Examples of interaction patterns noted during observations classified as: (a) attending physician-dominated; (b) of shared dominance, and (c) widely interactive. Each diagram represents an entire observed session. Arrows denote the direction of interaction (from a speaker to the individual who spoke next), and line thickness is proportional to the number of times each interaction occurred during the observed session.
A = attending physician;
F = family medicine resident;
Sr = senior paediatric resident;
Jr = junior paediatric resident;
S = medical student
Patterns of interaction during rounds: implications for work-based learning - Walton - 2010 - Medical Education - Wiley Online Library
The Intima is an electronic journal dedicated to promoting the theory and practice of Narrative Medicine, an interdisciplinary field aiming to enhance health care through the development of effective communication and understanding between caregivers and their patients.
Medici e pazienti sono i principali responsabili di quel che succede nell'interazione quotidiana. Il vero invito che dobbiamo raccogliere dalla lettura di Abraham Verghese è quello di "accettare di avere delle responsabilità individuali
"General practitioner insight needs to be harnessed in order to develop solutions that are conceived in, and informed by, clinical practice. A CoP approach provides control to the practitioners over selection of the most relevant research question and outcome measure. However, the method is challenging as it requires a focus that is suitable, that motivates the participants, and effective management strategies and resources to support the CoP."
... Ma alla fine in realtà tutti consideriamo del tutto normale che in una Università italiana il professore selezionato sia mediamente il meno competente tra i concorrenti tra i quali si può scegliere: fa parte delle leggi naturali che regolano la natura delle cose. Si discute di meno di come si selezioni il personale nelle istituzioni "antagoniste" (badate bene: al di là dei video selezionati in questo post il problema non è solo della "politica", ma di un partito "votato al cambiamento" come di una associazione, o di una società scientifica "diversa"). ...
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