Embedding instruction in practice: contingency and collaboration during surgical training

Document type: Journal Articles
Article type: Original article
Peer reviewed: Yes
Author(s): Marcus Sanchez Svensson, Paul Luff, Christian Heath
Title: Embedding instruction in practice: contingency and collaboration during surgical training
Journal: Sociology of Health & illness
Year: 2009
Volume: 31
Issue: 6
Pagination: 889-906
ISSN: 0141-9889
URI/DOI: 10.1111/j.1467-9566.2009.01195.x
ISI number: 000270960300007
Organization: Blekinge Institute of Technology
Department: School of Computing (Sektionen för datavetenskap och kommunikation)
School of Computing S-371 79 Karlskrona
+46 455 38 50 00
Language: English
Abstract: In this paper we address the ways in which surgeons, in collaboration with other members of the surgical team, create occasions for demonstration and instruction within the highly complex and demanding tasks of a surgical operation. Drawing on video recordings of surgical operations, augmented by field studies, we examine how particular phenomena and procedures are made accessible and intelligible to trainees and the ways in which brief episodes of insight and instruction enable complex procedures to be followed and understood. We consider the ways in which demonstration and instruction are achieved, whilst preserving the integrity of medical practice, and explore how trainees are provided with the opportunity to witness, and learn from, the contingent deployment of formal procedures in particular cases. We conclude by considering our observations in the light of recent discussions of practice and situated learning in healthcare training.
Subject: Human Work Science\Human Computer Interaction
Computer Science\General
Keywords: social interaction; training, surgical operations, interaction analysis