4.5 Article

Health professions education as a discipline: Evidence based on Krishnan's framework

期刊

MEDICAL TEACHER
卷 44, 期 4, 页码 445-449

出版社

TAYLOR & FRANCIS LTD
DOI: 10.1080/0142159X.2021.2020233

关键词

Academic discipline; health professions education; theory

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  1. Faculte de medecine de l'Universite Laval, Quebec, QC, Canada

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Health professions education (HPE) emerged as a distinct domain of higher education in the 1960s and has since seen advancements in training programs and institutional implementation globally. Despite these advancements, defining HPE as an academic discipline separate from higher education branches remains a challenge. Using Krishnan's framework, specific characteristics can guide the recognition of HPE as a discipline and support arguments for its academic status.
Health professions education (HPE) emerged as a specific domain of higher education in the 1960s. The interim decades brought the development of advanced training in health professions education and the implementation of HPE offices at many institutions of healthcare and education across the world. Despite these advancements, organizations considering the establishment of HPE offices, or advanced HPE training programs are still challenged by approving authorities to demonstrate that HPE is a discipline and not simply a branch of higher education. Although other scholars have proposed defined characteristics to guide the recognition of study fields as separate academic disciplines, Krishnan's framework is easily operationalized and its use has been broadly reported in the management, education, and intelligence studies literature, among others. Krishnan contends that an academic discipline generally presents the following characteristics: (1) an object of study and research that, although particular to the discipline, can be common to others; (2) a body of specialized knowledge, relative to the subject of study and research, typically unique to the discipline; (3) theories and concepts that frame and organize the specialized knowledge of the discipline; (4) specific terminologies or technical language related to the subject of study and research; (5) research methods adapted to the particular demands of the discipline; and (6) an institutional presence demonstrated by teaching at the graduate level of subjects specific to the discipline, and by the existence of academic departments and professional associations. The purpose of this paper is to present arguments in support of the status of HPE as an academic discipline using Krishnan's framework. It is our hope that these arguments will facilitate the efforts of organizations planning for the establishment of HPE offices or advanced HPE training programs at their institutions.

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