Abstract
This chapter outlines a theoretical framework to account for practices of meaning making in health care and sets out an agenda for clinical educational research. It shows how meaning making pervades all aspects of clinical work and how it can be explored and made explicit within a framework derived from social semiotics. The chapter illustrates how the framework produces accounts of the ways in which clinicians make sense of and interact with the world, in situations where they give, review, and imagine care. It explores how clinicians interpret, and communicate through, human bodies, tools, and technologies, giving meaning to, and expressing meaning through, distinct material forms. In so doing, the chapter begins to render visible the semiotic skills that clinicians develop to prepare for, provide, and evaluate clinical care.
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References
Bezemer J. Partnerships in research: doing linguistic ethnography with and for practitioners. In: Snell J, Shaw S, Copland F, editors. Linguistic ethnography: interdisciplinary explorations. Basingstoke: Palgrave Macmillan; 2015. p. 207–24.
Bezemer J. Visual research in clinical education. Med Educ. 2017;51(1):105–13.
Bezemer J, Kress G. Multimodality, learning and communication: a social semiotic frame. London: Routledge; 2016.
Bezemer J, Kress G, Cope A, Kneebone R. Learning in the operating theatre: a social semiotic perspective. In: Cook V, Daly C, Newman M, editors. Work-based learning in clinical settings: insights from socio-cultural perspectives. Abingdon: Radcliffe; 2012. p. 125–41.
Bezemer J, Cope A, Korkiakangas T, Kress G, Murtagh G, Weldon S-M, Kneebone R. Micro analysis of video from the operating room: an under-used approach to patient safety research. BMJ Qual Saf. 2017;26(7):583–7.
de Saussure F. Cours de linguistique générale. Paris: Payot; 1916.
Eco U. A Theory of Semiotics. Bloomington: Indiana University Press; 1976.
Foucault M. The birth of the clinic. London: Routledge; 1963/2003.
Gishen F, Whitman S, Gill D, Barker R, Walker S. Schwartz Centre rounds: a new initiative in the undergraduate curriculum—what do medical students think? BMC Med Educ. 2016;16:246.
Goodwin C. Professional vision. Am Anthropol. 1994;96(3):606–33.
Goodwin C. Co-operative action. Cambridge: CUP; 2018.
Gorbanev I, Agudelo-Londoño S, González R, Cortes A, Pomares A, Delgadillo V, et al. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy. Med Educ Online. 2018;23(1):1–9.
Hodge R, Kress G. Social semiotics. Cambridge: Polity Press; 1988.
Iedema R. Multimodality, resemiotization: extending the analysis of discourse as multi-semiotic practice. Vis Commun. 2003;1(2):29–57.
Iedema R, Hor S, Wyer M, Gilbert G, Jorm C, Hooker C, O'Sullivan M. An innovative approach to strengthening health professionals’ infection control and limiting hospital-acquired infection: video-reflexive ethnography. BMJ Innov. 2015;1(4):157–62.
ISCP. Workplace based assessment. 2018. Retrieved 22 Aug 19, 2018, from https://www.iscp.ac.uk/curriculum/surgical/assessment_wbas.aspx.
Jakobson R. Language in relation to other communication systems. Collected Writings Vol. 2. The Hague: Mouton; 1971.
Junhasavasdikul D, Sukhato K, Srisangkaew S, Theera-Ampornpunt N, Anothaisintawee T, Dellow A. Cartoon versus traditional self-study handouts for medical students: CARTOON randomized controlled trial. Med Teach. 2017;39(8):836–43.
Kendon A. Gesture. Visible action as utterance. Cambridge: CUP; 2004.
Kress G. Multimodality. A social semiotic theory of communication. London: Routledge; 2010.
Law BHY, Cheung P, Wagner M, et al. Analysis of neonatal resuscitation using eye tracking: a pilot study. Arch Dis Child Fetal Neonatal Ed. 2018;103:F82–4.
Mansbridge C. Skin suturing. Retrieved 1 Feb 2016 from: OSCEstop.com.
Mondada L. Instructions in the operating room: how the surgeon directs their assistant’s hands. Discourse Stud. 2014;16(2):131–61.
Peirce C. Collected papers of Charles Sanders Peirce. Cambridge: Harvard University Press; 1931–1958.
Pelletier C, Kneebone R. Learning safely from error? Reconsidering the ethics of simulation-based medical education through ethnography. Ethnogr Educ. 2016;11(3):267–82.
Point of Care Foundation. Schwartz rounds information pack for larger organisations. n.d. Document retrieved from https://s16682.pcdn.co/wp-content/uploads/2018/11/Attach-1.-New-Information-pack-big-2.pdf
RCP. Improving teams in healthcare. Resource 3: team communication. London: Royal College of Physicians; 2017.
Schlegel C, Kneebone R. Taking a broader view: Exploring the materiality of medicine through cross-disciplinary learning. BMJ Simulation and Technology Enhanced Learning, Bmjstel; 2018.
Schulz CM, Schneider E, Fritz L, Vockeroth J, Hapfelmeier A, Brandt T, et al. Visual attention of anaesthetists during simulated critical incidents. Br J Anaesth. 2011;106(6):807–13.
Sebeok T. Vital signs. Am J Semiot. 1985;3(3):1–27.
Tahim A, Gill D, Bezemer J. How do postgraduate surgeons-in-training learn through the use of workplace-based assessment? Short communication, Association for Medical Education in Europe annual scientific meeting, August 2019, Vienna. 2019
Tredinnick-Rowe J. The (re)-introduction of semiotics into medical education: on the works of Thure von Uexküll. Med Humanit. 2017;43:1–8.
van Leeuwen T. Introducing social semiotics. London: Routledge; 2005.
Von Uexküll T. Medicine and semiotics. Semiotica. 1986;61(3):201–18.
Von Uexküll J. A stroll through the worlds of animals and men. A picture book of invisible worlds. Semiotica. 1992;89(4):319–91.. (Originally published in English in 1957, originally published in German in 1934)
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Bezemer, J. (2020). Social Semiotics: Theorising Meaning Making. In: Nestel, D., Reedy, G., McKenna, L., Gough, S. (eds) Clinical Education for the Health Professions. Springer, Singapore. https://doi.org/10.1007/978-981-13-6106-7_26-1
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DOI: https://doi.org/10.1007/978-981-13-6106-7_26-1
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