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Collaborative work and medical talk: Opportunities for learning through knowledge sharing

机译：协作工作和医学讲座：通过知识共享学习的机会

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摘要

Teleconsultations provide new opportunities for learning in medical settings. This study explores the conditions under which learning among physicians takes place. The empirical context is 47 real-time video conferences carried out to examine collaborative work and the medical talk involved. Sixteen of the observations were consultations wherein general practitioners (GPs) and specialists shared knowledge with the purpose of solving a medical problem related to a patient under treatment. In this exploratory study, the learning opportunities are seen as what medical practitioners with different types of expertise achieve through interaction while working with patients over periods of time.The analysis of medical talk in consultations shows that collaborative work among GPs and specialists creates a shared understanding of the patient's clinical history and treatment trajectory. As knowledge is demanded and attributed and gaps of knowledge become shared, consultations create a work tool that expands the medical work and talk. Collaborative work in and between different levels of the health care service expands knowledge, creates opportunities for learning in everyday settings, and improves the quality of knowledge distribution in the health care system.
机译：远程咨询为在医疗环境中学习提供了新的机会。这项研究探讨了医师之间学习的条件。以经验为背景的是进行了47次实时视频会议，以检查协作工作和所涉及的医学谈话。其中的十六项意见是通过会诊进行的，其中全科医生（GPs）和专家共享知识，以解决与接受治疗的患者有关的医疗问题。在这项探索性研究中，学习机会被视为具有不同专长类型的医务人员在一段时间内与患者合作时通过互动获得的成就。咨询中的医学谈话分析表明，全科医生和专家之间的协作可以建立共识患者的临床病史和治疗轨迹。随着知识的需求和分配以及知识差距的共享，咨询创造了一种扩大医疗工作和讨论的工作工具。卫生保健服务的不同级别之间以及之间的协作工作可扩展知识，在日常环境中创造学习机会，并改善卫生保健系统中知识分发的质量。

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