top of page

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.

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.

ACCESS RESOURCE →

Format

Paper

Category

Books & Papers

Topics

Dialogue in education

Access

member

  • Page 1
bottom of page