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1 Australian J. Clinical Educ. 1 (2016)

handle is hein.journals/asnjlocl1 and id is 1 raw text is: 
Cantatore et al.: Defining Clinical Education


                      Defining  clinical education: Parallels in practice

                   Francina Cantatorel, Linda Crane2 and  Deborah  Wilmoth3


Abstract

What  is commonly  understood  by the term 'clinical education'? Despite the attraction of a 'one
size fits all' approach, the concept of clinical education is approached differently in diverse
disciplines, which  may  give  rise to pedagogical  uncertainty. Clinical education  in higher
education  institutions, previously understood  to  apply  exclusively to  health professional
disciplines, is no longer the sole domain   of medicine  and  health sciences. Instead, it has
evolved  into an educational model  adopted   by multiple disciplines to create and implement
experiential learning opportunities for students. For example, in the discipline of law it has given
rise to law clinics where students are able to deal with real-life clients and obtain professional
experience  in interviewing and drafting legal letters and documents  under  close practitioner
supervision.  In other areas, such as psychology, clinical education has been implemented   as
an integral part of the educational model through university clinics and external placements that
provide  the opportunity  to practice clinical skills under conditions of supervision prior to
becoming  registered as an independent  practitioner.

This paper  examines  the definition of 'clinical education' in the diverse disciplines of medicine,
law and  psychology by drawing  on available literature and industry practice, and compares and
distinguishes the understanding and  application of the term in these areas. It further considers
whether  a cross-disciplinary approach may enhance  and inform practices in different disciplines.

1.  Introduction

Clinical education can  mean   different things to different disciplines. It calls for a different
approach  in the context of each discipline, which may give rise to pedagogical uncertainty when
trying to define what the term means   or aspires to do. Clinical education in higher education
institutions has been well known and  successfully applied in health professional disciplines for
some  time, but it has also become  a focal point of legal education. In short, clinical education
has evolved  into multi-faceted educational models adopted by multiple disciplines to create and
implement  experiential learning opportunities for students. This article aims to provide a short
description of what the term 'clinical education' means - and how it is applied - in three central
disciplines, namely medicine  and health sciences,  law, and psychology.  It also identifies and
draws  parallels between  each  approach,  and  examines  differences in how  these  disparate
areas of higher education approach clinical education.

A.  Medicine  and health sciences

Slightly more than 100 years  ago Abraham   Flexner produced  a report on medical education in
which  he described  the fundamental  importance  of the teaching hospital to the education of
future medical practitioners (Flexner, 1910). The core of this model, exposure  of students to
practising healthcare environments, has endured  and today the centrality of clinical education is
apparent  throughout health professional education. Unlike the key role of the teaching hospital
as described by Flexner however,  today's use of the term 'clinical education' covers a spectrum
of experiences from  early observational visits in health care settings, simulated experiences of
healthcare cases  and  situations, and student placements within health care settings in which
they are involved with patient care under supervision. Although 'learning from patient contact'

1  BA, LLB (Hons), MA, GDLegPrac, PhD, Assistant Professor, Director Bond Law Clinic, Faculty of Law, Bond
   University.
2  BSc (Hons), PhD, GCertEd, Associate Dean, Learning & Teaching, Faculty of Health Sciences and Medicine,
   Bond University.
3  PsyD, MA, BA, Clinic Director, Faculty of Society and Design, Bond University.


Published by ePublications@bond, 2016

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