Jur Koksma

Jur Koksma
Radboud University Medical Centre (Radboudumc) · Radboud UMC Health Academy

PhD
Transforming learning

About

43
Publications
4,903
Reads
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435
Citations
Introduction
Jur Koksma leads the Transformative Learning research program at Radboud University Medical Centre in the Netherlands. The TL-research program focuses on what factors may help or hinder people broadening their perspectives. The research employs both qualitative and quantitative methods, and has a participatory action design.
Additional affiliations
August 2008 - November 2009
Vrije Universiteit Amsterdam
Position
  • Professor (Assistant)
Description
  • Together with dr. Brussaard I 1) redeveloped neuroscience education in (bio-)medicine, biology, and health & life sciences 2) designed the educational program for EU Erasmus grant for 50 PhDs (together with Heidelberg, Zürich, Bordeaux and Coimbra).
Education
September 2011 - August 2012
University of Amsterdam
Field of study
  • Philosophy of Science

Publications

Publications (43)
Article
Purpose Implementing a patient-centered innovation is a complex process that requires commitment and attention from the healthcare professionals and organizations involved. Even though studies show how patient participation can be achieved in clinical care, it has hardly been studied as a learning process. This study aims to understand a patient-ce...
Article
Full-text available
Optimizing teacher motivation in distributed learning environments is paramount to ensure high-quality education, as medical education is increasingly becoming the responsibility of a larger variety of healthcare contexts. This study aims to explore teaching-related basic need satisfaction, e.g. teachers’ feelings of autonomy, competence and relate...
Article
School is an excellent place to foster young learners’ creative thinking skills. However, the emphasis on creativity varies among schools. In two studies the putative influence of school education on the development of students’ creativity was examined by means of a retrospective approach. We investigated whether two influential factors within scho...
Article
Full-text available
The GAME 2019 #FuturistForum involved an exchange of ideas and perspectives on the future of learning in healthcare and necessary evolutions to sustain future health systems. This event allowed for reflection and discourse around a) what medical learning or learning in healthcare may look like 10–15 years from now, b) how technology would impact th...
Article
Full-text available
Over the last decade, medical schools try to reform their programmes to better prepare future doctors for the complex field of healthcare. A main direction of reform is to embrace a more holistic perspective on the patient. This direction, however, entails a paradigm shift in healthcare education, science and practice. Engaging with the arts can in...
Article
Full-text available
Preparing future professionals for highly dynamic settings require self-directed learning in authentic learning situations. Authentic learning situations imply teamwork. Therefore, designing education for future professionals requires an understanding of how self-directed learning develops in teams. We followed (bio-)medical sciences students (n =...
Article
Full-text available
Wie heeft er als kind geen fles in zee gegooid met een brief voor een onbekende in een ver land? Wie heeft er geen schatten begraven - knikkers, kroonkurken, briefjes in geheimschrift - voor archeologen van de toekomst? Toen de Schotse kunstenaar Katie Paterson het project Future Library bedacht, moet ze het kind in haar de ruimte hebben gegeven. H...
Article
Full-text available
Practicing a "safe" disclosure of adverse events remains challenging for healthcare professionals. In addition, knowledge on how to deliver a disclosure is still limited. This review focuses on how disclosure communication may be practiced based on the perspectives of patients and healthcare professionals. Empirical studies conducted between Septem...
Article
Objectives Morbidity and mortality meetings (M&MMs) at surgical departments may improve when patients participate, leading to different learning points. A gynecological oncology department invited patients to join their M&MMs. The practical constraints and experiences important from the perspective of patients and their healthcare professionals wer...
Article
Full-text available
