Learning to Reason: A Journey of Professional Socialisation |
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Authors: | Rola Ajjawi Joy Higgs |
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Institution: | (1) Centre for Innovation in Professional Health Education and Research, The University of Sydney, Edward Ford Building, Sydney, NSW, 2006, Australia;(2) Director, Collaborations in Practice and Education Advancement Faculty of Health Sciences, School of Physiotherapy, The University of Sydney, PO Box 170, Lidcombe, NSW, 1825, Australia |
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Abstract: | One of the key attributes that health professional students and new graduates develop during professional socialisation is
clinical reasoning ability. Clinical reasoning is a complex skill that is essential for professional practice. There is limited
research specifically addressing how physiotherapists learn to reason in the workplace. The research reported in this paper
addressed this gap by investigating how experienced physiotherapists learned to reason in daily practice. This learning journey
was examined in the context of professional socialisation. A hermeneutic phenomenological research study was conducted using
multiple methods of data collection including observation, written reflective exercises and repeated, semi-structured interviews.
Data were analysed using phenomenological and hermeneutic strategies involving in-depth, iterative reading and interpretation
to identify themes in the data. Twelve physiotherapists with clinical and supervisory experience were recruited from the areas
of cardiopulmonary, musculoskeletal and neurological physiotherapy to participate in this study. Participants’ learning journeys
were diverse, although certain episodes of learning were common or similar. Role models, mentors and colleagues were found
to be influential in the development of reasoning. An important implication for the professional socialisation of physiotherapists
and other health professionals and for those involved in practice development is the need to recognise and enhance the role
of practice communities in the explicit learning of clinical reasoning skills. |
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Keywords: | clinical reasoning health professional education learning physiotherapy professional socialisation |
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