Learning about and changing clinical practice: Paradigm-shifts in medical education using video-reflexive ethnography (9589)

Background: Changing healthcare demands and practices are making it increasingly difficult to support and educate those involved in delivering care. This educational support works most effectively when everyone involved is enabled to participate and is actively engaged. Video-reflexive ethnography (VRE), first described by Carroll et al. (2008), is a methodology aiming to surpass existing practice change approaches by enhancing participants understanding of their clinical practices and working environments. VRE engages participants in the development of bottom-up improvement solutions. VRE involves the production of video footage with front-line clinicians, allowing reflexive conversations about actions usually taken as given in everyday clinical practice (Iedema et al. 2019). After observing and video recording clinical activities, key moments and practices are chosen to show participants in reflexive sessions. Participants interpret and discuss these clips, considering ways to improve practice through collective noticing, which in turn provides further data (Carroll and Mesman, 2018). Central to VRE are issues of context, action, and social interaction. Making these issues visible to participants and researchers provides the opportunity for repeated scrutiny of everyday practices by those at the healthcare delivery frontline (Iedema et al. 2013; Gordon et al. 2017). VRE has been used to explore communication, patient safety, feedback, workplace learning, and leadership, across diverse healthcare settings internationally (e.g. Australia, UK, US).Who Should Attend: This workshop is suitable for anyone with a basic understanding of qualitative research, wanting to learn more about video-reflexive ethnography. Structure of Workshop: This highly interactive workshop aims to introduce participants to VRE by unpacking the underlying principles and practicalities of using VRE. Footage and exemplars from our research will illustrate VRE and prompt discussion. Intended Outcomes: Participants will have the opportunity to: 1) Explore and understand VRE as a valuable participatory methodology in healthcare education research. 2) Learn about techniques for data collection and analysis, including running reflexive sessions. 3) Consider how participants may use VRE in their own workplaces or academic settings. Level: Introductory