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

博士论文研究：医学实习生表型变异概念化培训与实践之间的反馈

• 批准号: 2044020
• 负责人: Andrea Ballestero
• 金额: $ 2.52万
• 依托单位: William Marsh Rice University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-15 至 2024-04-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=2044020&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Feedback; between

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.

人类如何使周围的世界有意义取决于经验和指示的结合。医学教育通常依靠类型和阈值来为医学实践提供信息。当人类表型中更分级变化的经历与类型学医学说明相矛盾时，会发生什么？学员在护理交付反馈方面的经验如何以类型为中心？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？该项目从医学人类学，科学和技术研究以及教育人类学中融合了理论，以了解对人类变异的表征如何在对教育和经验的反应中形成的理解。 Project findings will be broadly disseminated to academic and non-academic audiences and the project will tr​​ain 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 participating observations, semi-structured interviews, oral history interviews, and textual analysis of pedagogical materials, to: 1) capture how trainees are taught要了解人类的变异，2）研究科学技术和工具如何反映和影响对护理交付中人类变异的理解，以及3）Clarii clari clari clari clarie clarie clarli closections to与人类变异的概念和类型的各种受试者的互动以及提供护理。通过明确关注对教育，经验和技术的反应如何形成和重塑变异性概念的动态，该项目将对人类在每天练习中如何动员人类动员​​的变异概念进行综合理解。该奖项反映了NSF的法规使命，并认为通过基金会的知识率和广泛的评估，可以通过评估来进行评估。