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Oses an antibiotic to treat viral pneumonia or the dose is wrong in the MARE app, the pathogen and commensal change in the patient’s body will appear on the GP’s mobile phone.Learning Environment Design for Practitioners’ Rational Use of AntibioticsGeneralAfter the learning objectives and the GP’s personal paradigm for the rational use of antibiotics are compared, the learning environment could be designed for GP rational use of antibiotics as follows:1.2.In affective-oriented environments, visuals or voice simulations are overlaid in the physical environments to affect the attitudes of GPs in specific settings. GPs are encouraged to share their values and feelings from their concrete experiences. In perception-oriented environments, GPs observe the process simulations of infecting and treating with the real object to reflect and change their habit of misusing of antibiotics. GPs will examine the problem-solving strategies that they used in clinical practice.http://mededu.jmir.org/2015/2/e10/XSL?FORenderXJMIR Medical Education 2015 | vol. 1 | iss. 2 | e10 | p.12 (page number not for citation purposes)JMIR MEDICAL EDUCATIONTable 6. General practitioners’ learning activities and application examples in learning environmentsa. Learning environ- Learning activities ment Affective oriented Role-playing of GPsb as patients could arouse GPs’ empathy. Storytelling could be used to share GPs’ experiences to SCR7 custom synthesis become aware of their own problems. Examples of use in antibiotic educationZhu et alGPs can role-play as patients for one another and use MAREc tracking to experience how patients may feel or change during the treatment process. GPs will be encouraged to tell stories related to the situation being addressed by MARE or add as new cases within MARE.Self-examination or discussion with peers could raise After learning with MARE, GPs examine or discuss with peers how they consciousness about the rational use of antibiotics. feel about the learning experience. Premise reflecting may lead to transforming the GPs’ GPs assess assumptions about what determines or guides prescribing anbelief systems in the use of antibiotics. tibiotics within their value systems. Disorienting dilemmas should be designed to define problem processes that provide an opportunity for GPs to reflect on MARE. Perception oriented Demonstration observing could provide GPs the right GPs can observe antimicrobial therapy dynamic change processes, which therapeutic skills and transformed insights regarding simulate a demonstration of the complex interrelationship between patient, infectious diseases. microorganisms, and antimicrobial drugs through MARE. Case studies could improve the GPs with the ability to analyze and resolve problems. Process reflecting questions the etiology and factors of actions that might change GPs’ problem-solving strategies during the therapeutic process. Symbol oriented Cognitive apprenticeship, which makes thinking visi- GPs follows the guidelines, posters, or cue cards for the rational use of ble, could iteratively build the GPs’ intellectual skills antibiotics in MARE to build their cognitive ability, as described in Tables in rational use of antibiotics. 1-4. Rational discourse could offer GPs Varlitinib web accurate and GPs have an equal opportunity to participate in a rational discourse with complete information with which to get objective and a challenging incident or controversial statement about the use of antibirational consensus on the rational use of antibio.Oses an antibiotic to treat viral pneumonia or the dose is wrong in the MARE app, the pathogen and commensal change in the patient’s body will appear on the GP’s mobile phone.Learning Environment Design for Practitioners’ Rational Use of AntibioticsGeneralAfter the learning objectives and the GP’s personal paradigm for the rational use of antibiotics are compared, the learning environment could be designed for GP rational use of antibiotics as follows:1.2.In affective-oriented environments, visuals or voice simulations are overlaid in the physical environments to affect the attitudes of GPs in specific settings. GPs are encouraged to share their values and feelings from their concrete experiences. In perception-oriented environments, GPs observe the process simulations of infecting and treating with the real object to reflect and change their habit of misusing of antibiotics. GPs will examine the problem-solving strategies that they used in clinical practice.http://mededu.jmir.org/2015/2/e10/XSL?FORenderXJMIR Medical Education 2015 | vol. 1 | iss. 2 | e10 | p.12 (page number not for citation purposes)JMIR MEDICAL EDUCATIONTable 6. General practitioners’ learning activities and application examples in learning environmentsa. Learning environ- Learning activities ment Affective oriented Role-playing of GPsb as patients could arouse GPs’ empathy. Storytelling could be used to share GPs’ experiences to become aware of their own problems. Examples of use in antibiotic educationZhu et alGPs can role-play as patients for one another and use MAREc tracking to experience how patients may feel or change during the treatment process. GPs will be encouraged to tell stories related to the situation being addressed by MARE or add as new cases within MARE.Self-examination or discussion with peers could raise After learning with MARE, GPs examine or discuss with peers how they consciousness about the rational use of antibiotics. feel about the learning experience. Premise reflecting may lead to transforming the GPs’ GPs assess assumptions about what determines or guides prescribing anbelief systems in the use of antibiotics. tibiotics within their value systems. Disorienting dilemmas should be designed to define problem processes that provide an opportunity for GPs to reflect on MARE. Perception oriented Demonstration observing could provide GPs the right GPs can observe antimicrobial therapy dynamic change processes, which therapeutic skills and transformed insights regarding simulate a demonstration of the complex interrelationship between patient, infectious diseases. microorganisms, and antimicrobial drugs through MARE. Case studies could improve the GPs with the ability to analyze and resolve problems. Process reflecting questions the etiology and factors of actions that might change GPs’ problem-solving strategies during the therapeutic process. Symbol oriented Cognitive apprenticeship, which makes thinking visi- GPs follows the guidelines, posters, or cue cards for the rational use of ble, could iteratively build the GPs’ intellectual skills antibiotics in MARE to build their cognitive ability, as described in Tables in rational use of antibiotics. 1-4. Rational discourse could offer GPs accurate and GPs have an equal opportunity to participate in a rational discourse with complete information with which to get objective and a challenging incident or controversial statement about the use of antibirational consensus on the rational use of antibio.

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