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ERIC Number: EJ812953
Record Type: Journal
Publication Date: 2006-Aug
Pages: 10
Abstractor: As Provided
Reference Count: N/A
ISSN: ISSN-1382-4996
Developing and Validating a Conceptual Model of Recurring Problems in Teaching Clinic
Smith, C. Scott; Morris, Magdalena; Hill, William; Francovich, Chris; Christiano, Jennifer
Advances in Health Sciences Education, v11 n3 p279-288 Aug 2006
Recurrent problems in medical teaching clinic are common and difficult to address because of complex interpersonal dynamics. To minimize this difficulty, we developed a conceptual model that simplifies problems and identifies the root cause of tension between groups in clinic. We used recursive analysis and modeling of the data from a larger multi-site, multi-method study of problems in teaching clinic. The first dataset from this study consisted of problem lists generated and prioritized by knowledgeable insiders from each site. The second dataset was a cultural consensus analysis independently performed at each site. The final model was checked for face validity and construct validity (using model predictions versus prior data and convergent/discriminant analysis). The study was performed in five Veterans Affairs teaching clinics in the U.S. Our final model, the Perception of Care Map, is a pentagram with five critical perspectives of the clinic visit. These five perspectives are "structured care, educational care, relationship-based care, algorithmic care" and "efficient care." Each group emphasizes one or more of these perspectives, and group locations on the conceptual map explain the observed tensions between groups. Validity of the model is high. The Perception of Care Map may be a useful adjunct for understanding and addressing recurrent problems in teaching clinic.
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: Higher Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United States