

Luis E. Zayas, Paul A. James, Judy A. Shipengrover, Diane G. Schwartz, Jason W. Osborne and Robin P. Graham

Family medicine, Vol.31(9), pp.635-640

10/1999

PMID: 10554723

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Abstract

Background and objectives: As medical education moves to community settings, the quality of learning is influenced by differences in the practice environment, organization, resources, patient case mix, and demographics. This ethnographic study identified experiences and processes that influence student learning in community-based practice settings. Methods: Trained field researchers conducted participant observation in eight community teaching sites. Data were analyzed using a qualitative, grounded theory approach. Results: Three dominant themes emerged: 1) the preceptor's role in situating learning opportunities, 2) the learner's role in transforming experience into learning, and 3) the practice organization as a classroom setting. The findings highlight the importance of exploiting learning opportunities and the contributions of other medical staff and patients in facilitating unique learning experiences. Conclusions: This research suggests the need to move beyond the typical student ratings of teacher effectiveness to consider and assess additional important factors and processes that affect instructional quality.

Details

Title: Subtitle: Exploring instructional quality indicators in ambulatory medical settings: An ethnographic approach
Creators: Luis E. Zayas - Department of Family Medicine, Stt. Univ. of New York at Buffalo, United States
Paul A. James - Office of Research and Development, SUNY Clinical Center, CC-173, United States
Judy A. Shipengrover - Department of Family Medicine, Stt. Univ. of New York at Buffalo, United States
Diane G. Schwartz - Department of Family Medicine, Stt. Univ. of New York at Buffalo, United States
Jason W. Osborne
Robin P. Graham - Department of Family Medicine, Stt. Univ. of New York at Buffalo, United States
Resource Type: Journal article
Publication Details: Family medicine, Vol.31(9), pp.635-640
PMID: 10554723
NLM abbreviation: Fam Med
ISSN: 0742-3225
Number of pages: 6
Language: English
Date published: 10/1999
Academic Unit: Family and Community Medicine
Record Identifier: 9985217029002771

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