Dr Andrew Huang 黄延祺 Profile picture
Nov 8, 2021 43 tweets 14 min read Read on X
OK. Restarting this thread after almost 2 years.

I found the name of the play. It is "True Cut" by @DavidJAlderson. entandaudiologynews.com/features/ent-f…

It took me a good 15-30 minutes of detective work to find it.

I've backtracked to the start of the chapter because it's been so long. Schon is highlighting the tension between discipline and practice-orientations to education. He menions Veblen.
And again on the page 308. What is Veblen's ancient hierarchy of knowledge? Who was Veblen?
en.wikipedia.org/wiki/Thorstein…
Veblen was an economist and sociologist. He was also a critic of capitalism. Also wrote about "conspicuous consumption". Looks like he's right up my alley! 🤣
I found an exposition of Veblen's theory in this paper. jstor.org/stable/4228111…
It's interesting reading this chapter again. What sticks out to me has changed as I'm 2 years more experienced and engaged in the literature.

Here Schon echoes Freire with knowledge transfer- the banking model of education
This quotation reminds me of the Netflix show The Chair about a single, female, Korean American English professor who comes head of dept.
"Total institution" - haven't heard of this before. But I see metaphors of the old "residency" where residents actually lived in the hospital, and concepts of identity formation in these highlighted sections.
Schon thinks you need structural change for coaching to be central rather than peripheral.
The battle between technical rationality and the psychosocial is very much alive, at least in Pain Medicine. Schon writes about uncertainty.

Ties in with a conversation I've been having with @jamestoml1
Schon outlines the basic "squeeze play"
Schon uses three case studies to explain the squeeze play. A school of education, a business school, and an engineering school. He describes reductionist quantitative research v qualitative "field research" paradigms.
Schon sees higher education and applied education practitioners coming together to try to collaborate together. He outlines how he sees some of his vision being outworked.
But he asks the question about who and how reform would take place in the final chapter.
Before I dive into the last chapter... I do wonder, it feels like a dichotomy - between relevance & rigour. Reminds me of the heated debates about whether anatomy should be a stand-alone subject, integrated into the system, or picked up by osmosis through problem-based learning
But does it have to be a dichotomy? Is this just typical western thinking? Can it be both? Is there a way to have your cake and eat it too? Is there a place for eastern philosophy? e.g. yin and yang?
Here is that tension. The "high degree of ambiguity and instability in what counts as professional knowledge" points to its contested nature, and the question of how to best teach or develop it.
This chapter is really a case report of Schon's own experiences in redesigning a curriculum for the Master of City Planning at @MIT. The link is the legacy of his and his collaborators' work in the late 1970s and early 1980s.
dusp.mit.edu/degrees/masters
Given the MD program at @UniMelb is currently undergoing redesign, I wonder if @SteveTrumble might find Chapter 12 useful?
Schon outlines the history leading up to the curriculum redesign at MIT - from having core subjects in the 50s and 60s to giving students more choice that by the 70s it was perceived as "anarchy".
This paragraph echoes some of the things that are important in #MedEd. We've got no idea where medicine will be in 30 or 50 years time. How do we equip future doctors with the capability &capacities to deal with tomorrow's pressing issues? How did Schon and collaborators do it?
Students were unhappy and disempowered with the way the courses were being run.
In response they formed a review committee that consisted of a minority of faculty members and a majority of students. The process was transparent and public.
This paragraph highlights another tension between what I think is "head" or theoretical knowledge, and more practical "applied" or situated knowledge.
"The committee's final report proposed an "ideal" scenario that included a "conceptual" approach to course content, supplemented by skill-building sequences, some compromise on issues of "coherence versus flexibility,"...
"...contexts in which students had greater access to faculty members, "time for reflection" in smaller groups, pass/fail grades, and a recommendation that the "controversial issues" be included as a top priority."
Schon goes on to outline how they went about the process of redesign. He highlights some of the conflict during the engagement process.
These remind me of EPAs - very high level competencies that they wanted their graduates to possess.
The practicum that they tried to implement reminds me of flipped classrooms - where the students engage and wrestle with the ideas that they have learnt.
Really interesting. Faculty members attended other faculty's lectures. Makes it a bit of a panel discussion. Points to co-construction of knowledge and formation of a community of practice.
The studio practicum allowed the free-flow of ideas and a student-teacher and teacher-student relationship to form, perhaps like that envisaged by Freire.
Some faculty struggled with the concept of the studio practicum, or the way it was executed.
Students had mixed views. Both positive and negative.
This comment seems to suggest that some of them felt beyond what Vygotsky would term their zone of proximal development.
The unintended consequences were often more important.

