Transformative Learning Theory: towards a new way of being in the world

Listen to Professor Susan van Schalkwyk from the Centre for Health Professions Education at Stellenbosch University, South Africa discuss transformative learning theory in this AMEE webinar.

Transformative Learning (TL) is described as learning that challenges established perspectives, leading to new ways of being in the world. This complex, meta-theory offers educators a theoretical lens through which to view their students’ learning. In this webinar, we will explore TL as a theoretical construct and consider its implications for health professions education in practice.

Bellagio 4.0: Advancing Social Accountability

Bellagio 4.0 conference flyer
Click for agenda of the meeting

The Bellagio Global Health Education Initiative is proud to announce it’s 4th annual meeting held in conjunction with the Fundación Santa Fe de Bogotá and the Universidad de los Andes, Colombia.

On Oct 31 2019, as part of Bellagio 4.0, the 1st Latin American Global Health Education Meeting will convene with over 100 faculty and students from Schools of Medicine and Schools of Nursing from across Colombia and leaders in global health education from countries across the globe.

The meeting will be opened by distinguished speakers including Colombia’s Minister of Health, Dr Juan Pablo Uribe. Dr Jairo Roa will lead on the publication of recommendations and declaration from the meeting.

Transformative learning as pedagogy for the health professions: a scoping review

We are pleased to share with you our latest paper, a scoping review that provides a comprehensive synthesis of how transformative learning is currently represented in the health professions education literature, including how it influences curricular activities, to inform its future application in the field.

The training of health professionals often takes place in unfamiliar settings where students are encouraged to be active participants in providing care. This increases the opportunity for exposure to learning experiences that are potentially transformative, allowing for a pedagogy of uncertainty that acknowledges the complexity of the world we live in and questions what we believe we know about it. Transformative learning provides educators in the health professions with a theoretical lens through which they can view such student learning.

Van Schalkwyk, S. C., Hafler, J. , Brewer, T. F., Maley, M. A., Margolis, C. , McNamee, L. , Meyer, I. , Peluso, M. J., Schmutz, A. M., Spak, J. M., Davies, D. and , (2019), Transformative learning as pedagogy for the health professions: a scoping review. Med Educ. doi:10.1111/medu.13804

A Comparison of the Expectations and Experiences of Medical Students From High-, Middle-, and Low- Income Countries Participating in Global Health Clinical Electives

Members of the BGHEI team have published a new paper, A Comparison of the Expectations and Experiences of Medical Students From High-, Middle-, and Low- Income Countries Participating in Global Health Clinical Electives.

Global health education (GHE) is expanding to include socioculturally and resource- different settings, with the goal of developing a workforce with members who can promote health equity locally and globally. GHE is also no longer limited to students from high-income countries (HICs). However, it is unknown whether the motivations and experiences of medical students from HICs and from low- and middle-income countries (LMICs) participating in GHE clinical electives through institutional partnerships are similar or different. Such an understanding is needed to design programs that meet the needs of participants and effectively train them in the principles and practice of global health. Approach: This was a cross-sectional, mixed-methods survey of LMIC students from partner sites rotating at one U.S. medical school, and U.S. students from one medical school rotating at partner sites, between 2010 and 2015. Variables included demographic characteristics of participants, components of the curriculum at the home institution, and components of the away rotation, including perceptions of its content and impact. Content analysis was used to identify themes in the responses provided to open-ended questions. Findings: In all, 63 of 84 (75%) LMIC and 61 of 152 (40%) U.S. students participated. Recall of predeparture training was low for both LMIC and U.S. students (44% and 55%, respectively). Opportunities to experience different healthcare systems, resource-different settings, and cultural exposure emerged as motivators for both groups. Both groups noted differences in doctor–patient relationships, interactions between colleagues, and use of diagnostic testing. U.S. respondents were more likely to perceive differences in the impact of social determinants of health and ethical issues. Both groups felt that their experience affected their interactions with patients and perspectives on education, but U.S. students were more likely to mention perspectives on healthcare delivery and social determinants of health, whereas LMIC respondents noted impacts on career goals. Insights: These results argue that GHE is not restricted to resource-constrained settings and that students from LMICs have similar reasons for participation as those from HICs. LMIC students also identified a lack of emphasis on GHE topics like social determinants of health during GH electives, which could diminish the effectiveness of these experiences. Both U.S. and LMIC students emphasized the cultural component of their GHE experience but had different perceptions regarding core tenets of GHE, such as the social determinants of health and health equity, during these experiences.

BGHEI meeting in India, February 2018

The next meeting of the Bellagio Global Health Education Initiative will take place between 5-9 February 2018 at the Mahatma Gandhi Institute of Medical Sciences in Sewagram, Maharashtra. Amongst the meeting themes will be progress towards a universal curriculum for global health. We hope to announce details of a satellite meeting open to medical schools and universities in India. If you would be interested in attending please leave a comment below.