Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-06-2016 | Original Article | Uitgave 3/2016 Open Access

Perspectives on Medical Education 3/2016

Learning to manage complexity through simulation: students’ challenges and possible strategies

Tijdschrift:
Perspectives on Medical Education > Uitgave 3/2016
Auteurs:
Gerard J. Gormley, Tara Fenwick
Belangrijke opmerkingen
Editor’s Note: commentary by: S. Cristancho, DOI: 10.1007/s40037-016-0277-1

Abstract

Many have called for medical students to learn how to manage complexity in healthcare. This study examines the nuances of students’ challenges in coping with a complex simulation learning activity, using concepts from complexity theory, and suggests strategies to help them better understand and manage complexity.
Wearing video glasses, participants took part in a simulation ward-based exercise that incorporated characteristics of complexity. Video footage was used to elicit interviews, which were transcribed. Using complexity theory as a theoretical lens, an iterative approach was taken to identify the challenges that participants faced and possible coping strategies using both interview transcripts and video footage.
Students’ challenges in coping with clinical complexity included being: a) unprepared for ‘diving in’, b) caught in an escalating system, c) captured by the patient, and d) unable to assert boundaries of acceptable practice.
Many characteristics of complexity can be recreated in a ward-based simulation learning activity, affording learners an embodied and immersive experience of these complexity challenges. Possible strategies for managing complexity themes include: a) taking time to size up the system, b) attuning to what emerges, c) reducing complexity, d) boundary practices, and e) working with uncertainty. This study signals pedagogical opportunities for recognizing and dealing with complexity.
Literatuur
Over dit artikel

Andere artikelen Uitgave 3/2016

Perspectives on Medical Education 3/2016 Naar de uitgave

The Writer’s Craft

Bonfire red titles