Several studies have reported on the negative impact of interruptions and distractions on anaesthetic, surgical and team performance in the operating theatre. This study aimed to gain a deeper understanding of these events and why they remain part of everyday clinical practice. We used a mixed methods observational study design. We scored each dist...
Article
Full-text available
Objectives: To evaluate a practice-based, self-directed EBM-course in an undergraduate medical curriculum in terms of EBM attitude and motivation beliefs. Methods: This study was conducted in a 4-week course of the first-year undergraduate medical curriculum, which takes place twice in an academic year. One group of students (n=210) received a n...
Chapter
Full-text available
Leren is betekenisvol bezig zijn en dus samen betekenis maken. Daar beter in worden, met elkaar. Niet elk individu apart afrekenen op wat het weet te presteren in een bakstenen aquarium. We moeten leren leren zien als iets dat in en van de wereld is, de wereld waar we deel van uitmaken. Niet als iets wat zich enkel onder ons schedeldak voltrekt, wa...
Presentation
In 2016 we started an innovative learning track in the Radboudumc that combines arts and medical education, and appraised the learning processes involved. For four years now the voluntary track is followed by 30+ participants, mostly interns and a few residents and patients. We invited participants to join artists in their studios, to allow student...
Article
Full-text available
To foster lifelong learning skills, we need new didactic approaches with aligned assessment methods. Therefore, we investigated whether the outcomes of a project assignment show a different relation to learning strategies than a longitudinal knowledge-based assessment. We studied learning strategies of first year students of medicine and biomedical...
Presentation
Full-text available
In 2016 we started an innovative learning track in the Radboudumc that combines arts and medical education, and appraised the learning processes involved. For four years now the voluntary track is followed by 30+ participants, mostly interns and a few residents and patients. We invited participants to join artists in their studios, to allow student...
Article
Full-text available
By highlighting the intangible, personal, contextual, and illusory nature of "quality," the authors reconceptualize quality improvement as a pluralistic and moral journey. They imagine a new era of quality improvement in which patients and health care providers work together to understand and achieve quality. The authors recommend, for the path for...
Data
By highlighting the intangible, personal, contextual, and illusory nature of "quality," the authors reconceptualize quality improvement as a pluralistic and moral journey. They imagine a new era of quality improvement in which patients and health care providers work together to understand and achieve quality. The authors recommend, for the path for...
Poster
Full-text available
Introduction • Self-directed learning (SDL) is implemented in medical education to foster lifelong learning. • We expect this to influence learning strategies of students by increased use of elaboration, critical thinking and meta-cognitive self-regulation. • Learning strategies are hypothesized to be influenced by other factors such as motivation...
Poster
Full-text available
Introductie •Kijken naar kunst is een manier om studenten te onderwijzen in observatie-vaardigheden. Ook heeft het positieve invloed op emotieherkenning en reflectie. •Zou kunst ook een rol kunnen spelen om studenten in het medisch onderwijs meer te leren over persoonsgerichte zorg ? Doel Nagaan welke ontwikkelingen coassistenten en AIOS laten zien...
Research
Full-text available
Learning to see things from a different perspective: interns and residents collaborate with artists to become better doctors In 2016 and 2017, we started an innovative learning track in the Radboudumc that combines arts and medical education, and appraised the learning processes involved. The voluntary track was followed by 32 and 30 participants...
Article
Full-text available
KWALITEIT N iemand is tegen kwaliteit. Maar bedoelen we er allemaal hetzelfde mee? Wat is kwali­ teit eigenlijk? Volgens het Institute of Medicine moet zorg veilig, effectief, doelmatig, toegankelijk, tijdig en patiëntgericht zijn. 1 Het gangbare idee is om kwaliteit langs deze lijnen te meten en vervolgens te verbeteren. Dit denken heeft geleid to...
Article
Full-text available
In 2016 and 2017, we started an innovative learning track in the Radboudumc that combines arts and medical education, and appraised the learning processes involved. The voluntary track was followed by 32 and 30 participants respectively, mostly interns and a few residents. The initiative built upon the ideas of several American educational developm...
