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Zeitschrift für Hochschuldidaktik Nr. 1999/4
Medicine Study 2000
Alternatives for Learning and Assessment, Teaching and Evaluation
Joseph V. HENDERSON (Hanover, NH, USA)
The 'Virtual Practicum': Correcting Descartes' Error With Computers?
Summary
This paper describes a virtual environment
to improve clinical education by
providing a more comprehensive view
of medical education and clinical practice.
For the most part, Western medical
education subscribes to a Cartesian
world view in which practice is viewed
as technically rational and mechanistic,
addressable by the application of theory-basedfacts and rules. This restricted
model of health care largely ignores the
psychosocial dimensions of health and
illness. It does not prepare students to
deal effectively with the real "swamp"
of professional practice, particularly in
the majority of cases where the variability
of human behavior and human
situations plays a role. This "Cartesian
error" may be partly addressable using
emerging methods of technology-based
learning, especially virtual environments
that incorporate these biopsychosocial
aspects.
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