Remedial Boundary Work and Gatekeeper Centrality in a Virtual Entrepreneur Community

Virtual communities of practice invoke novel forms of boundary work that are newly visible via publicly recorded discourse and failure narratives. This boundary work has critical implications for occupational knowledge, membership, and stratification. Building on social exchange theorization of network gatekeeping, the author tests the assumption that centralized peers are more competitive gatekeepers, in that they react more negatively to remedial narratives. The author tests this theory using empirical data from a virtual entrepreneur community on Reddit. The author finds that a peer’s tenure in the community network is directly related to exclusive, competitive boundary work of remedial members. However, by looking beyond the network structure to the content of the tie, the author finds that exclusive boundary work is not as impactful as inclusive, collaborative boundary work in this open network setting. The author builds on relational cohesion and exchange commitment theory to explain how remedial practitioners circumvent central community gatekeepers through failure narratives that provoke empathy from peripheral peers who experience higher uncertainty than core peers. Understanding these dynamics is critical to promoting recovery from failure and vitality of the community of practice.

Co-Creation of Massive Open Online Courses to Improve Digital Health Literacy in Pregnant and Lactating Women

Background: Digital health literacy (DHL) increases the self-efficacy and empowerment of pregnant and lactating women (PLW) in using the Internet for health issues. The European project IC-Health aimed to improve DHL among PLW, through the co-creation of Massive Open Online Courses (MOOCs). Methods: The co-creation of the MOOCs included focus groups and the creation of communities of practice (CoPs) with PLW and healthcare professionals aimed to co-design the MOOCs. The quantitative measures of MOOCs’ acceptability, experience in the co-creation process and increase in DHL (dimensions of finding, understanding and appraisal) were assessed. Results: 17 PLW participated in focus groups, 113 participants were included in CoPs and 68 participants evaluated the acceptability of MOOCs. A total of 6 MOOCs aimed at improving PLW’s DHL were co-designed. There was a significant improvement in self-perceived DHL after using MOOCs (p-value < 0.001). The acceptability of MOOCs and co-creation experience were positively valued. Conclusions: The preliminary results of the quantitative assessment showed a higher self-perceived DHL after the IC-Health MOOCs. These results suggest that IC-Health MOOCs and the co-creation methodology appear to be a viable process to carry out an intervention aimed to improve DHL levels in European PLW.

Becoming a Psychotherapist: Learning Practices and Identity Construction Across Communities of Practice

Within a perspective that views groups as communities of practice and sites of construction of knowledge, learning, and identity, this article aims to explore the contribution that participation in different groups over the course of one’s life provides to the development of the professional practices of psychotherapist trainees enrolled in the C.O.I.R.A.G. school, an Italian graduate program in group psychotherapy. Through qualitative analyses of 10 semi-structured interviews, our study empirically shows that by participating in groups, the trainees not only learn the practices of that group but also develop a sort of meta-learning which takes place across groups. The results highlight that: (1) Transversality, duration, and informality are found to be the group properties with the highest formative value; and (2) Learning practices across different groups have common characteristics: are organized around complex topics of group life (e.g., how to manage conflicts, how to join and leave groups, etc.), began in early group experiences, are in continuous evolution, are associated with a critical event, and a negative affect. At the same time, it seems that these critical events are exactly what triggered and sustained the learning practices. Data from the interviews also showed how professional identities are constructed as the outcome of learning in different communities of practice. The study outlines how the experience made in different groups is elaborated in and through meaningful self-narratives, highlighting them as a fundamentally collective and culturally shaped sense-making process. Overall, these results contribute to a better understanding of learning processes as situated and jointly constructed through multiple group participations over time. Furthermore, they contribute to highlighting the role of self-narratives as a primary way through which trainees shape their identity as self-reflexive professionals who are competent in reading group dynamics. Directions for future research and suggestions for psychotherapist training paths are outlined in the conclusions.

Caring for Our Communities of Practice in Educational Development

Our paper names the importance of communities of practice for ourselves as educational developers, inviting us to witness and name: the communities in which we belong; the important functions they engage; who they nurture and how; and what visible and hidden labor is undertaken to sustain these communities. We include narratives from educational developers who share examples of the functional roles and relational meanings from their membership in different communities of practice. Through these stories, we amplify the particularly important role these groups have played in our professional and personal lives during 2020. As these groups are fragile, we end with specific actions we can take to tend to our communities of practice, maintaining them so that they will provide us support and shelter into the future.

A New Adaptive Corporate Learning Model

The article discusses issues related to the main trends in corporate learning and the creation of a model of adaptive learning organizations. As one of the main conditions for their activities, the idea of forming a knowledge management system in adaptive learning organizations, widespread use of corporate knowledge portals, and empowering communities of practice is put forward and substantiated. In this regard, the article focuses on the peculiarities of their construction and functioning. A list of the main problems that arise in the knowledge management system is given, and the ways of their solution are determined. Particularly interesting is the question of modern new functions of the knowledge management system, an overview of the current existing experience of solving this using e-learning and vr-technologies is given.

From clinician to educator: A scoping review of professional identity and the influence of impostor phenomenon

Introduction: As healthcare educators undergo a career transition from providing care to providing education, their professional identity can also transition accompanied by significant threat. Given their qualifications are usually clinical in nature, healthcare educators’ knowledge and skills in education and other relevant theories are often minimal, making them vulnerable to feeling fraudulent in the healthcare educator role. This threat and vulnerability is described as the impostor phenomenon. The aim of this study was to examine and map the concepts of professional identity and the influence of impostor phenomenon in healthcare educators. Methods: The authors conducted a scoping review of health professions literature. Six databases were searched, identifying 121 relevant articles, eight meeting our inclusion criteria. Two researchers independently extracted data, collating and summarising the results. Results: Clinicians who become healthcare educators experience identity ambiguity. Gaps exist in the incidence and influence of impostor phenomenon in healthcare educators. Creating communities of practice, where opportunities exist for formal and informal interactions with both peers and experts, has a positive impact on professional identity construction. Faculty development activities that incorporate the beliefs, values and attributes of the professional role of a healthcare educator can be effective in establishing a new professional identity. Conclusion: This review describes the professional identity ambiguity experienced by clinicians as they take on the role of healthcare educator and solutions to ensure a sustainable healthcare education workforce.

Enhancing the student experience through sustainable Communities of Practice

Introduction: The switch to online off-campus teaching for universities worldwide due to COVID-19 will transform into more sustainable and predictable delivery models where virtual and local student contact will continue to be combined. Institutions must do more to replace the full student experience and benefits of learners and educators being together. Methods: Our centre has been delivering distance blended and online learning for more than 40 years and has over 4000 alumni across five continents. Our students and alumni come from varied healthcare disciplines and are at different stages of their career as educators and practitioners. Whilst studying on the programme students work together flexibly in randomly arranged peer groups designed to allow the establishment of Communities of Practice (CoP) through the use of online Discussion Boards. Results: We found Discussion Boards encouraged reflection on learning, sharing of ideas with peers and tutors, reduce anxiety, support progression, and enable benchmarking. This led to a highly effective student sense of belonging to each other, our educators, and the wider University, with many highlighting an excellent student experience and maintaining a thriving CoP within the alumni body. Conclusion: Despite being based on one large postgraduate programme in medical education, our CoP approach is relevant to any undergraduate programme, particularly those that lead to professional qualification. With our mix of nationalities, we can ‘model the way’ for enabling strong CoP’s to share ideas about best practice with a strong student and alumni network which can be shared across the international healthcare community.