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Books & Papers

Dialogue and Communities of Practice in American Graduate Medical Education

Beth K Herman

A senior resident held up a book: "See the things on the pages? They are words. I suggest you learn to read them." Beth Herman uses 31 years in medical education to connect dialogue practices with how professionals actually form their identity.

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Beth Herman has worked with resident physicians for 31 years and began dialogue training in 2005. She draws a connection 'previously undescribed in the literature' between dialogue's four practices (Voice, Listening, Respect, Suspension) and communities of practice theory. A vivid example captures what's at stake: a first-year resident came to Herman's office upset after being publicly humiliated during morning rounds. When she hesitated on an answer, the senior resident held up a book and said, 'I suggest you learn to read the words if you are going to be a doctor.' Herman found that arranging meetings in circles significantly reduces hierarchy, allowing residents to voice concerns without fear of retaliation. She closes with a parallel to the Academy: professionals aren't made by reading literature and completing courses, but through communities of practice that help internalise skills, attitudes and values into a different stance, the stance of a professional.

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Books & Papers

Topics

Dialogue in educationHigher education

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14 min

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