How medical students are taught physical examination (PE) skills appears to have changed little since the 1950s. Textbooks are organized according to organ systems and describe methods of eliciting and recording history and PE data using a routine format. In many medical schools, the preclinical teaching programs for clinical examination skills similarly emphasize an orderly collection of data....

Using the example of a failed software implementation, we discuss the role of artifacts in shaping organizational routines. We argue that artifact-centered assumptions about design are not well suited to designing organizational routines, which are generative systems that produce recognizable, repetitive patterns of interdependent actions, carried out by multiple actors. Artifact-centered assum...

BACKGROUND Sharing interim data, results or result extrapolations is an important issue that can affect trial integrity. The different ways in which Data Safety Monitoring Boards (DSMBs) share interim results with non-DSMB members and the acceptability of such practices are poorly understood. Our objective was to undertake a narrative review specifically on what kind of interim results, if any,...

The short novel Forgiveness, breaks down the coherent narrative, and possibility of a (retrospective) reconstruction story in number ways, as well known genre frameworks family novel. In my study, I examine how images are conducive to novel, they contribute work’s pseudo-integrative narrative game “editing with chaos”. It is essential distinguish between countless present work, because possibil...

CONTEXT Reflection and reflective practice have become popular topics of scholarly dialogue in medical education. This popularity has given rise to checklists, portfolios and other tools to inspire and document reflection. We argue that some of the common ways in which reflection has been applied are influenced by broader discourses of assessment and evidence, and divorced from original theorie...

Digital media have unique potential to amplify student voice in both high school teacher preparation and academic development for college faculty. This paper applies narrative analysis to participant descriptions of how three uses of digital media amplify student voice in the context of a single higher education consortium: (1) high school students and prospective high school teachers use email...

This article aims to review the development of the concept of mentalization, its applications in the understanding and treatment of borderline personality disorder, and the issue of its assessment. While conceptually derivative of theory of mind, Fonagy's concept of mentalization concerns more affectively and interpersonally complex understandings of oneself and others, reflecting abilities tha...

David Almond’s The Savage (2008), illustrated by Dave McKean, demonstrates how narrating enables the adolescent protagonist, Blue Baker, to explore themes of loss, grief and bullying in embedded graphic narrative he creates about a savage boy, story calls ‘The Savage’. primary focuses on interplay between Blue’s behaviour his thoughts feelings. Interspersed throughout this self-narrative are me...

Building on a view of both narration and argumentation as dynamic concepts, this paper considers ways assessing the credibility narrative arguments constructed in empirical examples conversational discourse. I argue that key any such exercise is to pay close attention structural pragmatic details, particularly how storytelling gets embedded surrounding discourse way discursively accomplished vi...

Theorists operating from within a narrative identity framework have suggested that self-reflective reasoning plays a central role in the development of the self. Typically, however, narrative identity researchers have investigated this relationship using correlational rather than experimental methods. In the present study, leveraging on a classic research paradigm from within the social identit...