Perspective: Transformative learning: A framework using critical reflection to link the improvement competencies in graduate medical education

Academic Medicine

Volumn 85, Issue 11, 2010, Pages 1790-1793

  Wittich, Christopher M ^a   Reed, Darcy A ^a   McDonald, Furman S ^a   Varkey, Prathibha ^a   Beckman, Thomas J ^a  

^a Mayo Clinic   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 78649325753     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181f54eed     Document Type: Article

References (31)

1. Ziegelstein RC, Fiebach NH. "The mirror" and "the village": A new method for teaching practice-based learning and improvement and systems-based practice. Acad Med. 2004;79:83-88.
2. Varkey P, Reller MK, Resar RK. Basics of quality improvement in health care. Mayo Clin Proc. 2007;82:735-739.
3. Accreditation Council for Graduate Medical Education. Outcome Project. Available at: http://www.acgme.org/outcome. Accessed December 21, 2009.
4. Varkey P, Natt N, Lesnick T, Downing S, Yudkowsky R. Validity evidence for an OSCE to assess competency in systems-based practice and practice-based learning and improvement: A preliminary investigation. Acad Med. 2008;83:775-780.
5. Mezirow J. Transformative learning: Theory to practice. In: Cranton P, ed. New Directions for Adult and Continuing Education. Vol 74. San Francisco, Calif: Jossey-Bass; 1997:5-12.
6. Mezirow J. Transformative Dimensions of Adult Learning. San Francisco, Calif: Jossey-Bass; 1991.
7. Mezirow J. Fostering Critical Reflection in Adulthood: A Guide to Transformative and Emancipatory Learning. San Francisco, Calif: Jossey-Bass; 1990.
8. Cranton P. Understanding and Promoting Transformative Learning: A Guide for Educators of Adults. 2nd ed. San Francisco, Calif: Jossey-Bass; 2006.
9. Beckman TJ, Lee MC. Proposal for a collaborative approach to clinical teaching. Mayo Clin Proc. 2009;84:339-344.
10. Kirkpatrick D. Revisiting Kirkpatrick's fourlevel model. Train Dev. 1996;50:54-59.
11. Boonyasai RT, Windish DM, Chakraborti C, Feldman LS, Rubin HR, Bass EB. Effectiveness of teaching quality improvement to clinicians: A systematic review. JAMA. 2007;298:1023-1037.
12. Balas EA, Austin SM, Mitchell JA, Ewigman BG, Bopp KD, Brown GD. The clinical value of computerized information services. A review of 98 randomized clinical trials. Arch Fam Med. 1996;5:271-278.
13. Green ML, Ellis PJ. Impact of an evidencebased medicine curriculum based on adult learning theory. J Gen Intern Med. 1997;12:742-750.
14. Coleman MT, Nasraty S, Ostapchuk M, Wheeler S, Looney S, Rhodes S. Introducing practice-based learning and improvement ACGME core competencies into a family medicine residency curriculum. Jt Comm J Qual Saf. 2003;29:238-247.
15. Oyler J, Vinci L, Arora V, Johnson J. Teaching internal medicine residents quality improvement techniques using the ABIM's practice improvement modules. J Gen Intern Med. 2008;23:927-930.
16. Hildebrand C, Trowbridge E, Roach MA, Sullivan AG, Broman AT, Vogelman B. Resident self-assessment and self-reflection: University of Wisconsin-Madison five-year study. J Gen Intern Med. 2009;24:361-365.
17. Campbell CM, Parboosingh JT, Gondocz ST, et al. Study of physicians' use of a software program to create a portfolio of their selfdirected learning. Acad Med. 1996;71(10 suppl): S49-S51.
18. Wittich CM, Beckman TJ, Krajicek BJ, et al. Validation of a method to measure resident physicians' reflections on quality improvement. Med Educ. 2010;44:248-255.
19. Paukert JL, Chumley-Jones HS, Littlefield JH. Do peer chart audits improve residents' performance in providing preventive care? Acad Med. 2003;78(10 suppl): S39-S41.
20. Mohr JJ, Randolph GD, Laughon MM, Schaff E. Integrating improvement competencies into residency education: A pilot project from a pediatric continuity clinic. Ambul Pediatr. 2003;3:131-136.
21. Kirkegaard M, Fish J. Doc-U-drama: Using drama to teach about patient safety. Fam Med. 2004;36:628-630.
22. Matter CA, Speice JA, McCann R, et al. Hospital to home: Improving internal medicine residents' understanding of the needs of older persons after a hospital stay. Acad Med. 2003;78:793-797.
23. Dyne PL, Strauss RW, Rinnert S. Systemsbased practice: The sixth core competency. Acad Emerg Med. 2002;9:1270-1277.
24. Leenstra JL, Beckman TJ, Reed DA, et al. Validation of a method for assessing resident physicians' quality improvement proposals. J Gen Intern Med. 2007;22:1330-1334.
25. Morrison LJ, Headrick LA, Ogrinc G, Foster T. The quality improvement knowledge application tool: An instrument to assess knowledge application in practice-based learning and improvement. Paper presented at: Society of General Internal Medicine Meeting; 2003; Vancouver, British Columbia.
26. Williams BC, Kachur E, Frohna JG, Halpern R, Jensen J, Yedidia M. Measuring residents' care management knowledge: How are we doing? Acad Med. 2002;77(10 suppl): S105-S107.
27. McLeod PJ, Tamblyn RM, Gayton D, et al. Use of standardized patients to assess between-physician variations in resource utilization. JAMA. 1997;278:1164-1168.
28. Korn LM, Reichert S, Simon T, Halm EA. Improving physicians' knowledge of the costs of common medications and willingness to consider costs when prescribing. J Gen Intern Med. 2003;18:31-37.
29. Epstein RM. Mindful practice. JAMA. 1999;282:833-839.
30. Arseneau R. Exit rounds: A reflection exercise. Acad Med. 1995;70:684-687.
31. Norman G, Dore K, Krebs J, Neville AJ. The power of the plural: Effect of conceptual analogies on successful transfer. Acad Med. 2007;82(10 suppl): S16-S18.