Marleen Ottenhoff

52 Chapter 2 The educators with a Belief Orientation III were aware that a variety of professional competencies such as clinical reasoning, collaboration, communication, and professional attitude are important. For these educators, a small group is an appropriate environment to learn these competencies, or they believe some of these competencies can be demonstrated by being a role model (D8A/b). I think that it’s important to work together in small groups; cooperation between students is important … that is important for doctors because they work in teams. So learning to work together, and learning to accept the roles that other people play, because there are often people who take the lead and there are people who hang back. That’s all part of it. (D8A/b; L12) In the learning-centred belief orientations the focus of the teaching is on the development of the student. Educators within the two most learning-centred belief orientations (Orientations V and VI) described the student’s professional development as an educator’s responsibility and emphasised the importance of fostering the learning or development of the student (D8B). Most participants holding this belief refer to multiple physician roles. In addition to being a clinical expert, the professional physician should also be a communicator, collaborator, leader, health advocate, and scholar (showing qualities such as critical thinking and lifelong learning).24 …that if one runs a small group successfully to where people don’t see that they necessarily must be the mirror image of each other but they capitalize on each other’s strengths, then they actually can begin to be learning what they are going to do for a lifetime. So the power of the small group is the power of the professional behaviour that you hope continues forever; especially around team-work and respect – the whole…. (D8B; S05) Educators within Orientation IV believed that they had an important role in the professional development of students, but were less outspoken about their responsibility in this process (D8B/a). For the student, I think that what you especially want is that she/he really participates [in a workgroup]. Maybe it is also something that develops. It would of course be fantastic if after four years, students could take on the role of teacher. One of the things is of course teamwork in the hospital or another place where you work later; so these are skills which are totally essential. (D8B/a; L01)

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