Schon points to the importance of engagement with the work and with each other in the redesign.
It looks like the committee themselves became more reflective in designing the reflective practicum. They were able to reflect and appreciate what the others were saying, and perhaps built trust in engaging with each other.
Tribes.
Faculty doing the reflecting seems to unintentionally result in less student reflection.
I wonder if this is a phenomenon associated with assessment.
e.g.Some trainees have come up with ideas for research, but turfed them as soon as they get onto the training program because they enter study mode. So rather than creators of knowledge, they become temporary absorbers.
"the more we integrate in a curriculum the knowledge and skills that students, in our judgment, need to learn, the more we make it difficult for them to function as reflective designers of their own education."
These practicums are better suited once you have some knowledge.
The process of redesign changing the coaches themselves.
Thus ends my reading of Schon's Educating the Reflective Practitioner.

@threadreaderapp unroll please.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Andrew Huang 黄延祺

Dr Andrew Huang 黄延祺 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DrAndrewHuang

Jun 6, 2023
I'm doing a plastics list with a resident this afternoon who hasn't seen my sedation technique. I thought I'd quickly jot down some notes about the technique which I'll unroll into a blog post later.

1/
When sedating for a procedure, you need to ask yourself at least three questions:
1/ How long is the procedure going to take?
2/ How painful is the procedure both intraprocedure and post-procedure?
3/ What are the expectations of the proceduralist?

2/
Reflecting...

Perhaps better questions are:
1/How long is the stimulus/duration of discomfort?
2/How painful is the stimulus? How well innervated is the area being stimulated?

This also goes to the heart of the grey zone between sedation and general anaesthesia.

3/
Read 21 tweets
Jun 3, 2023
Some quick notes for myself before I visit the See Yup Temple in South Melbourne with a group of family historians this afternoon.

#chinozhist

1/ Image
On my mother's side, we are descendents of goldrush-era Chinese immigrants to Australia. There were three brothers who were involved in the Beechworth mines possibly from as early as the 1860s. Their names were 黄世彦, 黄世圖 and 黄世祚. familysearch.org/ark:/61903/3:1…

2/ Image
Wong Shi Hoo is my great grandfather - my maternal grandmother's father. He was naturalised and became a British subject in 1885. recordsearch.naa.gov.au/scripts/AutoSe…
3/ Image
Read 11 tweets
Jun 1, 2023
Reviewing this one by @ArpanTahim @doctordeborah and @jeffbezemer after my supervision meeting last week. Recommended that it has parallels with my own research- that the WBA is an artefact, as is the recording of video of clinical practice.

1/ Image
The citation:
Arpan Tahim, Deborah Gill, and Jeff Bezemer, ‘Workplace-Based Assessments—Articulating the Playbook’, Medical Education n/a, no. n/a (2023), .

2/doi.org/10.1111/medu.1…
My question:

What insight can I gain from the production of WBA records that helps me understand the production of the video recording and how it might influence the learning conversation?

3/
Read 35 tweets
May 19, 2023
Developing themes is the next phase I'm now moving into. Re-reading Chapter 4 of this book. Summarising here in a thread as I go. 1/
Developing the themes in reflexive thematic analysis involves a constant back and forth of zooming in and zooming out. You must also give yourself enough time to do it... “It’ll probably take at least twice as long as you expect”.

2/ Image
What is a theme? “A theme captures a pattern of meaning across the dataset”. In reflexive TA a theme represents a shared idea, and is different to a topic summary.

3/ Image
Read 51 tweets
Mar 29, 2023
So I was asked - what is the evidence for feedback/ learning conversations in #MedEd? I was sort of stumped, because I just assumed that it's useful/helpful. This thread is what I've found.

1/
This article seemed quite helpful.

@SubhaRamani @KarenDKonings @sginsburg1 and @CvanderVleuten. ‘Feedback Redefined: Principles and Practice’. Journal of General Internal Medicine 34, no. 5 (1 May 2019): 744–49. .

2/ https://t.co/2dH5SSKP7Kdoi.org/10.1007/s11606…
Image
Interestingly I met Subha Ramani at #AMEE2022 at lunch time after being introduced by Richard Hays. And I'm pretty sure I attended a workshop run by Shiphra at #CCME2019. It's a small world.😅

3/
Read 41 tweets
Jan 2, 2023
Monday's free Blink:
The Light We Carry by @MichelleObama
blinkist.com/books/the-ligh…
"Inside you is a light – it’s a spark completely unique to you: your talents, your determination, your curiosity. What’s stopping you from letting that light shine out fully? Is it fear?

"...acting to avoid fear makes us feel safe – but there are consequences."
"So, next time you hear your own fearful mind, listen to it. Listen to all the ways it encourages you to avoid change. To stay in your comfort zone. To keep your world small.

"Then ask it: Why don’t we try doing something that makes our world bigger for once?"

👏👏👏
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(