Della Fish

This book is addressed to physicians and surgeons but the principles upon which it rests would be valuable for members of any profession. The Transformative Reflective Process has been designed and, over many years, tested in everyday practice with medical practitioners. Its focus is to unpack and explore the decision-making and professional judgements that doctors use frequently in everyday practice. The intention of this is to promote the development and growth of practical wisdom in order to enhance the quality of patient care. Transformative Reflection can radically enlighten a medical professional's understanding of themselves, their detailed thinking, and the nuances of their practice. The process sharpens a doctor's acumen (their ability to make good judgements and take quick decisions) and enables them to articulate for themselves and develop further, the deepest elements of what characterises their practice. In this sense therefore, it offers truly worthwhile education. It also provides a means of sharing the complexity and special nature of medical practice with those both inside and outside medicine, who need to understand it better. It has the potential, we believe, when shared, to benefit society's understanding of what is involved inside medical practice and thus clarify what it is reasonable to expect from The NHS's human servants.

"This book is written by two eminent educators and clinicians in medicine, and provides a wealth of information and food for thought for those who have responsibility for curriculum development."Journal of OrthodonticsWhat are the contemporary problems facing curriculum designers and developers? What are the key questions that ought to be addressed with regard to curriculum design for medical practice? How might a curriculum for practice in medical education be developed?Medical Education offers a detailed response to these questions and shows what form a curriculum for practice should take and how one can be developed. These ideas are presented in a highly practical and readable account that is essential reading for those involved in educating the doctors of the future and for policy makers in the field of medical education. It also offers useful advice for those in related fields of health care.The authors show that recent developments of curricula for postgraduate doctors have been founded on the misguided view (promoted by politicians and policy makers) that medical practice is routine, straightforward and able to be reduced to simple protocols that professionals must learn and follow. In this view, doctors are technicians who need merely to be trained through a simple curriculum. In contrast, this book shows that the practice of medicine as experienced by working doctors is complex, uncertain and unpredictable. This requires a curriculum that provides the opportunity to learn to exercise professional judgement and make decisions based on practical wisdom.

This book provides a classic supporting text for teachers and learners in the surgical field. The European Working Time Directive is just one of many factors that will radically change the way doctors work in the future. The aim of this book is to enable all those who teach young surgeons in the clinical setting to think about and prepare for a new and fresh approach to learning. The particular significance of this publication is that it makes a proper distinction between education and training, identifies the reasons why the postgraduate development of doctors as surgeons must involve education rather than merely training, and recognises that the education of surgeons must take place in the clinical setting. The book provides support in five areas: 1. It will enable surgical educators to develop on from the current and traditional teaching/learning relationship. 2. It takes as its basis the importance of professional values. 3. It provides for the first time a thorough educational framework, which will need to be utilised by the learner and educator to establish the educational focus of each trainee placement. 4. For the first time, it supports teachers and learners in developing the processes of reflective practice on a formal basis in surgical education. 5. It takes a new look at the assessment of the trainee in the light of new requirements and the needs of the new approaches to surgical education.

This book explores different approaches to clinical supervision, rooting them firmly in practice, but offering relevant theoretical underpinning. It aims to help supervisors to develop both competence in and a reflective approach to supervision and to practice. It is addressed to members of health care professions across both western and alternative medicine, and specifically those professionals who work with students or colleagues to enable them to learn or refine the practice of their profession. * Will help fulfill criteria for excellence in practice demanded by Government and the key professionals bodies * Clear, readable and user-friendly * Deals with a range of essential topics, e.g. the concept of good practice, learning through practice, observation, debriefing, assessment

First Published in 1995. This book is directed at setting the feet of mentors on a path towards a principled approach to practice, built upon the twin foundations of seeking better understanding of issues and continual refinement of practice. This book is addressed to both primary and secondary teachers who are preparing to undertake new mentoring roles in initial teacher education (ITE). The concerns of this publication are with knowledge, understanding, capacities and skills that are common to such mentoring across all age-ranges.