社会认知理论与医学教育:社会互动如何促进学习

Hae Won Kim
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摘要

弗莱克斯纳的报告强调了医学教育的科学导向以及两年正规知识教育和两年临床经验的课程结构,自该报告发表以来,医学教育的结构和过程变化不大。然而,以往的医学教育观点正面临着挑战,这就需要有新的教学法和理论作为医学教育实践的基础。考虑到在教育实践中一直强调学习的社会维度,因此需要将这些方面结合起来的观点。在各种学习理论中,社会认知理论是指认为学习是在与他人和环境的互动中发生的理论框架。从社会认知的角度来看,通过观察学习对人类的功能至关重要。事实上,观察学习在医学教育中具有特别重要的意义,因为它为理解榜样的重要性和意义提供了背景。此外,由于自我效能感和结果预期等理论建构可以让我们建立有效的学习环境,因此探索这些理论概念对医学教育实践大有裨益。在此背景下,本综述文章旨在介绍社会认知理论的基本假设和理论概念,并讨论该理论对教学的影响。此外,对以往研究的回顾有助于解释该理论如何指导医学教育实践。最后,作者将总结在医学教育中应用社会认知理论的意义和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Cognitive Theory and Medical Education: How Social Interactions Give Rise to Learning
The structures and processes of medical education have changed little since the publication of Flexner’s report, which stressed the scientific orientation of medical education and the curricular structure of two years of formal knowledge education and two years of clinical experience. However, the previous perspectives on medical education are facing challenges, and these call for new pedagogy and theories on which to base medical education practice. Considering that social dimensions of learning have been emphasized in educational practice, perspectives that integrate these aspects are needed. Among the various learning theories, social cognitive theory refers to the theoretical framework that contends that learning occurs within interactions with others and environments. From a social cognitive standpoint, learning through observation is critical to human functioning. Indeed, observational learning has particular significance in medical education in that it provides the context for which the importance and meaning of role models can be understood. In addition, as theoretical constructs such as self-efficacy and outcome expectancies allow us to establish an effective learning environment, exploring the concepts of the theory could be beneficial to medical education practice. In this context, the present review article aims to provide a glimpse of the fundamental assumptions and theoretical concepts of social cognitive theory and discusses the implications the theory has on teaching and learning. Further, a review of previous studies could help explain how the theory has informed medical education practice. Finally, the author will conclude with the implications and limitations of applying social cognitive theory in medical education.
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