Chapter
Full-text available
Sociologists of science claim there is a 'neurobiologization of society' going on. Advances in neuroscience would pose challenges to various societal domains and neurobiological reductionism could even threaten the humanistic legacy. On the other hand, new neurobiological insights may yield potential benefits for human health and education. Novel f...
Presentation
"Over the past years we see a mushrooming of neuroscientific approaches to social domains. Supposedly ‘new’ disciplines like neuromarketing, neuroethics, neuroeconomics, or neuro-education have arisen and thrive on anticipations of cross-fertilization between brain research and diverse fields of application. The reductionist tendency to ‘explain aw...
Article
We here investigated inhibitory synapse turnover in the adult brain using the hypothalamic supraoptic nucleus where new synapses form during different physiological conditions, in particular on oxytocin neurons largely controlled by GABAergic inputs and locally released oxytocin. Patch clamp recordings and ultrastructural analysis of the nucleus in...
Article
Full-text available
Expression, functional properties, and clustering of alpha 1-, alpha 2-, and alpha 3-subunit containing GABA(A) receptors (GABA(A)Rs) were studied in dorsomedial SON neurons of the adult female rat supraoptic nucleus (SON) around parturition. We show that, although the decay time constant (tau(decay)) of GABAergic postsynaptic currents between and...
Article
Full-text available
Nongenomic gonadal steroid feedback to oxytocin containing neurons in the supraoptic nucleus of the hypothalamus is mediated via the neurosteroid allopregnanolone (3alpha-OH-DHP) that acts as an allosteric modulator of the postsynaptic GABA(A) receptors. We found evidence to support the idea that neurosteroids not only potentiate GABA(A) receptor f...
Article
Full-text available
During the female reproductive cycle, hypothalamic oxytocin (OT) neurons undergo sharp changes in excitability. In lactating mammals, bursts of electrical activity of OT neurons result in the release of large amounts of OT in the bloodstream, which causes milk ejection. One hypothesis is that OT neurons regulate their own firing activity and that o...
Article
Full-text available
In this study, we investigate how neurosteroid sensitivity of GABA(A) receptors (GABA(A)Rs) is regulated. We examined this issue in neurons of the supraoptic nucleus (SON) of the rat and found that, during parturition, the GABA(A)Rs become insensitive to the neurosteroid allopregnanolone attributable to a shift in the balance between the activities...
Article
Oxytocin neurons in the supraoptic nucleus (SON) exhibit marked neuronal plasticity during each reproductive cycle. We have previously shown that this neuronal plasticity includes GABAA receptor subunit switching around the time of parturition. Here we focus on additional plasticity in short-term regulatory mechanisms of postsynaptic receptor funct...
Article
Oxytocin neurons in the supraoptic nucleus (SON) exhibit marked neuronal plasticity during each reproductive cycle. We have previously shown that this neuronal plasticity includes GABAA receptor subunit switching around the time of parturition. Here we focus on addition plasticity in short-term regulatory mechanisms of postsynaptic receptor functio...
Conference Paper
Oxytocin neurons in the supraoptic nucleus (SON) exhibit marked neuronal plasticity during each reproductive cycle. We have previously shown that this neuronal plasticity includes GABA(A) receptor subunit switching around the time of parturition. Here we focus on additional plasticity in short-term regulatory mechanisms of postsynaptic receptor fun...

Questions

Question (1)
Question
We are writing a paper on a first attempt to test the creativity of our students (medicine and biomedicine). There seems to be very little research on this topic, apart from many initiatives concerning learning-with-the-arts. If you know of interesting research findings, published or unpublished, please share.
Also, feel free to share your opinion on the place that creativity should have in a doctor's education.

Projects

Projects (10)
Project
Transformative learning for strengthening person-centered care.
Project
Designing and researching new learning landscapes between the Arts and other fields where people may embark on collaborative, transformative learning journeys.
Project
Just a place for a Snark! Research on conceptualizing, contextualizing and fostering creativity in various educational (and other) settings