Using Practice Inquiry to Engage Uncertainty in Residency Education
Building skills to manage uncertainty early in the professional development process can enhance longevity in clinical practice, where uncertainty is a constant companion. The authors describe Practice Inquiry (PI) as it is used with residents in three family medicine residency programs: New Hampshire Dartmouth program in Concord, New Hampshire; the University of Virginia program in Charlottesville, Virginia; and Contra Costa County Regional Medical Center program in Martinez, California. Each program describes PI discussion formats, facilitation options, and evaluation findings. The authors (who facilitate PI groups at each program) assess PI’s contribution to their curricula by highlighting the key areas of focus: gaining comfort in disclosing uncertainty, incorporating information mastery skills, and working from a strengths-based perspective. Plans for continued PI implementation and expansion at each program, as well as recommendations for introducing PI in residency programs, are discussed.
KeywordsResidency Program Practice Inquiry Clinical Uncertainty Representative Comment Primary Care Specialty
- Dornfest, F., & Ransom, D. (2012). American Balint Society website.Google Scholar
- Fox, R. C. (1957). Training for uncertainty. In R. K. Merton, G. G. Reader, & P. Kendall (Eds.), The student-physician: Introductory studies in the sociology of medical education. Cambridge: Harvard University.Google Scholar
- Kelly, A. V. (2004). The curriculum: Theory and practice (Vol. 5, pp. 5–6). Thousand Oaks: Sage.Google Scholar
- LaBarre, P. (2011). Developing mindful leaders. Harvard Business Review. http://blogs.hbr.org/cs/2011/12/developing_mindful_leaders.html.
- Pink, D. H. (2009). Drive: The surprising truth about what motivates us. In LaBarre, P. (Ed.), Developing mindful leaders. New York: Harvard Business Review. Retrieved Jan 26, 2012, from http://blogs.hbr.org/cs/2011/12/developing_mindful_leaders.html, 11 Dec 2011.
- Richmond, M. E. (1922). What is social case work? An introductory description. New York: Russell Sage.Google Scholar
- Sommers, L., Morgan, L., Johnson, L., et al. (2007). Practice inquiry: Clinical uncertainty as a focus for small-group learning and practice improvement. Journal of General Internal Medicine, 22, 246–252.Google Scholar
- Weick, A., Rapp, C., Sullivan, W. P., et al. (1989). A strengths perspective for social work practice. Social Work, 34, 350–354.Google Scholar