Doctoral Dissertation Research: Feedback between training and practice in conceptualizations of phenotypic variation among medical trainees

人类如何理解他们周围的世界取决于经验和指导的结合。医学教育通常依赖于类型学和阈值来告知医疗实践。当人类表型中更多分级变异的经验与类型学医学指导相矛盾时，会发生什么？受训者在护理提供方面的经验如何对以类型学为中心的指导作出反馈？新兴技术如何塑造对表型变异的理解以及这种理解对实践的影响？该项目融合了医学人类学，科学技术研究和教育人类学的理论，以了解人类变异的特征如何在教育和经验的反应中形成。项目的研究成果将广泛传播给学术和非学术受众，该项目将培训一名人类学研究生，掌握实证、科学数据收集和分析的方法。该博士论文项目将利用15个月的医学实习生民族志研究，包括参与者观察、半结构化访谈、口述历史访谈和教学材料的文本分析，以：1）捕捉学员如何被教导理解人类变异，2）调查科学技术和仪器如何反映和影响对护理提供中人类变异的理解，以及3）澄清与不同受试者互动和提供护理的个人经验如何反馈人类变异的概念和类型学。通过明确关注变化性概念如何在教育、经验和技术的反应中形成和重塑的动态，该项目将推进对人类如何在日常实践中调动变化性概念的综合理解。该奖项反映了NSF的法定使命，并被认为值得通过使用基金会的智力价值和更广泛的影响审查标准进行评估来支持。

How humans make sense of the world around them depends on a combination of experience and instruction. Medical education often relies on typologies and thresholds to inform medical practice. What happens when experiences of more graded variation in human phenotypes contradicts typological medical instruction? How do trainees’ experiences in care delivery feedback on instruction centered on typologies? How do emergent technologies shape understandings of phenotypic variation and the effects of such understandings on practice? This project merges theory from medical anthropology, science and technology studies, and the anthropology of education to inform an understanding of how characterization of human variation takes shape in reaction to education and experience. Project findings will be broadly disseminated to academic and non-academic audiences and the project will train a graduate student in anthropology in the methods of empirical, scientific data collection, and analysis.This doctoral dissertation project will leverage 15 months of ethnographic research among medical trainees, including participant observation, semi-structured interviews, oral history interviews, and textual analysis of pedagogical materials, to: 1) capture how trainees are taught to understand human variation, 2) investigate how scientific technologies and instruments reflect and affect understanding of human variation in care delivery, and 3) clarify how personal experience interacting with and providing care for varied subjects feeds back on concepts and typologies of human variation. By paying explicit attention to the dynamics of how concepts of variability are shaped and reshaped in reaction to education, experience, and technology, this project will advance a synthetic understanding of how humans mobilize concepts of variation in everyday practice.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.